Losing my passion -- exercise induced asthma ?- Mtbr.com
Results 1 to 17 of 17
  1. #1
    mtbr member
    Reputation: RajunCajun44's Avatar
    Join Date
    Aug 2012
    Posts
    2,926

    Losing my passion -- exercise induced asthma ?

    Hoping I am putting this in the right location ?

    Anyway, I have had this issue for about 4 years now and it seems to be getting worse.... I cough during rides where I am really pushing it hard... Especially after like the first hard climb of the ride... The coughing doesn't happen while I am climbing but as my hear rate declines after the climb...

    Also after a long days ride, I will have a lingering cough in the evening...

    Im finally going to see a doctor next week.

    Im wondering if this is an issue with anyone else ? If yes, did inhalers work ?

  2. #2
    mtbr member
    Reputation:
    Join Date
    Jan 2006
    Posts
    2,281
    I have asthma and for a long time it did hinder my riding sometimes. I remember during a race once back in 2004, it pretty much reached its peak and I decided to go see a doctor about it. I was prescribed Singular 10mg and an inhaler. I used the Singular everyday as prescribed and carried the inhaler.
    It made a huge difference in how I felt during any kind of exercise. I've since felt that I do not need to take anything and have been good for about 2 years with no further problems.
    It's a good thing that you're seeing a doctor.
    EXODUX Jeff

  3. #3
    mtbr member
    Reputation: MSU Alum's Avatar
    Join Date
    Aug 2009
    Posts
    3,443
    Very treatable!

  4. #4
    mtbr member
    Reputation:
    Join Date
    May 2005
    Posts
    384
    I've been prescribed a few different inhalers over the years for exercise induced asthma and/or cough-variant asthma. Albuterol did nothing for the cough (no surprise as bronchoconstriction hasn't ever been my issue); QVAR and Alvesco both were effective at stopping the cough. An allergist might be inclined to prescribe a dose you take every day, but I found it worked just fine to take as needed. YMMV

  5. #5
    mtbr member
    Reputation: rockman's Avatar
    Join Date
    Jun 2004
    Posts
    6,816
    Exercise induced asthma here as well, particulary in colder air. I hit a couple of puffs on the inhaler before heading out and no issues.

  6. #6
    always licking the glass
    Reputation: stripes's Avatar
    Join Date
    Sep 2016
    Posts
    1,607

    Losing my passion -- exercise induced asthma ?

    Been suffering with asthma for a while now. Itís been in check now and itís mainly my lack of cardio fitness thatís my issue these days.

    Mine was so bad in San Jose that there were days I couldnít ride, much less exercise in the house.

    I was on symbicort AND albutirol for years. Allergy and heat-induced asthma. I spent a lot of time with my asthma specialist with a sinus infection every 2-3 months that half the time ended in bronchitis. That sucked. I was never sick as a kid but last year my lung capacity was around 60%.

    Last year, I moved to Denver after years of suffering. My lung capacity is much better now, and I found out that even part of my asthma was due to acid reflux.

    Now that Iíve fixed my diet (my acid reflux triggers are onions, garlic, alcohol, bread, and some dairy) and got out of an area that I was allergic to everything in, my lung capacity is around 80-90% and my symbicort is half as much as I needed last year. Havenít needed my albutirol in almost a year now.

    Definitely get an allergy test too. Yours might be triggered by allergies as well as weather.

    I realize not everyone can move. For me, it was a necessity though but I donít think Iím a typical case.
    Guerrilla Gravity BAMF, Colorado Front Range
    https://classifieds.mtbr.com/showpro...product=116154

  7. #7
    mtbr member
    Reputation:
    Join Date
    Mar 2012
    Posts
    355
    Your symptoms do have the sound of EIA and like others have said, it's treatable.

    For those of you with inhalers, are you using spacers when taking them? If not I'd urge you to get one as it makes the medications significantly more effective.

  8. #8
    Anytime. Anywhere.
    Reputation: Travis Bickle's Avatar
    Join Date
    Jan 2004
    Posts
    8,359
    4 years, and you are going to doctor now? With a medical issue, the best course of action is to ignore, wait, and then seek advice on a cycling forum.
    I got some bad ideas in my head.

  9. #9
    mtbr member
    Reputation:
    Join Date
    Apr 2009
    Posts
    2,736
    Quote Originally Posted by Travis Bickle View Post
    4 years, and you are going to doctor now? With a medical issue, the best course of action is to ignore, wait, and then seek advice on a cycling forum.
    Whew, with so many worthwhile replies I had almost forgotten I was on mtbr! Thanks for bringing us all back to reality.

