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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe For Person With Asthma To Visit Leh?

hi my name is rajeev planing to visit planing to visit leh in this month i suffer from asthama iam under medication {seretide accuhaler 500 mg} twice daily but never get attacks or any thing of that sought do u think it is safe for me if yes wht precautions plus i am over weight my weight is 105 height 5.8 inches pls advice
Wed, 9 Jul 2014
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General & Family Physician 's  Response
Hello
Leh is at very high LATITUDE and above sea level .
If I were your treating doctor for this ASTHMA case I would come up with one possibility for you and that is NO , NOT at all , don't visit LEH .
Why?
1 Asthmatic patient have less capacity of lungs and require more OXYGEN then a normal person . At very high altitude there is deficiency ( or decreased amount of oxygen ) of oxygen .
2 You are obese height 5'2" weight 105 kg ( overweight ) . So you will require more amount of oxygen due to over weight . Only one step will require double oxygen .
3 In asthma there develops bronchoconstriction , this causes bronchospasm , hence inhalation and exhalation both will difficult .
4 You are already on seretide 500 accuhaler i.e. fluticasone 500 mcg + salmeterol 50 mg . Both are bronchodialtor but fluticasone is steroid , it means on potential risk.
Hope you will not take it otherwise , as this is my professional REFUSAL for LEH specially for asthmatic obese patient.
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Is It Safe For Person With Asthma To Visit Leh?

Hello Leh is at very high LATITUDE and above sea level . If I were your treating doctor for this ASTHMA case I would come up with one possibility for you and that is NO , NOT at all , don t visit LEH . Why? 1 Asthmatic patient have less capacity of lungs and require more OXYGEN then a normal person . At very high altitude there is deficiency ( or decreased amount of oxygen ) of oxygen . 2 You are obese height 5 2 weight 105 kg ( overweight ) . So you will require more amount of oxygen due to over weight . Only one step will require double oxygen . 3 In asthma there develops bronchoconstriction , this causes bronchospasm , hence inhalation and exhalation both will difficult . 4 You are already on seretide 500 accuhaler i.e. fluticasone 500 mcg + salmeterol 50 mg . Both are bronchodialtor but fluticasone is steroid , it means on potential risk. Hope you will not take it otherwise , as this is my professional REFUSAL for LEH specially for asthmatic obese patient.