Does this sound like asthma? I really need some insight!

Hey, I'm 19 years old, female, non smoker or drinker. Generally active and trying to eat healthy. 

So, since I was a kid, I had issues with bronchitis, I would get bronchitis almost every year until the age of 13-14. The doctor said that if I don't treat it right, it could turn out to asthma. However, since then I haven't got bronchitis. I have a chronic cough though especially when the seasons change. 

In the past 3 months I've had 3 episodes where I couldn't catch my breath. where I would get tired easily. I was scared in each episode. I had my heart checked out and nothing wrong. The doctor also said my lungs are clean. My question is, could an ultrasound detect asthma?

The past  week I've been getting chest pain and a tight feeling. Last time I got chest pain was on Tuesday. However since yesterday I can't seem to catch my breath. I was playing basketball yesterday and I suddenly lost my breath and had to stop. Today, I didn't do much and while climbing up stairs, it took me so long to fully catch my breath afterwards. I've been like that the whole day. Do you think it could be allergic asthma? Or just the heat? (it's pretty hot over here too). Thanks for any replies, I would really appreciate it!

Where are located?

what do you mean?

Are you in the U.K.?

nope

I'm in uk spring weather has just arrived loads of pollen in air herei have asthma the warm air and pollen makes me short of breath despite useing my inhalers you may have asthma if you see your doctor he may be able to do test to find out if it asthma . I have a history of chest infections and bronchitis,and to an extent some chest pain and tightness. Your need to get your doctor to check you out. All the best get well soon

So we have similar symptoms. Maybe it's an allergic asthma but if your inhalers aren't working for you, I don't think it will work for me either.

Hi, really sorry to hear about your difficulties and I do understand how scary it is. I've had asthma for 45 years, have had recent problems and still get frightened. If I were you, I would go back to your Dr ASAP. I don't think an ultrasound detects asthma but there are a number of respiritory tests that they can use to decide. Asthma can be triggered by any number of things such as temperature, climate, allergies (to many different things), stress, physical exertion, no matter how fit and healthy you are otherwise. Get it checked, don't wait and don't panic! It can be controlled and dealt with really well and life can carry on as normal. Inhalers can be prescribed to control and relieve but sometimes need to be changed until the right one is found. If your Dr is good, they will help you very soon. Good luck.

Sounds like you do have issues with allergies that might trigger your asthma. I too had chest pain and tightening found out it was bronchial spasms brought on by my allergies.discuss this with your doctor at least get a emergency inhaler when u do loose your breath

You may want to familiarise yourself with this information:

https://patient.info/health/asthma-leaflet

But for the usual procedure in your own country visit the lung association, federation, organisation in the country you are currently residing.

Always best to get a doctor to check you out.  Mention this to your basketball coach, or Mom and dad.

 

Way to go on not smoking.  With your history of bronchitis don't ever smoke, not even one. 

​I'm not a doctor and even a doctor could not properly diagnose and treat asthma over the internet so you do need to go back to the doctor.  I have had asthma since early childhood and at near 50 it has not stopped me from participating in sports, running several marathons, triathlons, hiking, traveling and leading an active lifestyle.

​For me the main cause was and is allergic, however bronchitis was also a factor especially when young. I also get something called EIA (Exercised Induced Asthma) which is quite common also with elite athletes (many olypmic medal swimmers get this).  EIA is the easiest to spot and deal with but surprisingly in my experience surprisingly many random GP doctors did not know much about it (at least 15 years ago).  It tends to happen in cold or dry air although a bad pollen day will be an aggravating factor.  Most often right at the beginning of exercise or during a spike of effort.  The prevention is one puff of albuterol 5 or 10 minutes before the start and then do a good 15 minute warmup.  Once i am hot and going full pace after 15 minutes it's very unlikely to happen.  If I get it near the start I slow down a bit and wears off after about 15 minutes.  Usually i don't need to stop, but there is not need to push it - 5 minutes of walking also helps.  Listen to your body.

​As you have probably figured out I am thinking you might have EIA connected to some seasonal allergy especially since you mention a cough at season change.  Do you live in an area where many people suffer from pollen/trees/grass allergies? Or did you move within the last 3 years?

​The only thing that I don't get is the climbing stairs, unless it is ten flights in the cold.  Usually EIA is outdoors, you can read up on the causes.  Unless you were already getting a bout of asthma from allergies and all that did was let you know.