    Sent from my XT1049 using Tapatalk

  10. #10
    always licking the glass
    Reputation: stripes's Avatar
    Join Date
    Sep 2016
    Posts
    1,607
    Quote Originally Posted by Travis Bickle View Post
    4 years, and you are going to doctor now? With a medical issue, the best course of action is to ignore, wait, and then seek advice on a cycling forum.
    Usually I would agree with you, but asthma is one of those things that isnít obviously ďcrap I should go to the doctor for this.Ē It can feel like man overtraining and fitness issues (especially if it isnít severe attacks) rather than thereís something ****ed up with my lungs.

    It took me going to the allergy/asthma specialist for my sinus infections before I even thought about asking about the breathing issues.

    I told the doctor that my allergies are impacting my fitness and Iím really out of shape. Iím glad she recognized the symptoms because I didnít give it much thought. She told me that I wasnít out of shapeóI have asthma and need treatment.
    Guerrilla Gravity BAMF, Colorado Front Range
    https://classifieds.mtbr.com/showpro...product=116154

  11. #11
    mtbr member
    Reputation: RajunCajun44's Avatar
    Join Date
    Aug 2012
    Posts
    2,926
    Quote Originally Posted by Travis Bickle View Post
    4 years, and you are going to doctor now? With a medical issue, the best course of action is to ignore, wait, and then seek advice on a cycling forum.
    moron

  12. #12
    Captain One Lung Administrator
    Reputation: JCWages's Avatar
    Join Date
    Jan 2015
    Posts
    4,835
    I experience the same issue. I never had the problem till I had most of my left lung removed. Albuterol helps with getting more oxygen but doesn't help the after cough although it may help reduce the cough spasms that can occur during a ride when i push it too hard. I'm thinking I should try going back on Qvar and see if that helps. I'm going to make another appoinment to learn more. I haven't talked to a pulmonary expert since the surgery.

  13. #13
    mtbr member
    Reputation: Crankout's Avatar
    Join Date
    Jun 2010
    Posts
    2,913
    My daughter was diagnosed with this some 3 -4 years ago as a high school athlete. She found the treatments to be very beneficial, including her pre-workout/game inhaler.
    The only important thing these days, is rhythm and melody. Rhythm...and melody.

  14. #14
    always licking the glass
    Reputation: stripes's Avatar
    Join Date
    Sep 2016
    Posts
    1,607
    Quote Originally Posted by Crankout View Post
    My daughter was diagnosed with this some 3 -4 years ago as a high school athlete. She found the treatments to be very beneficial, including her pre-workout/game inhaler.
    So much this. I have to take my inhaler at least 30 minutes before raising my heart rate and Iím solid.
    Guerrilla Gravity BAMF, Colorado Front Range
    https://classifieds.mtbr.com/showpro...product=116154

  15. #15
    L1MEY
    Reputation: mahgnillig's Avatar
    Join Date
    Mar 2004
    Posts
    1,409
    I also have asthma (mostly allergy related). I take one hit of Advair daily and use an albuterol inhaler before I do hard exercise, problem solved. I can always tell when I'm getting sick because I feel like I need to use my inhaler more before other symptoms even start.

    Sent from my SM-T800 using Tapatalk
    Ride like a girl!

  16. #16
    2x is underrated
    Reputation: richj8990's Avatar
    Join Date
    Apr 2017
    Posts
    1,606
    Be careful about using albuterol more than a few times daily. Some people can develop a tolerance and then it doesn't work well when you need it most. Those people then die from an asthma attack, about 5000 a year. If you have to use it daily, talk to your doctor about QVAR (steroid inhaler). Advair is generally overkill unless your asthma is really bad. Advair twice a day is the equivalent of eight albuterol puffs daily. That's a lot, and that's why there is a warning about this drug and others like it (Dulera). If you ask me it's just a marketing ploy to combine a stimulant and a steroid together, patent it, and make millions. As many people die when using drugs like Advair than no treatment at all, but the steroid appears to help reduce the mortality of the stimulant down to acceptable levels. This is starting to go beyond the topic but African Americans are up to four times as likely to die from using drugs like Advair than no treatment; Whites have a lesser mortality rate, so it can be race-specific for changing the body's biochemistry in chronic drug treatment for asthma.

    Again only your doctor can recommend something but in general it's albuterol as needed (not daily), then QVAR daily, and then something stronger only if QVAR isn't doing the job by itself. There is no evidence of steroid tolerance by this method of inhalation, but there is a lot of evidence of beta-adrenergic (albuterol or salmeterol) tolerance which can be fatal; for the sake of not pasting about 30 paragraphs I'll keep it to the introduction:

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435086/

    NPJ Prim Care Respir Med. 2017; 27: 33.
    Published online 2017 May 11. doi: 10.1038/s41533-017-0032-z
    PMCID: PMC5435086
    Beta-agonist overuse and delay in obtaining medical review in high risk asthma: a secondary analysis of data from a randomised controlled trial
    Janine Pilcher,1,2 Mitesh Patel,1,3,4 Alison Pritchard,1 Darmiga Thayabaran,1,2 Stefan Ebmeier,1,2 Dominick Shaw,3 Peter Black,5 Irene Braithwaite,corresponding author1 Mark Weatherall,2,6 and Richard Beasley1

    Introduction
    Asthma mortality surveys report that delay in seeking medical review is a common and important factor contributing to a fatal outcome.1Ė5 Beta-agonist overuse immediately before asthma death has also been reported, but the strength of this association is limited because these surveys rely on reports from relatives and friends of patients who have died from asthma.1Ė5 Furthermore, many asthma deaths are unwitnessed. Prescription database surveys identify a strong association between increased dispensing of short-acting beta-agonist drugs and the risk of mortality.6Ė10 The risk of asthma death increases markedly when more than 1.4 inhaler canisters per month are dispensed.7 Although this is estimated to be equivalent to an average of ten actuations per day, this may not correspond to actual patterns of use during a severe exacerbation. Patients with asthma also often report taking very high doses of beta-agonists during severe exacerbations leading to hospital admission, but these estimates may be influenced by recall bias.11 In the situation of stable asthma, patients who overuse their medications are likely to under-report actual use and conversely those who underuse tend to over-report actual use.12

    The best method to assess actual patient self-administration of beta-agonist is to use validated electronic monitors that record the exact date and time of each actuation.13, 14 This approach has been used in one 13-week observational study in children15 and also in one 24-week randomised controlled trial (RCT) of two regimens based on maintenance combination budesonide/formoterol inhaler therapy in high risk adult asthma.16 In this RCT, we reported long-term patterns of beta-agonist use16 as well as use during severe exacerbations leading to hospital attendance.17 We identified that in less than 10% of days when high beta-agonist use occurred, defined as > 16 actuations of salbutamol (or equivalent) in a 24-h period, did patients obtain medical review within 48 h, despite this advice being verbally explained and documented in the asthma action plans provided.16 About one in four patients self-administered >32 actuations per day of salbutamol (or equivalent) on at least one occasion during the study. These findings showed the extent of unsupervised beta-agonist overuse by patients at risk of severe asthma exacerbations. In a subsequent analysis, we identified that very high doses of beta-agonist were commonly self-administered by patients without seeking medical review within 2 weeks before hospital presentation with a severe exacerbation of asthma.17

    The objectives of this current analysis were to investigate the incidence of delay in obtaining medical review at different levels of excessive beta-agonist use throughout the 24 weeks of the RCT, and to describe patterns of beta-agonist use before and after severe exacerbations requiring systemic corticosteroid therapy. Our hypothesis was that most episodes of beta-agonist use, in excess of the thresholds at which medical review was recommended in the implemented asthma action plans, would not result in patients obtaining medical care.

  17. #17
    mtbr member
    Reputation: RajunCajun44's Avatar
    Join Date
    Aug 2012
    Posts
    2,926
    I got my abuterol inhaler yesterday finally... Took 3 inhales and went for a ride that would typically have me cough up my lungs.... what a difference... it worked very well... just a little urge to cough... and no coughing.. thanks everyone

Similar Threads

  1. exercise induced asthma??
    By sbsbiker in forum XC Racing and Training
    Replies: 30
    Last Post: 02-05-2015, 11:06 PM
  2. Athletically induced asthma / bronchial spasms?
    By donmeredith74 in forum General Discussion
    Replies: 31
    Last Post: 11-27-2013, 12:45 PM
  3. how do asthma riders cope with your asthma issue?
    By Picard in forum General Discussion
    Replies: 25
    Last Post: 10-21-2013, 07:28 PM
  4. cold air excercised induced asthma
    By thecanoe in forum Nutrition and Hydration
    Replies: 31
    Last Post: 07-25-2012, 07:06 PM
  5. Need help with Excercise Induced Asthma
    By paul_c33 in forum XC Racing and Training
    Replies: 10
    Last Post: 06-03-2011, 05:58 PM

Members who have read this thread: 1

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

THE SITE

ABOUT MTBR

VISIT US AT

© Copyright 2019 VerticalScope Inc. All rights reserved.