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In spite of using inhaler often, I have heavy congestion. Why?

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

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Published At May 27, 2016
Reviewed AtJune 28, 2023

Patient's Query

Hello doctor,

I have been to doctor three times in the last two months and was prescribed many medications. But, I am simply not getting any better. Initially, I went in for respiratory issues. I had a terrible hacking cough and was literally using my Ventolin inhaler more than I should. As I am asthmatic, I was placed on a nebulizer and given several other medications including Prednisone to take. After completing the medication the symptoms returned. I went back to the doctor who changed the antibiotic. It cleared up temporarily and again once the medication was completed, symptoms returned. Today, I am literally just feeling awful because I do not want to go back to a doctor as nothing seems to be getting better. I feel nauseous, I have headaches. I am using my inhaler frequently and there is still a very heavy congestion on my chest. I wake up in the middle of the night hacking. I cough until I cannot breathe. I overall feel dizzy, lightheaded and I have no energy. Please help.

Answered by Dr. Sadaf Mustafa


Welcome to icliniq.com. There are few important points to consider. You should not be using the nebulizer or rescue inhaler that often. You should be on inhaled steroid for asthma like Advair (Fluticasone and Salmeterol). Please take Montelukast 10 mg daily. Also you would benefit from a patch test. Stay away from allergy provoking agents. If you smoke then please discontinue it, since it is the worse provoking agent. Others are pollen, pets, dust mite and perfumes. I would also suggest getting your oxygen saturation. Please also start Omeprazole 20 mg 30 minutes before your dinner daily since gastroesophageal reflux disease (GERD) can cause asthma like symptoms.

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

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

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