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Old 04-18-2010, 12:37 AM
 
Location: NYC
2,223 posts, read 4,994,431 times
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I have been physically active and fit my entire life but last year, I started having chest pains after exercising, walking fast, going up stairs, etc. At first my doctor thought it was acid reflux and prescribed some medicine (no help), I had a lung performance test, EKGs, a stress test, and she referred me to a cardiologist who referred me for an echocardiogram and angiogram. All were normal. After all of these tests, I was still having symptoms and the doctor concluded that I have exercise induced asthma, and I've been on Advair for about six months. Lately I've been feeling worse but it seems that they've ruled out all possibilities. Has anyone else ever had exercise induced asthma? What did you do for it and how are you able to exercise with it
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Old 04-18-2010, 09:53 AM
Itz
 
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Chest pains does not equal asthma!
Asthma symptoms include.... can't breathe! If you were to put a plastic bag over your head for a few minutes you would get the idea.

chest pains... where are they located? What kind of pain is it?

I get chest pains - very stabbing, sometimes in short bursts around my sternum - left side... Had all the cardiac workups with no conclusion. This gets aggravated by extreme excercise and respiratory infections... My final diagnoses - "Costochondritis"
Costochondritis - MayoClinic.com

As an moderate-severe asthmatic I would question your doctors reasoning for prescribing advair - which is used to help keep asthma under control as a boost in current treatments. (i was on advair for years when the insurance company finally said they wouldn't cover it because they concluded that it was not being prescribed for what its meant to be used for nor used by patients in the proper manner - so i have a bit of bone to pick with doctors and asthma drugs)

Do some reading on this costochondritis and see if that is what you are experiencing.. My treatment is to back off my excercise and do a round or NSAIDs (non-steroid anti inflammatory drugs - ibuprofen). 1-2 weeks of high doses per my doctor..
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Old 04-18-2010, 10:48 AM
 
Location: Bucks, UK
523 posts, read 3,658,874 times
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before you go charging ahead and take NSAIDs, you should be aware that up to ~20% of asthmatics experience bronchospasm with NSAIDs, which can end up being fatal.

i would exercise extreme caution if you have a physician diagnosis of asthma, and have never taken NSAIDs before.
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Old 04-18-2010, 04:12 PM
 
1,054 posts, read 3,632,730 times
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I have had had asthma the past 22 years. Years ago when I was having mostly exercise induced asthma the allergist prescribed a special inhalor made specifically for that called Intal. Advair should not be taken for long periods of time nor for exercised induced symptoms.

Did you get diagnosed by a GP? You really need to see an allergist for asthma symptoms. Some NSAIDS will cause suppressed breathing in asthmatics also. I noticed Bextra and Celebrex were really bad for that as is OTC ibuprofen.

Something few people know is eating celery before exercising can cause breathing difficulty in some people.
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Old 04-18-2010, 05:21 PM
 
Location: NYC
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it happens every sometimes when i walk quickly or run and whenever i walk up a flight of stairs. I stop at the top of the stairs and the sharp pain starts on the right side, just above the breast and it travels into my neck and jaw. after about one minute it's gone. on the other hand, i can ride a stationary bike non-stop for 20 minutes with no problem. my GP, who has a specialty in pulmonary diseases made the diagnosis of exercise induced asthma but i don't think she's even sure it's right. the advair is no help, even after increasing the dosage. she diagnosed it after i had a bad bout with bronchitis -- it resolved a cough that had been lingering for several weeks.

Last edited by queensgrl; 04-18-2010 at 05:25 PM.. Reason: add
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Old 04-19-2010, 11:29 AM
 
Location: NYC
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Since I've been to my GP and am dissatisfied with the information I have so far, what type of physician would you recommend that I see to get a second opinion on this?
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Old 04-19-2010, 11:25 PM
 
Location: Imaginary Figment
11,456 posts, read 13,568,887 times
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Advair is very dangerous and can cause lethal asthma attacks. I was given this drug about ten years ago and as a result I had one of the worst asthma attacks of my life. When I told my doctor he laughed and told me it was impossible. Years later, after people were dying from asthma attacks induced by Advair, it was issued a black box warning by the FDA. An albuterol inhaler is what you need for exercise induced asthma, if you do indeed have it.
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Old 04-20-2010, 11:41 AM
 
Location: The Big D
14,864 posts, read 39,656,935 times
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You need to see a specialist that deals with asthma and allergies. What city are you in? If you were near me I'd recommend mine.

I'm over 40 and have always had seasonal allergies. Been told I had a very MILD case of asthma just about all my life but never needed anything for it. My youngest daughter has asthma and is on preventitive meds and all. I had to use her rescue inhaler twice last year and ended up under the care of her asthma/allergy doctor. For the last month I have been battling a very VERY bad sinus infection that has triggered a really bad asthma flare up. Right now pollen is VERY BAD all over and it can really flare up asthma even if it is excercise induced. I don't recommend advair at all. My rescue inhaler is MaxAir and I'm on Xoponex for the nebulizer. You might just need a good antibiotic to get rid of the other issues to help the asthma side. They do go hand in hand with each other.
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Old 04-20-2010, 02:34 PM
 
1,644 posts, read 4,293,539 times
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Quote:
Originally Posted by queensgrl View Post
I have been physically active and fit my entire life but last year, I started having chest pains after exercising, walking fast, going up stairs, etc. At first my doctor thought it was acid reflux and prescribed some medicine (no help), I had a lung performance test, EKGs, a stress test, and she referred me to a cardiologist who referred me for an echocardiogram and angiogram. All were normal. After all of these tests, I was still having symptoms and the doctor concluded that I have exercise induced asthma, and I've been on Advair for about six months. Lately I've been feeling worse but it seems that they've ruled out all possibilities. Has anyone else ever had exercise induced asthma? What did you do for it and how are you able to exercise with it
Can I ask your age and whether you have any other medical conditions?

Was the chest pain the only symptom? No wheezing, shortness of breath or coughing at all?

Does the pain radiate anywhere else eg into an arm or your neck?

Did the stress test induce chest pain?
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Old 04-20-2010, 02:37 PM
 
1,644 posts, read 4,293,539 times
Reputation: 443
Quote:
Originally Posted by queensgrl View Post
it happens every sometimes when i walk quickly or run and whenever i walk up a flight of stairs. I stop at the top of the stairs and the sharp pain starts on the right side, just above the breast and it travels into my neck and jaw. after about one minute it's gone. on the other hand, i can ride a stationary bike non-stop for 20 minutes with no problem. my GP, who has a specialty in pulmonary diseases made the diagnosis of exercise induced asthma but i don't think she's even sure it's right. the advair is no help, even after increasing the dosage. she diagnosed it after i had a bad bout with bronchitis -- it resolved a cough that had been lingering for several weeks.
Sorry, didn't see this before I asked the questions.

Have you had a chest x ray? If not you need one.
Sounds like pleural pain secondary to the bronchitis.
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