How can asthma be managed when it worsens due to COVID-19?

Question

Hello doctor,

I had COVID last month, and now my asthma is completely out of control. I can not even climb a single flight of stairs without getting out of breath. The nebulizer treatments are not as effective as they used to be, and my chest constantly feels heavy. I often wake up gasping for air at night, and my oxygen levels sometimes drop to 91 or even lower. My inhaler no longer seems to open my airways like it did before.

I have had to start working from home because I can not tolerate wearing a mask for more than 10 minutes without feeling like I am suffocating. My wife wants me to go back to the hospital, but I am afraid of catching COVID again. Last time, the steroids made me feel extremely shaky and anxious, and my blood sugar levels went dangerously high. Could this damage be permanent?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query.

Your post-COVID asthma is severely uncontrolled, with severe symptoms such as low oxygen levels (below 92 percent), persistent chest tightness, and significant breathlessness. It is crucial that you see a pulmonologist as soon as possible to reassess your treatment plan and prevent further complications. Your current medications, including nebulizers and inhalers, may need adjustment, and additional treatments like long-acting bronchodilators, anti-inflammatory medications, or biologics could be beneficial.

While steroids might be necessary to stabilize your asthma, their side effects, such as elevated blood sugar, can be managed with careful monitoring and tailored dosing. Pulmonary rehabilitation and breathing exercises might also support your recovery. Persistent symptoms could indicate post-COVID syndrome, airway inflammation, or complications like pulmonary scarring, which may require tests like spirometry or a chest CT scan to evaluate. Nighttime oxygen drops might need interventions like supplemental oxygen or CPAP therapy (continuous positive airway pressure).

Although concerns about reinfection are valid, the current risks to your health from delaying medical care are far more significant. Hospitals have improved infection control measures, making them safer environments. Additionally, addressing the anxiety and stress surrounding your condition with professional support can enhance your overall well-being. Seeking prompt medical attention is essential for managing your symptoms and improving your quality of life.

I hope it helps.

Thank you.