My asthma is behaving itself pretty well considering the weather, hay cutting time and the fact that our village is full of diesel generators while they replace our leccy pylons.
But... for about 3 days I've been coughing fairly regularly, producing the white sticky mucus that I usually associate with asthma exacerbations, and I have that familiar bronchitis burning pain - really bad, but only in one part of one lung. I've never had it on one side only before!
I'm not coughing violently or continuously enough to have 'caused it' by sheer irritation. The pain started simultaneously with the coughing.
I'm pretty 'well' in myself - perhaps slightly tired. But then I'm also adrenally incompetent so I don't do fevers and so on.
My dilemma is that I have rescue doxycycline and I'm supposed to take it at the first sign of infection... am I being ridiculous in thinking that this really *has* to be bacterial because a virus or allergy wouldn't be so localised? The area that is painful (8/10 pain, but only lasts about 5 seconds after the end of the cough) is only about the size of a 10p piece. It's about an inch the right side of the midline, at exactly the right height to be where the primary bronchus enters my right lung.
My peak flows are only very slightly down, I'm able to walk around and I'm not at all hypoxic.
The asthma side is twitchy - I'm having a couple of attacks each day but they're not super bad and are resolving ok, and I'd expect that given the weather and pollution.
My resp doc and the CF specialist (I don't have CF but I'm similar enough that they reviewed me) say it's better to err on the side of caution with infections as the doxy will decrease the bacterial load in my system even if it's viral... but it'll give me an upset stomach, the extra steroids will play havoc with my diabetes and doxy+sunlight is a bad combination!
Has anyone ever had this kind of really localised infection? It's completely new to me!