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Do you believe I have alelrgic Asthma
Attached spirometry rpt.
IgE: 7k. Breathing prob since COVID+ in 2020. Before COVID, never had this issue.
Docs saw IgE 7k → keep saying Allergic Asthma (AA). Told them before COVID no breath issues. Did skin prick test – allergic to dust – but dust exp. never ↑ prob. Breath prob constant, doesnt comes/goes.
Tried Foracort 200 inh. → no improvement.
Also take benzo + Dayvigo. When breath prob happens, SpO₂ still 98%. As AA pts can’t take sleep meds, makes it harder.
Met multiple pulmo docs – all say AA – but sxs don’t feel like asthma. Just high IgE ≠ AA.
Do you think high IgE alone is enough to dx AA? Pls share opinions, condition worsening.
Answers (6)
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pft is normal
you have to check other aeroallergena and food allergen also during skin prick test and then go on cocktail sublingual immunotherapy
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Your PFT is normal which is common in case of asthma.
May be you need to correct your inhaler technique
Next Steps
Connect further with a detailed history to update your inhalers
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In asthma pft can be normal
We have to corelate based on clinical symptoms
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Yes, the most probable diagnosis is Atopic Asthma with your history. COVID-19 infection can enhance expression of your allergy by several central to atopic mechanisms. Which will finally result in
Increased IgE synthesis.
Recruitment of eosinophils.
Upregulation of histamine and other mediators of inflammation.
Next Steps
1. recheck your inhaler techniques
2. reevaluvate - repeat history taking, and look for additional causes that leads to your condition
Health Tips
stress is also a trigger for asthma, so keeping calm is really important. if possible consult.
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Dr. Anusha Kantheti
Pulmonologist
9 yrs exp
Hyderabad
Make sure inhaler dosing and technique is correct
In asthma pft is not always abnormal
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
May be Allergic in nature. Pl identify and avoid allergens. Pl avoid sleep medicines. You need certain tats. Pl consult.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.