pegleg, questions for you

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debimum
Veteran Member


Date Joined Feb 2006
Total Posts : 712
   Posted 12/14/2006 12:43 PM (GMT -6)   
Hi, I haven't been on here much.  I have been on the lupus and lyme forum.  I am really searching for things.  I was told I have asthma  twenty years ago.  I have been on a few different kinds of inhalers.   I have been having problems with my throat and esophagus.   I have a dilated esophagus, which I had an endo scope back in May, the gastro said nothing about this, which I think he would have seen looking down in.  I also have acid reflux.  My voice has been getting raspy for the last two years now and I also have an enlarged thyroid and cyst on the right side of that. 
 
I guess my question (s),  can the steriod in halers cause the esophagus to be dilated?  I have to ask the gastro questions when I go in if the prevacid would cause this to be dilated maybe. 
   I did read somewhere that the inhalers can cause problems with the esophagus.  The allergy/astham doctor didn't think it would cause what I have and the pulmonary doc didn't think so either.  I tried the advair and it caused my stomach to be upset.  I am on serevent and Quvar.  They changed flovent to Quvar last year at this time.  But I am having shortness of breath most of the time, can't walk up hill or stairs without being short of breath.  I will be 50 in two months, but three years ago I started a new job and it required walking into the building about 1/4 mile from the parking lot. I was so happy that I was going to get excersize.  about 1  1/2 years into my job, I started having shortness of breath and muslce fatique and weakness.  I have been checked by a rheumy and have been to quite a few other doctors for things.   But it's the shortness of breath that I wish they would take more seriously, it's been 1  1/2 years of suffering with this and no one seems to stick with it until  they find a dx. 
   Have you found in your journey as a respiratory therapist that inhalers could cause this problem?    It seems to me that it's like the theory of how antibiotics eventually make the bacteria resistant to them.  I tried asking for a new inhaler to see if that would help.  I also have a nebulzier at home and a portable one, but the treatments only help for maybe 15-30 minutes then I am back to being short of breath again. 
    I just would like to know why it takes doctor so long to try to find out what is going on and why they make people suffer so long these days. Shortness of breath is something one really needs to be able to function.  Just like the heart.
    And I did get my heart checked out as much as they wanted to.  I think a bit of diggin may be in order for this dx.   My sister and mother has heart disease.  my sister had it in her forties and then early in her fifites she had a 5 bi pass.  My mother was 70 and had a triple.  Plus they both had strokes. 
 
I would greatly appreciate any input.   And I know it's only advice.  I do research on what people tell me and only use what I think pertains to me.   So don't be afraid to say anything. 
 
Deb
back to square #1- off meds for now-dx with fibro.  Have a positive ANA. . Pain reliever. lodine- possibly neurotin 300mg, (not sure about that yet) sublingual B-12 , Chronic shortness of breath, sinus infections.  Asthma/COPD.
 
 


pegleg
Regular Member


Date Joined Oct 2006
Total Posts : 257
   Posted 12/19/2006 7:39 PM (GMT -6)   

Sorry to be so long in getting back to you, but I had a heart cath/angioplasty/stent on the 13th and wasn't discharged until late on the 14th.  Between that & Christmas shopping, haven't caught up yet.

Advair would not have caused dilation of the esophagus as it is used to control the inflammation that is constant w/asthma sufferers.  Albuterol can cause esophageal spasms, but you can ask your MD to switch you to Xopenex (now also comes in MDI form ... be sure to use w/aerochamber to get full effect of med).  Spiriva is a fairly new med which a lot of MDs are using instead of Atrovent as Atrovent only has a 4 hr time span and Spiriva is taken once a day (best in AM) and lasts a full 24 hrs.  FANTASTIC MED!!! yeah   If you have a lot of stairs to deal with, try taking a Xopenex/albuterol tx 15 min before starting job for the day (just like someone w/exercise induced asthma).  Also, breathing exercises will help a great deal as it builds up your lung elasticity and endurance.  You can have both xopenex/albuterol & atrovent/spiriva ... a med which combines both atrovent & albuterol is Combivent.  Many times a pt needs both to work well (like when MDs combine a beta & calcium channel blocker to control BP).

Advair shouldn't hurt your stomach, but be sure to rinse your mouth thoroughly to avoid thrush.

If you have a lot of mucous buildup (some asthmatics suffer from this due to the fact that as the inflammation of the trachea increases, mucous is sent out by the body to so call "put out the fire" ... the more inflammation, the more mucous.  I good device that is on the market for asthmatics (I request MDs okay this device for all my pts that suffer from continuous asthma symptoms) is called a "flutter" or another device (perferred by pulmonologists for adults) is called an "accupello".  This is a simple device that you simply blow into like a whistle.  It sends vibrations down the trachea into the lungs thus helping to break the mucous loose.

Hope this info helps.  Let me know if you need further educational info.  Good luck.

 

Info meant for educational purposes only and not as medical advice.

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