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    Includes Expert Content
    Asthma is trying to come back...
    MSandyd posted:
    I thought my asthma had died away, but this cooler weather has brought it back. So, getting out the nebulizer and the inhalers. Sandy
    Mathchickie responded:
    In adults, asthma is permanent, although it can change in severity. Good thing you still have your medications on hand.
    Michael H Land, MD replied to Mathchickie's response:
    Unfortunately, asthma is a chronic disease and does not easily improve in many patients. Sandy, if you have not had a diagnosis of asthma for very long, then it is possible that you might not know what all of your triggers are. Sometimes it is temperature related (Cold air) or sometimes it is illness, allergen exposure, smoke exposure, exercise, etc.

    I would suggest talking to your allergy or pulmonary specialist to come up with a list of likely triggers for you, so that you can "be prepared" and take the necessary precautions to avoid triggers or know when they are coming (like the cool weather).

    Here is a nice resource at on avoiding asthma triggers: LINK and one here at WebMD: LINK

    I hope you are feeling better soon!
    BoJoPo replied to Michael H Land, MD's response:
    I have had excellent results with taking Vit. D-3 for the past 4-5 years....and have only had two respiratory episodes in the past 4 years; however, when I do have a lower respiratory problem, my asthma then gets very difficult to manage (wheezing, mucus, coughing, etc. and I cannot lie down for many nights and have to sleep in a recliner). I usually use nebulizer treatments every 4-6 hours, sometimes take antibiotics, and prednisone (which is about only thing that eventually resolves the inflammation). I am not very anxious to use inhalers on a regular basis since my problems only are serious if I get a respiratory infection and those have been so infrequent now that I'm on Vit. D-3. I know there are side effects to some of the asthma medicines (actually can cause respiratory infection) and I'm not sure I want to increase my risk! What is the your suggestion for this type of asthma? I also have allergies so they can be a trigger, but my problems are only serious with infections. I have bare floors, very little upholstered furniture; change my pillows every year and I stay away from animals that bother my allergies (cats and certain dogs). I have two large dogs, but have never had any reaction to them, even if in a car for 12 hours at a time.

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