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RE: Methacholine Challenge test

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I have never been diagnosed with asthma but I am wondering if I do have it because I always develop a horrible dry cough that can last for weeks after a respiratory infection. I will cough so hard that my stomach muscles are sore even though I usually do not cough up anything at all. It usually happens at least twice each fall and/or winter.

Could this be asthma? Do you mind me asking what kind of medication did the pulmonary doctor prescribed for you? I went to the doctor once but he did not seem to think it was asthma but he didn't do any tests. He just asked me a few questions. I was hoping he would be able to give me something to take or an inhaler to help when the coughing starts before my airways get inflamed and irritated.

Methacholine Challenge test

Is the methacholine challenge test fairly accurate at diagnosing asthma?I developed a severe cough following a respiratory infection last summer. My PCP referred me to a Pulmonary Doctor after a couple of months of coughing.the pulmonary doctor diagnosed asthma after I tested positive on the methcholine challenge test. the reason I'm wondering is that I don't think that I wheeze. My coughing is much improved with his prescribed meds except when strong scents or cleaning solutions are present. the lack of wheezing has me curious.

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I was prescribed Advair 250/50 and albuterol initially. The Advair was

subsequently raised to 500/50 and Singulair was added as well as the

albuterol. The coughing is not quite under control yet but is much

improved. As I said before, however, strong odors, smoke and cleaning

products still cause me difficulties. I used to get colds where a cough

would linger for weeks after as you describe. Eventually the coughing

would stop until the next year. This year the coughing did not stop.

>

> I have never been diagnosed with asthma but I am wondering if I do

have it because I always develop a horrible dry cough that can last for

weeks after a respiratory infection. I will cough so hard that my

stomach muscles are sore even though I usually do not cough up anything

at all. It usually happens at least twice each fall and/or winter.

>

> Could this be asthma? Do you mind me asking what kind of medication

did the pulmonary doctor prescribed for you? I went to the doctor once

but he did not seem to think it was asthma but he didn't do any tests.

He just asked me a few questions. I was hoping he would be able to give

me something to take or an inhaler to help when the coughing starts

before my airways get inflamed and irritated.

>

>

>

>

> Methacholine Challenge test

>

>

> Is the methacholine challenge test fairly accurate at diagnosing

asthma?

> I developed a severe cough following a respiratory infection last

> summer. My PCP referred me to a Pulmonary Doctor after a couple of

> months of coughing.the pulmonary doctor diagnosed asthma after I

tested

> positive on the methcholine challenge test. the reason I'm wondering

is

> that I don't think that I wheeze. My coughing is much improved with

his

> prescribed meds except when strong scents or cleaning solutions are

> present. the lack of wheezing has me curious.

>

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So...maybe since mine finally stopped then it is not asthma. I always have a much harder time getting over a cough than my other family members do. It can last a month at times. This has gone on since I was a young teenager. It's almost like once the cough starts, my airways get irritated which causes more coughing. My doctor said I have sensitive airways but he didn't think it was asthma. I was not really impressed with the doctor so I was thinking about going to an asthma specialist if the coughing starts again this winter.

Methacholine Challenge test>>> Is the methacholine challenge test fairly accurate at diagnosingasthma?> I developed a severe cough following a respiratory infection last> summer. My PCP referred me to a Pulmonary Doctor after a couple of> months of coughing.the pulmonary doctor diagnosed asthma after Itested> positive on the methcholine challenge test. the reason I'm wonderingis> that I don't think that I wheeze. My coughing is much improved withhis> prescribed meds except when strong scents or cleaning solutions are> present. the lack of wheezing has me curious.>

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Please get a second opinion if you have doubts. I really don't know

enough about it to advise you. I can only relate my situation.Good luck.

> >

> > I have never been diagnosed with asthma but I am wondering if I do

> have it because I always develop a horrible dry cough that can last

for

> weeks after a respiratory infection. I will cough so hard that my

> stomach muscles are sore even though I usually do not cough up

anything

> at all. It usually happens at least twice each fall and/or winter.

> >

> > Could this be asthma? Do you mind me asking what kind of medication

> did the pulmonary doctor prescribed for you? I went to the doctor once

> but he did not seem to think it was asthma but he didn't do any tests.

> He just asked me a few questions. I was hoping he would be able to

give

> me something to take or an inhaler to help when the coughing starts

> before my airways get inflamed and irritated.

> >

> >

> >

> >

> > Methacholine Challenge test

> >

> >

> > Is the methacholine challenge test fairly accurate at diagnosing

> asthma?

> > I developed a severe cough following a respiratory infection last

> > summer. My PCP referred me to a Pulmonary Doctor after a couple of

> > months of coughing.the pulmonary doctor diagnosed asthma after I

> tested

> > positive on the methcholine challenge test. the reason I'm wondering

> is

> > that I don't think that I wheeze. My coughing is much improved with

> his

> > prescribed meds except when strong scents or cleaning solutions are

> > present. the lack of wheezing has me curious.

> >

>

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-

I started coughing this time of year last year, and didn't stop.

Horrible coughin, at first thought from mold or something (office

had a major soak) then allergies (which I thought I had for years

and was on prescription medicine). Finally, after several months,

was referred to allergist, who thought I had Cough Variant Asthma.

Put me on Advair, Singulair and Astelin. (Oh, also when tested had

no allergies). When I was tested in a Methacholine Challenge, my

breating problem appears to be the opposite of Asthma, I have

trouble breathing in instead of out, which indicates a possible

vocal cord problem. So, next step was a ph study and bronchoscopy

in October, which indicates I have " Very abnormal " Acid levels. So,

now I am on Nexium twice a day, still on Asthma meds...tried 2 times

now to wean off, start coughing in two weeks both times. My

Allergist suspects I have both Asthma and GERD. Back on all meds,

and this week seem to be coughing a little more than normal...cold

absolutely also seems to be a factor.

Anyway, its not as clear to diagnosis in some cases. You could have

Cough Variant Asthma.

Kris

>

> I have never been diagnosed with asthma but I am wondering if I do

have it because I always develop a horrible dry cough that can last

for weeks after a respiratory infection. I will cough so hard that

my stomach muscles are sore even though I usually do not cough up

anything at all. It usually happens at least twice each fall and/or

winter.

>

> Could this be asthma? Do you mind me asking what kind of

medication did the pulmonary doctor prescribed for you? I went to

the doctor once but he did not seem to think it was asthma but he

didn't do any tests. He just asked me a few questions. I was

hoping he would be able to give me something to take or an inhaler

to help when the coughing starts before my airways get inflamed and

irritated.

>

>

>

>

> Methacholine Challenge test

>

>

> Is the methacholine challenge test fairly accurate at diagnosing

asthma?

> I developed a severe cough following a respiratory infection last

> summer. My PCP referred me to a Pulmonary Doctor after a couple of

> months of coughing.the pulmonary doctor diagnosed asthma after I

tested

> positive on the methcholine challenge test. the reason I'm

wondering is

> that I don't think that I wheeze. My coughing is much improved

with his

> prescribed meds except when strong scents or cleaning solutions

are

> present. the lack of wheezing has me curious.

>

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