What's the biggest challenge you face... - Asthma Community ...

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What's the biggest challenge you face in managing your asthma on a daily basis? Comments welcome

ALUK_Nurses profile imageALUK_NursesPartnerAdministratorALUKAsthma Nurse146 Voters
73
Dealing with flare ups or asthma attacks
63
Recognising and avoiding triggers
62
Exercising or keeping active with asthma
41
Managing stress or anxiety around the condition
40
Communicating needs to others such as work, school, family or healthcare professionals
21
Other - please comment
17
Keeping track of medication or adherence in taking it
37 Replies
Mandevilla profile image
Mandevilla

I voted for the communication one, but my biggest issue is lack of understanding/people not listening. For example, in the last few months, I have had:

A GP who believes asthma only needs treating with Ventolin, not steroids

A GP who believes asthma attacks need treating with antibiotics - even if they have not been triggered by infection of any kind.

Work colleagues who have told me that if I exercised more, I wouldn't get breathless.

And these misunderstandings are not for want of explaining on my part. The ignorance from work colleagues, friends and family is excusable in a way, since they are not medical professionals, but it's downright appalling when it comes from GPs!

Lemonade91 profile image
Lemonade91 in reply toMandevilla

This has been my experience as well. My work have been really supportive but I had loads of issues at the GP surgery when they switched my inhaler (which I made a post about). The GP even offered me a course of tablet steroids when I begged to have my inhaler changed and I was so frustrated, I didn’t need tablets I needed to be on the right inhaled medication. The asthma nurse insisted I remain with the powder despite all the issues it gave me and told me to stop doing cardio exercise!

MMBJI profile image
MMBJI

dogs everywhere- can’t be indoors where dogs have been. This includes public transport. I know assistance dogs are allowed but they are few and far between.

hilary39 profile image
hilary39 in reply toMMBJI

Ditto

janedivney profile image
janedivney in reply toMMBJI

Omg there are so many dogs now, and people get really annoyed if you politely ask them to keep their dogs away. I’m ok in the open air, but indoors can be a nightmare. I’d love a dog but it’s impossible 😔

MMBJI profile image
MMBJI in reply tojanedivney

I have very mixed responses from people. Some are accepting, understanding and interested, apologetic even. Other’s insist they know better than you and deny any culpability or responsibility.

I wish there were designated places for dogs and their owners. Much the way children get corralled into play areas (which I object to, but that’s another conversation entirely.) I think a lot of problems could be helped if all animals were kept on leads, except in designated enclosed areas, (also muzzled - appreciate that might be controversial,) whilst outdoors. And they just shouldn’t be in indoor public spaces at all. (Apart from fully trained assistance animals that are essential.) It’s bad enough managing exposure to other people’s perfumes, laundry products, dander transfer on their clothing and belongings etc.

Why are pets being prioritised over people? People whose lives are already greatly restricted and complicated by their health needs.

I just don’t know where to start to argue for change.

Msccruises profile image
Msccruises

The worse thing is the cough , sneeze and laugh making me incontinent

Danielmystar profile image
Danielmystar

I'm emphysema stage 4 my problem is struggle with breathing and lack of people understanding

Lysistrata profile image
LysistrataAdministratorCommunity Ambassador

Biggest issues for me: triggers popping up that I can't get rid of; trying to communicate with healthcare professionals who don't want to listen but make a lot of assumptions; asthma getting in the way of life and sometimes wrecking my plans with a random admission.

I considered putting exercise, but that's only an issue for me when asthma is more flared up - still a problem when you want to book a series of classes and don't know if you'll be able to go to them all, or will have to miss half because asthma is playing up!

I will say it can be hard at times to find advice on exercise for people with severe, poorly controlled asthma. Your website had a page before about exercising with severe asthma which was great, but now I can't find it! Please bring it back if it's gone, along with the one about talking to people about severe asthma which I also can't find (or have they moved?) They were so helpful, and it was nice to feel like there was specific advice for those of us with ongoing issues.

It often feels like a lot of advice out there either assumes someone is elderly with COPD, or young with asthma that can be controlled (so many pages start with 'see your GP or asthma nurse to get your asthma under control'. What if I can't but I'm still wanting to exercise, and being told I should exercise but not given useful advice on how to do it by my team? )

Willow7733 profile image
Willow7733

I was torn between recognizing and avoiding triggers, and other. For me, other is that I have developed COPD along with asthma, and it is so difficult to tell which is causing me trouble. It is a constant struggle for air, as COPD is is always there. Always getting worse.

CANINE12 profile image
CANINE12

Working out whether my symptoms are caused by difficult asthma or paradoxical vocal fold motion or both at the same time. It's very isolating.

Huntingdon66 profile image
Huntingdon66

agree with previous comment- dogs everywhere now, especially in cafes. Hard to go out.

Also difficult to see a GP, poor communication, tests repeatedly not actioned

EJS87 profile image
EJS87

For me, tree pollen. It's slowly starting to come back and last year it was a nightmare for me and I was rushed to hospital 8 times. I can't do myself to control things. On prednisolone permanently at the moment. I do have a biologics MDT in March.

janet65 profile image
janet65

Thankfully my asthma is controlled now but too many years using inhalers has made my voice a mess. Sometimes I'm fine, other times I squeak and can hardly be heard!

Alith2 profile image
Alith2

Getting the right diagnosis!

Five years ago I was told my lifelong asthma was COPD. Since then I have struggled with COPD medicine, monthly flare ups and daily use of reliever inhaler. In desperation last month I paid for a private appointment with an experienced respiratory consultant. Outcome: I do not have COPD. Now on right medication for allergic asthma and have used my reliever inhaler only twice in three weeks.

GintyFerguson profile image
GintyFerguson

How it restricts me being outside when it is cold.

