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

Question

Hello doctor,

I have been to the 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 in 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.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

There are a few important points to consider. You should not be using the nebulizer or rescue inhaler that often. You should be on an 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 worst provoking agent. Others are pollen, pets, dust mites, 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. Please consult your doctor and then take the medicines.

I hope this helps you.

Thank you.