Suggest Treatment For Tightness In The Chest While Suffering From Asthma

Posted on Wed, 30 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 30 Nov 2016 Answered on

Thu, 22 Dec 2016 Last reviewed on

Question : I suffer from asthma my respiration is good but I have tightness on my chest and lo fever. I am having a hard time to cough so I drink teas and chicken soup and water. Am I ok I am having low fever. I did inhalation stem water and flovent inhaler 110. I try prednisone for a week but help a little no much still strugling about a month or over a month. What else can I do. Will a dr thursday no sure if I have a bacteria I have flema lots. Constantly spitting. I slept bad a couple of nights my bronquios itch inside and cough and spit all the time could no sleep well for two days. Tonight will sleep in the recliner will see. Need your help.

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your description, its likely that you are having an acute exacerbation of Asthma secondary to an LRTI (Lower respiratory tract infection). The prednisone can be taken for another week at optimum dose with antibiotic cover. The chest should be auscultated. Fever with productive cough/ yellowish sputum does indicate an infective cause. Foracort or symbicort inhaler would be preferable in this situation along with ipratropium bromide (atem ) nebulization. The trade names may vary in your locality so you can discuss these with your doctor/ pharmacist accordingly. For now avoid exposure to triggers such as dust, cold temperature, pollen and other known stimuli particular to your case.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (46 hours later)

Dr I saw today says. rhinitis allergic postnasal drip send me to ENT and told me to keep using the asthma inhalers singular. Told my chest sound clear. No evidence of pneumonia or anything on my lungs. Told me to keep doing Flonase and keep taking protonix for reflux also told me I could have sometimes low fever. Rest drinks lots of fluids tea soups and as you said something could giving you this dust or anything but ENT should see this I told my chest is congested she said your breathing is good normal maybe is the postnasal drip make you feel that way keep doing what I was doing. Taking my allergic pills and hot water and breath the vapor etc. very frustrated. She said could also acid reflux. Anyway I already went to see the ENT in the past and they told me wash my nose with saline and after use Flonase twice a day. But she said dr. ENT could give me something strong under prescription will see

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

Yes, the ENT doctor can suspect rhinosinusinusitis with this presentation. There is no harm in getting it checked out. Nasal decongestants and nasal corticosteroids along with antibiotics that cover the sinus infection as well as the lower respiratory tract should ideally be advised, in consultation with your doctor.

Wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar