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I am 23 years old...

I have had asthma since I was a kid. I had a few older teen years when it seemed to 'go away...' but in the last two years it has reared it's ugly head once more.

I also (had?) severe GERD due to some premature birth defects...I've had 2 corrective surgeries and have been symptom-free since.

I've been on advair for awhile, with the usual albuterol rescue inhaler.

I caught the seasonal 'junk' just before thanksgiving...as is my wont, it settled into my chest and turned into bronchitis. I was on biaxin & prednisone for a couple of weeks..with no change. We tried dioxycycline and more prednisone, as well as increasing the advair dose. Again, no change. My doc decided the bronchitis had moved on, but that my lungs/passages were inflamed from a combo of the cold weather, bronchitis and coughing in general. He upped the advair again to the 50/500, started a 3rd prednisone taper (this one a 5-week deal), added singulair and zantac just for kicks. they also ran some labs to see if they could find an allergy...with no luck. Apparently I tolerate everything...but of course, I'd been on prednisone for over a month at this point, so who knows? Anyway, a few days later I ended up in the ER for one of those uncontrollable coughing spells...they gave me two albuterol treatments neb which did nothing, some lidocaine in the neb (which is wonderful, fyi), and finally an epi neb treatment. This did relieve most of the coughing...for the evening. They also gave me IV solumedrol. The day after I went back to the doc, who gave me more solumedrol and changed my alubterol inhaler to neb xopenenx. The xopenex gives me more relief than the albuterol (which was seemingly ineffective.)

Currently, I'm using the xopenex neb every four hours. I'm like clockwork...I start coughing more about 3.5 hours in. I get worse at night, and have trouble sleeping...I almost always wake up 2 and 5 hours after going to bed....typically, midnight and 3am. I finally sleep from 3 or 4 until I wake up at 6/7 for classes and work.

My chest is ALWAYS tight. The xopenex relives this somewhat..but only for an hour or maybe two. I never wheeze, frustrating the ER docs and RT's ... who all swear that asthma requires wheezing. My primary rolls his eyes and tells me they're wrong...but this does NOT help me during those ER visits! I actually had an RT last night tell me that, if I was going to cough I should cough like I mean it...that my short, very barky (deep) cough wasnt doing me any good and I needed to cough longer and harder. This was after a severe attack...I'd been coughing non-stop for over an hour, my pulse was in the 200's, my heart beat was tachy and my fingers/face were tingling from hyperventilation. Of course...my O2 sats are always 99/100...further stumping the practicers of medicine we call doctors...

I've been referred to an allergy/asthma specialist...who is apparently supposed to call me for an appointment. To say the least, I am exhausted. I have been coughing for over two months, with frequent paroxysms and attacks that leave me coughing and gagging. I am sore and bruised...on my last visit my primary said even my throat was bruised from coughing! I can't lay flat...my bed is a pile of pillows... and going outside, laughing or crying makes it worse. I get lots worse at night...

Anyone have any tips? I'm thinking of asking to try something other than the xopenex...while it is more effective than the albuterol, it's not totally effective. I'm exhaused and bruised...and I don't feel like the docs are listening anymore. Except to tell me that my O2 sats are fine and they dont hear any wheezing...and to cough like I mean it. Ugh.
Have you been tested for Pertussis (Whooping Cough)? I went through a 3 month ordeal a couple years ago with a horrible cough that left me unable to breath frequently. After many many doctor's visits and treatments, it turned out I had multiple things going on at the same time.

1st--I had a sinus infection. Put on a couple rounds antibiotics in addition to my 4 allergy meds I take year-round. Developed cough that they thought was just caused by PND.
2nd-cough continued. They increased my allergy med dosages a couple times. I ended up on Singulair, Advair 500/50 and Albuterol. Went on a couple rounds of Prednisone. (I don't wheeze with my asthma either.)
3rd- cough continued. I went in for testing for silent GERD. Endoscopy showed nothing, but 24 hr PH confirmed I had GERD with coughing as my main sympton. Changed from once a day Protonix to twice a day Prevacid.
4th- Cough continued--I caught a virus and lost my voice and got the flu in the same week.
5th--received my third test for Pertussis. The first ones came back inconclusive which they attributed to having received the vaccine when young. The last one came back indicating that I had probably caught Pertussis early on. They figure all the antibiotics I was on for the sinus infection had treated the Pertussis. The cough remains even after treatment. It is nicknamed the "100 day" cough.

I can tell you I was thoroughly worn out during this entire time. One day, after about 3 1/2 months, the coughing just started decreasing in frequency.

Throughout this process, my doctors explained that there are several main causes of chronic coughs. (I did internet research to verify this.) Turned out I was dealing with all with a cough as my primary symptom. They are:
[LIST]
Post Nasal Drip
Allergies
Asthma
GERD/ Acid Reflux
[/LIST]
They also like to rule out any concerns with the heart as well.

I hope you find something from my experiences that is useful.

Good Luck finding your solution.





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