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Asthma/Do I have asthma or what?

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Expert: - 7/24/2009


Question
Hi,

lately i've been experiencing what can only be described as shortness of breath (i feel like I am constantly needing to sigh or inhale heavily) as well as tightness in my upper back (like my back constantly needs to be cracked - right between my shoulder blades) and discomfort in my neck. I'm wondering if this sounds anything like adult onset asthma? I'm 31 and I smoke. I don't have any history of asthma in my family (I don't think). I do have multiple sclerosis.

any thoughts?

Answer
Hi Jason,

This does not sound like adult onset asthma. Unlike child onset, which predominantly is due to elevated allergic response, adult onset is generally not allergen related, but due to environmental exposures, e.g.: ozone, chemicals in the work place and other job related exposures, are more typical.

Could this be anxiety related, or secondary to your smoking, yes. If I knew what meds you have been on in the past, as well as currently taking, I could evaluate whether your symptoms are drug-induced side effects. The best way to rule out what it transpiring would to have spirometry done to assess lung function.

If you'd like me to evaluate your meds, follow up with a note listing what you are on, and dosing regimen.

I hope this gives you some guidance.

Sincerely,

Marc

Asthma

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Volunteer

Marc Rubin, RPh Asthma Educator

Expertise

I have worked directly with patients as well as caregivers for over 30 years. Have made presentations throughout Illinois educating school nurses as well as the teaching and coaching staff of public schools about asthma, and how they should respond to these students needs. Presented a public education program on asthma through the US Department of Public Health. Specialize in helping guide asthmatic patients to take control of their disease in order to live a near-normal, fully active life.

Experience

Practicing pharmacist for 34 years, specializing in asthma for past 7 years. Statewide education to nurses, teachers and athletic coaches regarding asthma. In addition, and closer to home. my wife and daughter both have asthma, and my son has exercise induced bronchospasm. I'm also on the advisory board of a medical education company, Emmi Solutions, and directly involved in the creation of public education programs for asthma, COPD and diabetes.

Organizations
American Academy of Allergy, Asthma and Immunology (AAAAI) / Sports Medicine Committee, American Thoracic Society (ATS). Chicago Asthma Consortium / Professional Development Committee, Respiratory Health Association of Metropolitan Chicago: Development Committee for AE-C prep class, and presenter.

Publications
AAAAI PowerPoint on the new guidelines for EIB (Exercise Induced Bronchospasm)

Education/Credentials
BScPharm, RPh, AE-C (NAECB Certified asthma educator), NIPCO Certified Respiratory Care Pharmacist

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