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How can we manage persistent cough and breathing difficulties with a history of asthma?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At September 6, 2022
Reviewed AtJanuary 18, 2024

Patient's 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 asthma exacerbation. I had a previous history of asthma attacks following a sinus infection, and at that time, the doctor suggested taking a Prednisone burst ( 60 mg) for five days to stop coughing. Currently, I am taking the following medications.

1. Advair 250/50.

2. Albuterol twice daily.

3. Birth control pills.

Thank you.

Hello,

Welcome to icliniq.com.

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 you undergone a pulmonary function test (PFT)?

Please reply to me with answers to the above-asked questions so I can better guide you about medicines and investigations.

I wish you good health.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

I do not have allergies to any medications. I had a pulmonary function test 10 years back, and my FEV1/FEV values were normal. I was a college swimmer then, and my doctor thought it was normal because of my swimming.

Thank you.

Hello,

Welcome back to icliniq.com.

I can understand your concern.

Considering your condition, I suggest you start taking Prednisone tablets for a short term, like 7 to 10 days. The dose will be 0.5 to 1 milligrams per kilogram. So you can take tablet Prednisone 60 mg for 7 to 10 days (consult your specialist doctor, talk with them and take medications with their consent). If the symptoms are still persistent, then better to get a pulmonary function test (PFT) done.

I hope I have solved your query.

Thank you.

Patient's Query

Hello,

Thank you for your response.

Can you please send me a prescription for the drug?

Thank you.

Hello,

Welcome back to icliniq.com.

I am not permitted to give you prescriptions through online consultation. Instead, kindly consult a nearby doctor, discuss your concerns and start taking the medicines.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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