​The main and most obvious symptom of asthma attack is wheezing.  If you are having a reasonably strong attack you or someone else can hear it when you take deep breaths, although I read that it's more likely audible with children than adults.  Or when you breathe out hard you can hear and feel a wheezy feeling at the end of the breath, kind of like an accordian.  If you aren't sure of that symptom, your doctor should give you a peak flow meter or you can pick one up at the pharmacy without prescription for a few dollars.  You should take a baseline daily when you are clear to learn your peak flow, then when you have one of these attacks try it and see if there is a significant drop. Take your log back to the doctor, that can confirm it for them.

​I've never heard of ultrasound for asthma i doubt they could image the bronchial tubes to that detail, so if they are prescribing that they think you have something else that could be contributing.

​Bottom line: Have a positive attitude and remain calm.  It's not a death sentence! If you have it, it sounds to me pretty mild. It's easily treated and managed you just need to get on top of it and learn the triggers.  My personal experience is that asthma is like a fingerprint - the exact triggers and evolution is unique to every individual.  If you listen to your body you will be your best advocate.  And the fingerprint will change over your life.  I've been clear 5 years and now I'm having a little comeback during a particularly horrendous pollen season (everyone is suffering). I'll get on top of it and back to normal.

 

Out of curiosity, what is the exact difference between bronchial spasms vs asthma from allergies?  How do they diagnose the difference?

 

Thank you very much for your reply! For me, I think temperature and spring triggered it. I get so tired because of the heat, and out of breath which causes me to feel weak and it is scary indeed. I'll have it checked out!

Thanks for replying, yeah I'll need to check it out and sort out what it is. It might only be like this in spring. Who knows

I will, thanks for replying! 

I will have an appointment with a doctor soon enough in hopes of finding a solution. I was just playing basketball at uni , hah. 

You should look into EIA (Exercised Induced Asthma).  It's quite common, many well known olympic medal swimmers have it.  It's caused by dry and/or cold air but can be aggravated by allergies.  For me it is more likely during allergy season, but it is not a direct 1-1 relationship.  I got it once in the desert at 90 degree with 0 pollen count.  I say this because you had a visit where they said the lungs were clean, and EIA is more likely to completely resolve in 15 minutes where allergies can persist for days or weeks.  If they still don't believe you get a cheap peak flow meter at the pharmacy and stick it in your sports bag, next time it happens do the test and write down your results. My personal experience is that many GPs don't know about it (for reasons unknwon).  Good news is that it is completely manageable - if you want to know some solutions just ask.

The thing is. that I would go to the gym before that and it wouldn't happen. I think it's a combination of the heat and allergies. It's always worse when I get up in the morning. I don't cough a lot but I lose my breath, I feel like I can't breath properly, I get chest pain and tightness and it's scary. I have an inhaler from when I was down with the flu. The doctor gave it to me. It's fostair. Do you know it? Maybe I could start using it?

Sure, EIA is sporadic.  I run/elliptical or other cardio 4 times a week, if I get EIA 2 or 3 times in a month it's a lot. I've read it's very individual but for me it is more likely in allergy season (now) than not, but it is not certain. I can also get it in fall or early winter when I run at night as it gets dark early.  At that time the pollen count is very low and the air gets dry and cold.  I had it one time running in the desert very hot (90-100F) but super dry and no pollen ... due to complete lack of trees.  Maybe a cactus or two.

Read up on it.  They don't know exactly what causes but it is thought to be the moist lining of your bronchi gets a sudden high velocity burst of cold/dry air it triggers the spasm (wheezing aka asthma).  That is why a slow warmup usually avoids and much more likely at the start of exercise, or if you hit a sudden sprint.  Like sitting on the bench and then suddenly going in the game and sprinting full court 4 or 5 times should do it.

If you are also wheezing in the morning (classic allergy asthma) then you probably have both allergy asthma with some EIA.  Just like me

I know it is scary, I just went through a fun day last Friday and I'm 50 and had this 45 years.  You need to visit a doctor and get prescribed albuterol (brand name Ventolin or many other varients).  Your Fostair is not for an immediate attack or EIAor the morning asthma, it contains beclomethasone and another drug.  I take beclamethasone in the form of Qvar now for a few weeks until pollen blows over, but you take it very day for many weeks before it works fully.

 Because you had Fostair I suspect you were diagnosed with asthma in the past, but perhaps you did not exhibit a lot until you were 19.  You may have acquired the allergy (they say it often takes 3 years of exposure).  See if  your college has a clinic or nurse line you can call - talking to a nurse or someone with a lot of asthma experience can really help.  Often doctors don't have time to explain because it's complicated, but you need to get educated.

FYI sports and fitness are really good for asthma but you need to be educated.  Asthma can be dangerous if not well controlled and if you do not understand it. Honestly weight loss or quitting smoking are bigger deals than controlling your asthma.  Best of luck.

Hey, I 'm gonna post a new discussion for an update!