Skip to content
My WebMD Sign In, Sign Up
Includes Expert Content
Asthma and chest tightness
avatar
thjay posted:
Hi,

I am a 35 year old female. I have been an asthmatic for 15 years now and i have well controlled it using inhalers twice a day. I have been using Advair 250/50 twice a day for past 3 years. Earlier i was using the same medication and dosage in the inhaler form. I am also doing breathing exercise (yoga) atleast 5 times a week. My breathing feels a lot better with yoga. But i feel my chest tightness has not improved over the years. I was hoping that breathing exercises may help to release tightness in the chest. Does anyone have any suggestions or remedies for this? Am I missing anything?
Reply
 
avatar
cmcjcc2468 responded:
Hi,
I am a 15 year old with severe asthma (being hospitalized multiple times a year, and out of school) and i agree yoga is the bomb! but when i am feeling tight, i use exercises that make sure my vocal folds arent contributing. Sometimes your vocal cords dont stay open as you are trying to breathe making me either tight or wheezy.
When this happens, (i can now differentiate between asthma and vocal problems, but when i first learned i had this, it was very hard to tell.) I do these 3 exercises:
  1. Sniff 3 times (not little ones big obnoxious ones.)
  2. Take 5 deep breaths through pursed lips (like drinking a milk shake) and out through the nose
  3. Labored breathing, Take a breath, and then as exhaling go Puff Puff Puff (dont actually say puff, but break the exhale into 3 parts like you are in labor)

I usually find this helps if it is there. And if not, i then go for the nebulizer.

I hope this helps a little. Much luck!
 
avatar
abbymay16 responded:
If you are still experiencing chest tightness you may not be taking a high enough dose of the inhaler steroid. Advair comes in a 500/50 dosage. Might be time to talk with your doctor. Chest tightness is an indicator your asthma is not well controlled.

Mattie
Vive Bene, Spesso L'Amore, Di Risata Molto (live well, love much, laugh often)
 
avatar
thjay replied to cmcjcc2468's response:
Thanks for your reply. It's interesting to know that vocal cords have play a role in asthma. I did not know about it. I will try the excersies that you suggested. I do practise labored breathing, for 20 counts each time and I also understand from my yoga teacher that it is very effective. I'm glad you suggested the same thing.

Nebulizer is a good alternative too. I have one at home. I probbaly should use it during winter times.
 
avatar
DUKE MEDICINE
Gregory M Metz, MD responded:
Dear thjay, hope your breathing symptoms are doing better. I recommend that you visit your doctor to discuss your symptoms. If they are caused by asthma, then perhaps a medication adjustment is needed. Your doctor can also investigate other potential contributions. Vocal cord dynsfunction can mimick asthma as discussed below. Do you have acid reflux or heartburn symptoms? Are you taking any medications for heartburn? Do you get any relief from your rescue inhaler? Do you have post nasal drip?


Helpful Tips

Remember to clean your rescue inhalerExpert
For patients using albuterol rescue inhalers, remember to wash the mouthpiece as directed. The typical recommendation is washing it once ... More
Was this Helpful?
33 of 47 found this helpful

Related Drug Reviews

  • Drug Name User Reviews

Report Problems to the
Food and Drug Administration

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

For more information, visit the Duke Health Asthma and Allergies Center