Can a 19-year-old keep playing sports with worsening asthma?

Question

Hello doctor,

I am a 19-year-old athlete with worsening asthma. I was managing well until last semester, but now I cannot complete soccer practice without having an attack. My roommate has a cat, and our dorm has visible mold issues. I use Symbicort twice daily and albuterol before exercise, but I am still wheezing and coughing throughout the day. My rescue inhaler barely lasts two weeks now. My coach is concerned about my performance, and I am worried about losing my athletic scholarship. Should I consider changing medications or living arrangements?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Based on your description, it seems your asthma may be exacerbated by cat allergens and mold, which are known triggers. Your frequent use of a rescue inhaler and worsening symptoms suggest poor asthma control despite being on Symbicort (Budesonide and Formoterol), a combination of an inhaled corticosteroid and long-acting beta-agonist). If possible, consider a change in dorm arrangements. Mold issues should be reported and addressed, as they can cause asthma and overall health.

1. Your treating pulmonologist may consider adding a leukotriene receptor antagonist or adjusting your inhaler dosage.

2. You might also benefit from using a SMART (single maintenance and reliever therapy) approach, where Symbicort can be used as a daily controller and a rescue inhaler in certain cases.

3. Allergy testing and allergy immunotherapy (allergy shots) might be considered.

4. Get a spirometry or pulmonary function test.

5. Minimize allergen exposure. Limit contact with the cat. Keep windows closed to prevent mold spores from entering, and use an air purifier if possible.

6. Keep a record of peak flow readings, how often you use your rescue inhaler, and your symptoms during exercise.

I hope this information helps you.

Revert in case of queries.

Regards.