Teach66 profile image
Teach66

Despite being on biologic therapy, fexofenadine, flutiform and montelukast, I have a daily phlegmy chest. I'm always coughing and sometimes have difficulty removing the phlegm from my chest. When I cough in public, it can be embarrassing. I don't always think people believe me when I say, "I have asthma!" I have my first appointment with respiratory physiotherapy at the beginning of March. Hopefully, this will help me. 🤞🏻

shadyshaderton profile image
shadyshaderton in reply toTeach66

Hope your appt goes well made a big difference for me introduce carbosisteine and aerobika device for clearing my chest

Teach66 profile image
Teach66 in reply toshadyshaderton

Thank you 🙂

Wimple profile image
Wimple

telling people that simply putting their beloved cat or dog outside and vacuuming before I visit won’t stop me wheezing if their pet regularly uses that room

Anniecath profile image
Anniecath

Other, getting repeat prescription for Ventolin, which can stop a reaction from becoming a full blown attack. Advise like steer clear of triggers isn't helpful when there are so many.

Inhale profile image
Inhale

I recognise my triggers but being on public transport or in an airport, I cannot escape the overuse of perfume, Hairspray, skin products & heavy perfumed laundry clothing! 😏😡

Pinkpaddler profile image
Pinkpaddler

I find it really hard as I don't get the typical wheeze and cough so I often get dismissed that and hospitals don't like people just being on fostair, I get told I should be on a blue as well. As someone that's only known for 3 years it leads to such confusion.

swinstan profile image
swinstan

Terrible side effects from medication. I have been over prescribed and am having trouble working out a minimum level of the many medications. At the moment I am managing control with just the one from the four given and even just that is causing side effects that no-one cares to address.

hilary39 profile image
hilary39

other = not being able to go over to our loved ones' homes (or have them over) due to the severity of my allergic asthma to cat/dog dander; it makes socializing so difficult

MMBJI profile image
MMBJI in reply tohilary39

Us too- it affects the whole family. My children can only see friends out doors, or else strip at the back door shower and wash hair if they have been any where dander-y. Which usually means additional expense of detergent, electricity, washing machines wear out quickly and need replacing immediately. Currently I am mostly bed bound by fatigue, due to long Covid or chronic fatigue syndrome - so additional laundry is out of the question .

Family get togethers have to be outdoors. Our world has become very small.

As for finding a dander-free used car, well, any suggestions gratefully received.

Ts777 profile image
Ts777 in reply tohilary39

Me too. A quick dust and vacuum really doesn't work. Then people get upset that I don't visit. I can double my fexofenadine and still be bothered by dogs.

I've now decided it's tough. Ifvanyones got a dog then I'm very allergic. I can't visit. Life really is to short to suffer on account of people's lack of compassion and understanding.

ChloeMK profile image
ChloeMK

My biggest issue is the GP surgery/asthma nurse. I don't feel understood or listened to. I'm constantly in fear they will put me on steroids/inhalers I don't need so I avoid having any contact with them. This means that I have no idea if my asthma is properly managed/under control and instead of feeling supported I feel like I am just getting by.

Zoec1975 profile image
Zoec1975

i have been to hell and back,the past months,asthma do bad back and forth to hospital as I couldn’t breathe.xrays done etc etc.paud for a private consultant and diagnosed with aspergillus.now i am on track again and things much better,but not once did my dr take me off ventolin and give me something else.it was only because i spoke to asthma uk and the nurse recommended fostair,i told the drs and they gave me fostair.then a more senior dr who i hadn’t seen for a long time apologised months later saying my inhaler should have been changed etc etc.i have lost faith in drs they have no clue whatsoever about asthma.

LHP118 profile image
LHP118

Avoiding triggers. Something's are outside our control, or if avoidance is within our control we become hermits and cannot care for our families. The entire outside world contains triggers.

Nerja2012 profile image
Nerja2012

Going into shops etc that have essential oils burning and visiting friends with air fresheners everywhere.

Ts777 profile image
Ts777

My biggest challenges are:. Allergy triggers, some are impossible to avoid. I think the gov should ban perfume!!

. Dr's assuming that if I don't wheeze then I'm OK. Please can someone explain that i dont have to wheeze, my sats don't drop until I'm nearly dead and I'm not going to go out of my way to see them if I can easily breathe.

Also, I'm a lifelong asthmatic and NO, it is not anxiety!!!!!!

Shezxx profile image
Shezxx in reply toTs777

oh that old chestnut yeah doctors are so obsessed with a wheeze. well no actually doctor wrong there we cannot breathe.

Shezxx profile image
Shezxx

doctors full stop. my hospital one is a horrid now discharged me when they have cancelled my apps and swapped them about but when i have to its a different story due to work as i get disciplined. i now have nothing so do i breathe or go to work to pay the bills.

Bingo88 profile image
Bingo88

I voted for other because even though I was diagnosed with Asthma via a blood test at 65 years old I can't say I have ever had an Asthma flare up.I have also been diagnosed with Severe copd as well. Brian

DollyDutchGirl profile image
DollyDutchGirl

As well as Late Onset Asthma (diagnosed in 2019 @ the tender age of 73), I have left ventricular hypertrophy - the symptoms of which echo asthma very closely, making it somewhat difficult to differentiate between the two. I also have severe mobility issues plus, non anemia or vitamin B/Folate related Macrocytosis….again making thing difficult to decide which is causing the the symptoms.

Pipsqueak77 profile image
Pipsqueak77

Sometimes I just struggle to look after my asthma.... nebbing, injecting, inhalers and tablets.

It’s difficult with a full time job, kids and elderly parents who all come first.

I know there are people much worse off but sometimes it’s just too much to look after myself.

😊

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