Spasmodic Dysphonia Bulletin Board

Asthma
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Posted by: cklw ®
12/05/2003, 08:25:27


Okay, I don't know if this is related, but since I began with my dystonic condition in October I've also had episodes of Asthma, I never did before. The past two asthma episodes I had seemed to happen after I was having a particularly "airy" voice and talking on the phone. It happened last night, I was talking on the phone, then I just started coughing, only slightly at first, but then I couldn't control it... it was coming from a very deep part of my chest and really hurt... I finally did my son's inhaler (once I figured out that I was having an asthma attack) and I was okay again. In fact I was able to talk the rest of the evening...

I did happen to have a very bad voice yesterday all day and had to do a lot of whispering/talking (plus my eyes and face were moving all day long) in meetings. I was exhausted by the time I got home. This is my first week back to work full time since October and I am so tired today. CKLW




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Re: Asthma
Re: Asthma -- cklw Top of thread Archive
Posted by: valerie elizabeth ®
12/05/2003, 23:28:58


I read an interesting article about a condition that may be confused with asthma. This condition is called Vocal Cord Dysfunction or VCD. People with VCD will report asthma-like-symptoms. The web page - www.nationaljewish.org/medifacts/vocal.html. Hope this helps.



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Re: Asthma
Re: Re: Asthma -- valerie elizabeth Top of thread Archive
Posted by: cklw ®
12/08/2003, 09:58:04


valerie, thanks for the info. Someone else had sent me some info on this via e-mail too. I did some experimentation with this over the weekend when I was having the problem. I could easily breathe through my nose, it was only when I tried to breathe through my mouth that I experienced the problem with the deep cough. I've also been experiencing some random pain in my chest area (not like heart related!) but like pain when I swallow food sometimes and sometimes just pain in that spot.

I only started any sypmtoms of any sort of dystonia on September 30, and since then have problems with my jaw, mouth, eyes, voice, asthma, neck-arm-shoulder-hand-finger pain... I'm not sure where this is leading me! Yikes! Cathy




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Re: Asthma
Re: Re: Asthma -- cklw Top of thread Archive
Posted by: Lynne Martinez ®
12/08/2003, 11:04:41


Hi Cathy,

Since I was the other person who sent you that website, having dealt with my own VCD (vocal cord dysfunction) case for almost two years, seems you are having to sort through a large array of new physical symptoms all at the same time in a very short period.

The breathing issues can be terrifying and should probably be your first priority. Try to see a skilled pulmonologist as soon as you can. And, take the "nationaljewish" Medfacts website print-out with you. After over 18 months of trying to figure out why I couldn't breathe, it was that website that finally convinced my doctor that I had VCD. I'd been to him numerous times and he didn't have a clue as to why I was having such severe episodic respiratory attacks.

Request a PFT (Pulmonary Function Test). That test can usually determine if you really have asthma. Asthma and VCD are not the same disorder, but look very similar during attacks. In addition, inhalers don't help VCD, since they are different respiratory disorders. The meds in inhalers act on a different part of the respiratory anatomy. During a PFT, they test the differences in your breathing, before and after using the inhaler. If the inhaler helps you breathe (do better on a PFT), then asthma is a possibility. It didn't help my condition. Everything was the same, thus asthma was ruled out. In addition, if you just now got it (with all those other symptoms), asthma is less likely.

You have mentioned "triggers" though. Talking on the phone. Various triggers for VCD attacks could be talking, laughing, exercise, strong toxic odors, etc. The last time I walked into a restaurant of several people with strong perfume, the coughing/choking attack was so bad that my friend called 911. I couldn't breathe/talk well enough to tell her what was going on. Good reason for a Medic Alert bracelet.

The attack only lasted about 10 minutes, but (as you say) it does wear you out; and, because VCD is clearly related to the larynx, talking is even more labored for awhile afterwards.

From what you say, you're dealing with so many new symptoms that it must be confusing to sort them all out. I hope you find medical specialists who are trained and experienced in dystonia and voice and respiratory conditions. Hopefully you can find a well-rounded, skilled neurologist and specialist team in your geographical area. Don't just go to a garden-variety "anyone." You need people (a team) who can help you figure out why all of these symptoms are happening at the same time.

You've come to the right place for support and information so let us know how we on the BB can further help you. Best wishes on the search for competent specialists.

--Lynne (AD/SD; VCD; Northern California)




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Re: Asthma
Re: Asthma -- cklw Top of thread Archive
Posted by: Linda Spain ®
12/06/2003, 18:29:38


Dear CKLW,

I've never heard of an asthmatic cough being so deep; I've always thought it sounded more like croup. It is noteworthy that asthma inhalers can relieve multiple conditions. It is even more noteworthy that I have no expertise on the topic of asthma!

However, in any event, I can offer two ideas:

1. If you tighly hug a pillow when you have a deep cough, it generally will hurt less. Further, it is not uncommon for women (I don't know your gender) to break ribs with a really bad cough (such as might be associated with pneumonia). Hugging a pillow may diminish that likelihood.

2. You might want to try breath support exercises. Having learned those techniques certainly helps me, especially on the really bad voice days. Maybe they will help you conserve strength.

Best wishes,
Linda




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Re: Asthma
Re: Re: Asthma -- Linda Spain Top of thread Archive
Posted by: cklw ®
12/08/2003, 09:54:16


Thanks for the tips... I am seeing a new doc for the dystonia on Thursday, hope he has some insite! Cathy



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