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The nurse supects that I have: Exercise-Induced Asthma but until now we have to wait for results that I will get in 3 weeks time, I just bought a peak flow meter today and I have to meassure morning and night my peak flow, also i have to do a running test and then meassure my peak flow
Everything started with a bad bad cold in march this year (2010) coghing at night with lungs weezing, totally out of breath I then went to the doctor and she maid a lung function test i think it´s called spirometry test and the results were 95% normal so her answer was: if it gets worse contact me! During a 2 month period it went away the weezing only happened at night.
Sept. another cold and infection in the sinus decked me and the weezing started again at night but now also sometimes in the day, the doctor suscribed me terbasmin an inhaler and it helped against the attacks.
Oct. phneumonia the weezing was crazy and the doctor sent to lung specialists which was today.
What I know until now: my numbers for infection were at 67 and should be below 25 (I guess the penicillin didn´t kill it completely), my lung capacity is: 5.68 L the nurse suspected me to be around 4.00 so I blew off the chart, my peak flow is: 550 until now and it should be around 635. Maybe I have a little grass pollen allergy. My lungs start weezing during exercise, I have bike to work 1 km and it´s uphill (max 4%) and I have to hold back otherwise I can´t breathe when I get to work.
The attacks feels like breathing holding your fingers close togehter over your mouth and breathe through the tine spaces between your fingers. Has anyone had similar stories or found out that they have asthma after they started cycling? I have allways been active I started cycling in 1994 but held a pause from cycling for 3 years I´m 37 years old and I never had anything close to the attacks......closest thing has been going hard from the first minute on the bike or running when it freezing cold outside when training in poor shape
But I have never really had asthma. Last year I did get a nasty cold/virus/whatever that created heavy congestion deep in my lungs. It took about a month to get over it. Cycling would exacerbate it when I went hard, and I would end up coughing heavily and spitting up mucous. If it had taken any longer I would have started visiting doctors, but luckily, I got over it.
So, yes, asthma occurs, but also viruses can temporarily cause heavy congestion.
Thanx for the input because I´m doubting if I have asthma because I never had symptoms before and my attacks, I´ve only had when being sick and finally my blood test for infection showed to high numbers.
I haven´t trained for a month and the nurse recommende resting the rest of the month, that sucks!
The good thing is that she recommended alot of eating also food with fat to regain strenght and bodyweight so maybe i´m going to pull a Jan Ullrich and a eat a lot of cakes the next month...luckily I only weigh 60 kg and 178 cm so I can handle some extra fat on my body
i guess my point is cycling does not cause asthma, but can trigger a problem that was already there. I have had the athletic induced asthma conversation with my doctor many times and he strongly believes that there is not such thing, that there are people that have asthma and it is set off by exersize. so something in your environment has set off your asthma. look into what might had changed around you, i bet you will find something.
The nurse at the hospital recomended after infection in the sinus, it´s a good thing after using a normal nose spray, to use a nose spray with hormones which I bought today (momentasonfurorat). She said when you sleep at night on your back, stuff will drip down in to your lungs apparently the hormones will help.
Steroids (inhaled or nasal) are certainly in the first line of therapy, as there is a major inflammatory component to reactive airways disease.
See your pulmonologist again! It is surprising that the first set of spirometry measurements did not show anything, but I think that functional testing is an important line of inquiry in this situation.
The doctor will go through all the results and I will ask as many questions as I can think of and the nurse told me not take any medicine that day and they will test me again.
About the peak flow meter, Im also aware of that my teqnique sometimes also fail. I´m suposed to make a running test for six minutes and meassure the peak flow after 1-5-10-15-20 minutes and I´m planning on doing it 3 times before the 30th of nov.
I´m also going to ask the doctor to test my blood againg for any inflammatory issue
The biggest problem with peak flow is that it is very effort dependent. For example, if you are actively wheezing, you will often incite a cough with a maximal effort breath, so consciously or not you may limit effort in order to achieve a measurable result. Formal spirometry or plethysmography in a "body box" can eliminate some of these confounding issues to get more accuracy.
Test: run 6 minutes, I kept the pulse between 160-173 maybe it was to high since my max is 184. The last 2 minutes was hard, could hardly take air in.
peak flow after 01 minute: 350 (Then i took my inhaler)
peak flow after 05 minute: 400
peak flow after 10 minute: 440
peak flow after 15 minute: 430
peak flow after 20 minute: 450
the nose spray with hormones seem to work, I have had 3 nights in a row without night coughing for the first time in 5 weeks
I had some tests done that showed that 1) my lungs aren't very good and 2) that even when I'm not wheezing my breathing is better with some Albuterol. I'm told that's the definitive test- if you don't suffer from asthma then the Albuterol does nothing for your breathing.
I also suffer from hayfever, but that's different and actually goes away when I am riding. But a lifetime of hayfever may have made the asthma worse.
danneva wrote:I'm told that's the definitive test- if you don't suffer from asthma then the Albuterol does nothing for your breathing.
Actually that is not true. If one has a primarily bronchoreactive component to their asthma (spasm of the smooth muscle of the airways) that is often the case. But if one has more inflammatory airway reactivity you may not have a good response to albuterol and other beta agonists.
I went directly to farmacy and took my new medicine:prednisolone 37½ mg per day for 2 weeks and seretide inhalator 500 microgram 2 times a day. ½ an hour later i went on a bike to the supermarket about 1½ km away as fast as i could and return in same speed and I felt nothing, not the tiniest weezing.
In 2 weeks i have to return to the hospital to make a follow up on how things are going.
Now I can finally look forward and start my winter training.
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