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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Asthma And COPD. Feeling Tired, Muscle Tightness. Taking Symbicort And Spiriva. Advice?

Hi, My husband has asthma, and COPD he takes symbicort and Spiriva. He's 55, lately he's really tired, some muscle tightness in his hamstrings, some back pain. I'm learning about his medical history and what to do. I have a general understanding and I'm trying to learn more. I have noticed that he's goes for a week or so before he refills his meds and we are addressing these habits. Do you have any advise?
Sat, 3 Aug 2013
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General & Family Physician,  's  Response
Hello dear,

Asthma is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages.

Management consists of:
1. Asthalin or Corticosteroid Inhalers- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)
So, can be used it whenever having an acute attack.
2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.
3. Antihistamines can also be used to provide symptomatic relief.
4. Protection from exposure to cold, dust or other allergens.

Presence of pain can be attributed to either fatigue of respiratory muscles due to labored breathing or due to infection.
If symptoms still persist, it will be better to consult a Pulmonologist & get a proper physical examination done.
So that appropriate management steps could be taken.
Wishing a good health.
Take care.
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Asthma And COPD. Feeling Tired, Muscle Tightness. Taking Symbicort And Spiriva. Advice?

Hello dear, Asthma is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of: 1. Asthalin or Corticosteroid Inhalers- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs) So, can be used it whenever having an acute attack. 2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma. 3. Antihistamines can also be used to provide symptomatic relief. 4. Protection from exposure to cold, dust or other allergens. Presence of pain can be attributed to either fatigue of respiratory muscles due to labored breathing or due to infection. If symptoms still persist, it will be better to consult a Pulmonologist & get a proper physical examination done. So that appropriate management steps could be taken. Wishing a good health. Take care.