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Asthma/Asthma attack and upper abdomin pain following attack

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Expert: - 8/30/2009


Question
Hello,

I had an asthma attack last Thursday that woke me up at 3 am with fever feeling, burning lungs. I didn't have an inhaler around since I haven't had an attack in almost 2 years. Been managing my asthma will- was my mistake. Now I have upper abdomin pain almost like a constent hunger pain or pain one edges of rib cage, and if I push down on my belly button pain as well. It comes and goes since Saturday morning. Attack happened on Friday 3am. No dirrehea or vomiting or headaches or really back pain. Just mainly pain first thing in the morning then dull pain though-out the day some wheezing and no loss of appetite. Advil help but not really.

Any advise what it could be. I'm going to see my regular doctor asap.

Thanks,

Eric

Answer
Hi Eric,

It sounds like you may have acid reflux. The acid irritates the lining of the esophagus which, in turn, can cause the bronchospasms and wheezing. The reason for this is that a nerve which is in the lining of the esophagus, also links up with the heart, lungs, stomach and intestines. When it gets irritated, this result can occur. I'd advise you to definitely follow up with your doctor on Monday, and in the meantime, you may want to take Pepcid Complete, which will both neutralize the acid in your stomach as well as decrease acid secretions. Check with your pharmacist to be sure it won't interfere with any other meds you are taking.

Feel better, and NEVER be without your rescue inhaler.

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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