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Asthma

Asthma beginning in adulthood

11/23/2009

Question:

I have had 4 colds and got a realy bad cough all four times. My family doctor gave me anitbiotic all four times as well because I am on immunesupressants for my RA. Every time I seen him becuase of the cough he listens to my lungs and tells me that he can hear wheezing. He has asked if I was on any hinhailers and I told him that I was not. But I do take Prednisone every day. Last time my cough got realy bad and I got realy sick so when I called him he told me to goto the ER. There they said that my lungs sounded clear. I had pulmonary function tests done twice because I have pulmonary hypertension but very mild. No treatment required for it just keeping and eye on it.The results was above average lung function. The reason why he wanted me to go to the ER is because he said that I was asthatic. I never was told that before. So I don`t think that I have it. I do also get a very bad cough if I go for my walk and it is cold out. Almost as soon as I come in the door I cough realy bad for about 30 minutes. Can someone have asthma and have periods where there is no whezzing and normal lung sounds?

Answer:

The answer to your question is yes.  It may be necessary for you to get a special test called a methacholine challenge which measures airway hyperresponsiveness of the airways which is a central feature of asthma.  It is also possible you have cold induced or exercise induced bronchospasm and would benefit form some intermittent or controller therapy.  I would recommend seeing an asthma specialist (allergist or pulmonologist) for further evaluation.

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Response by:

University of Cincinnati Jonathan Bernstein, MD
Professor of Medicine
Division of Immunology and Allergy
Department of Internal Medicine
College of Medicine
University of Cincinnati
Jonathan   Bernstein, MD