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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Difficulty In Breathing, Stabbing In Left Shoulder Blade. Having Asthma, Had Bronchitis. Could Weather Be The Cause?

I have asthma but lately have had a hard time breathing and a rattle that even coughing stuff up which is very little, it won't go away. I have a stabbing in my left shoulder blade and sometimes feel in in front. I believe this is occurring from so much coughing. I also had broncitus a few years back when I was diagnosed with asthma. Is it the weather causing all the problems?
Thu, 4 Jul 2013
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General & Family Physician 's  Response
Welcome to HCM.
There are always some triggering factor and most likely dust,pollen and and seasonal changes.
you have to be more careful during seasonal change.Also try to avoid dust,smoky area.Cover your face with helmet or handkerchief on two wheeler.
You have to take anti allergic like levocetrizine,montelucast with ambroxal during asthmatic episodes.
Start bronchodilators like terbutalin,doxaphylline according to severity.
during severe episodes take inhalation therapy with nebuliser. Rota caps with micronized dose of steroid with bronchodilators is more helpful.
Keep in touch with your doctor.
Inhalation therapy is now days more helpful and recommended than oral treatment.


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General & Family Physician Dr. Lohit K's  Response
Hi, Thanks for using HCM.

Since you are suffering from astma, you can take inhalational steroid every day to prevent cough or exacerbation if not started. The pain may be due to excessive cough. Get done one x ray to rule out any other cause and discuss with your doctor for the management. Take precaution during change of season like montelukast or ICS.
Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care.

Regards
Dr. Lohit
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Difficulty In Breathing, Stabbing In Left Shoulder Blade. Having Asthma, Had Bronchitis. Could Weather Be The Cause?

Welcome to HCM. There are always some triggering factor and most likely dust,pollen and and seasonal changes. you have to be more careful during seasonal change.Also try to avoid dust,smoky area.Cover your face with helmet or handkerchief on two wheeler. You have to take anti allergic like levocetrizine,montelucast with ambroxal during asthmatic episodes. Start bronchodilators like terbutalin,doxaphylline according to severity. during severe episodes take inhalation therapy with nebuliser. Rota caps with micronized dose of steroid with bronchodilators is more helpful. Keep in touch with your doctor. Inhalation therapy is now days more helpful and recommended than oral treatment.