Asthma is a chronic inflammatory disease that is caused by the thickening and narrowing of the airways in the lungs. The symptoms of asthma are difficulty in breathing, shortness of breath, chest tightness, wheezing, fatigue, etc. Certain conditions and environmental factors like exercise, flu, cold, extreme climate, and allergens can trigger the symptoms of asthma.

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Will my chronic sinusitis lead to asthma?

Query: Hello doctor, I am a 44-year-old male with chronic sinusitis. I was exposed to lead and asbestos while serving in the shipyards about 20 years ago. I now draw disability for chronic sinusitis. Recently, my episodes have been turning into bronchitis and even pneumonia more and more frequently. Just ...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi, Welcome to I can understand your concern. Yes, chronic sinusitis can cause asthma. Recurrent respiratory tract infections including sinusitis can cause asthma especially adult onset asthma. But better to first get done spirometry study with bronchodilator reversibility. If spirome...  Read Full »

I have been suffering from chronic rhinitis and nasal polyps, so I am worried about developing eosinophilic asthma. Please help.

Query: Hi doctor, I wanted to ask about asthma, my risk of developing it, and if there is anything I can do to prevent it. I have a history of chronic rhinitis with nasal polyps, which I have had for the past 13 years. It is managed with intranasal steroids and antihistamines. My blood eosinophil count was...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi, Welcome to I understand your concern. I have gone through the detailed history you have given. The lifetime risk of developing asthma in allergic rhinitis patients is 20 to 30 %. The risk is more in teens and early second and third decades. Since you are in the late third decade, y...  Read Full »

Why did my doctor prescrie me asthma medications for COVID?

Query: Hello doctor, A family doctor gave me a prescription for asthma. I do not have asthma, but I did have COVID, which gave me throat pain and a cough. I only took the medication once because I read the side effects, and there were a lot of mental health risks associated with the drug, and I am already ...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello, Welcome to I can understand your concern. I have gone through the detailed history you have given (attachments removed to protect the patient's identity). In general, tablet Montelukast (Montelukast sodium) is well tolerated among patients with outdated long-term side effec...  Read Full »

I had a sinus infection two weeks back, and now I have a persistent cough with breathlessness. What should I do?

Query: Hello doctor,I recently had a sinus infection (2 weeks ago) and had taken antibiotics for five days. Now I have a persistent barky cough with exertion and trouble getting a deep breath. I also develop a cough while doing daily activities like talking, laughing, and climbing stairs. It feels like ast...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello, Welcome to I read your query and understand your concern. I have gone through your detailed history, and from that, it is evident that this is an acute exacerbation of asthma. However, I want to know a few more things about your condition. 1. Do you have any allergies? 2. Have...  Read Full »

I have been recently diagnosed with COPD. Also, I have asthma. What are the preventive measures to reduce the severity of COPD?

Query: Hi doctor, I suffer from chronic obstructive pulmonary disease, and I come across symptoms such as breathing difficulty, high blood pressure, tiredness, high heart rate, and inability to walk as I become tired after that. In addition, I have been suffering from allergic rhinitis since childhood. For...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi, Welcome to Thank you for consulting us on I can understand your concern. All these symptoms are due to cardiac side effects of COPD (chronic obstructive pulmonary disease). I suggest you to consult a cardiologist and get a clinical examination, blood pressure monitori...  Read Full »

Is there any other treatment for my asthmatic attacks other than Asthalin?

Query: Hello doctor, Since my second pregnancy, I have had asthma and am generally not allergic to anything. However, I get asthmatic attacks whenever I get tensed or stressed from then. I was using Asthalin, which is not effective now. Is there any other alternative drug? Kindly suggest.  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi, Welcome to I can understand your concern. There are other newer drugs available now. I would suggest a combination of Foracort and Budesonide. Thank you.  Read Full »

My doctor prescribed steroids inhalers for my asthma, but I am worried about its complications. Can you suggest an alternative?

Query: Hi doctor,I am a nursing student and have had asthma for ten years. But I get attacks only during the fall. The doctor I usually consult had prescribed me a bronchodilator (Salbutamol 100 mcg) and steroid combination inhalers (two drugs). But I fear the complications of steroids and stopped using th...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi, Welcome to I can understand your concern. The best asthma treatment is inhaled Corticosteroid. It does not have any side effects. So, no need to worry about side effects. I suggest you get done pulmonary function test to identify the severity of asthma. Treatment is based on severit...  Read Full »

Can a drop in temperature exacerbate my asthma attacks?

Query: Hello doctor, I am a 29-year-old woman. I have had asthma for 12 years. I get exacerbations due to cold temperatures. The temperatures have started to drop at the place I currently stay, and I am scared that I might have an unexpected episode. Also, I have left my nebulizer at my parents' place and...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello, Welcome to Thank you for your question. I understand your concern and would be happy to help. You can prefer a mesh nebulizer or an ultrasonic nebulizer; however, the ultrasonic type is the best. I hope this helps. Kindly get back in case of further questions. I wish you ...  Read Full »

I am a 70-year-old asthmatic patient, and I have periodical dry cough for past two months. Kindly help me.

Query: Hello doctor, I am 70 years old, and my weight is 175 lbs. I have a dry cough from time to time in a day, continuing for more than two months. I am an asthmatic patient, taking two puffs of Symbicort inhaler twice daily. My blood pressure is in control, for which I am taking Amlodipine Besylate -10 ...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello, Welcome to Thanks for your question. I can understand your concern. However, I want to know a few more things like breathing difficulty, fever, and weight loss. May I know whether you have a dry cough or chest congestion, and are you taking any medication or syrup for the cough? ...  Read Full »

My mother was diagnosed with asthma nine years ago. Is it because of pollen allergy?

Query: Hello doctor, My mother was diagnosed with asthma nine years ago and used inhalers that the doctor prescribed. The doctors suggested that it might be due to climatic conditions, as she got an asthma attack during winters. This same pattern of asthma attacks repeated for the next five years. My mothe...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello, Welcome to I can understand your concern. If she has a pollen allergy, repeated attacks are expected. So, if possible, get allergy tests done to identify the allergens causing the symptoms in her case. Hope I have solved your query. I will be happy to help you further. Wishing go...  Read Full »

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