What should I ask my consultant?

Try doing some light exercise like jogging or walking. Improving the air quality at home through air-purifier might help. All the best.

I was on Seretide 250 for a few years , But was told it could cause Chest infections.Its an old type of inhaler also I’m on Relvar Ellipta you could ask about that it’s 1 inhale daily.

It was recommended to me to use a nasal douche before using my nasal spray by Asthma U.K. and ENT. I buy Sterimer congestion relief and notice the difference when I don’t use it with Dymista nasal spray. In addition do you put sputum samples in when you have an infection to ensure the right antibiotics to treat your chest infections? I have found ringing the helpline at Asthma UK really helpful, think they also use whats app and email as well. The nurses there are very knowledgeable and friendly. Their advice has helped me immensely when unwell. Let us know how your appointment went.

My consultant prescribed me Relvar Ellipta and Incruse Ellipta about 4 years ago and my asthma isn’t as bad now. D

I’m not a Medical Proffessional so what follows is only my personal view and needs to be run by your Medical Advisor.

Has your Consultant arranged for you to have a CT Scan? Although to be avoided if possible (as imaging carries its own risks) it could help pinpoint what’s happening.

Someone else mentioned Sputum Tests. You can push for advanced Sputum Tests if the results of the standard tests are not providing any clarification.

It may be that your numerous Steroid Bursts for Asthma this year are being triggered by a recurring infection. You may be aware that Steroids suppress the immune system, which is the primary reason many GPs prescribe antibiotics alongside each course of Oral Steroids (i.e. to prevent you getting a bacteria infection due to low immunity while on Oral Sterois, and to fight any bacterial infection you may already have). If you’ve been prescribed an antibiotic alongside each course of Oral Steroids, it might be worth considering asking for a ‘longer’ course of a ‘different’ antibiotic, possibly clarythromycin (or whatever your medical adviser considers appropriate). I’m talking about at least a 2 Week Course, possibly much longer, e.g. 4 to 6 Weeks. Over the passed couple of years trials have been in progress whereby Asthma suffers have been put on very long (prophylactic) course of Azithromycin which, unlike most other antibiotics, gets into, and remain for long periods, in Cells.

Obviously, antibiotics only defend against / tackle bacteria and have little if any effect on virus infections. Unfortunately, viruses are often the culprit.

You might also want to open a dialogue with your Consultant as to whether he considers you yet qualify for one of the Biological Meds (Mabs).

Anything you can do to bolster your immune system can’t hurt. For example, Fresh Orange Juice Daily from the Supermarket Chilled Counter (rather than concentrated).

Vitamin C in supplement form is the subject of some controversy, as the strength of numerous vit c supplements is consider way too high by many, and might do more harm than good. For short periods, a week or two, you could chance up to 500mg Timed / Sustained Released Vit C once every couple of days, but longer term, much more Fruit & Veg is maybe a good bet. I’m on Orange Juice plus Bananas daily to avoid potassium depletion arising as a consequence of using a Fostair Inhaler, some othe inhalers deplete potassium too. Potassium depletion is something you serious dont want - unless you are already over-producing it. (It’s dangerous to take supplements for Potassium above 100mg Daily. Note, each bite of banana gives you about a 100mg, and orange juice supplies it too).

Unless you have a nut allergy issue, mixed unsalted nuts - especially (my view) unhusked peanuts - are thought to help asthmatics. I add to a Muselli Style Breakfast Cereal, as I also think the calcium from milk is important if you’re depleting calcium due to Steroid Usage. Also, taking a Vit D Supplement a few times a week (but probably not the ‘Super Strong’ Doses some Companies Sell). Also, vitamin K2 from either natural sources (e.g. High Quality Butter from Grass Fed Cows) or in supplement form a few times a week, seems to work synergistically with Vit D. Recent findings for Vitamin D in relation to Intestitial Lung Disease imply a positive benefit for Asthma too (my opinion).

Thank you for all these ideas. I already eat loads of fresh fruit and veg so should be well stocked up on vitamins etc... Have been referred on to the regional severe asthma centre so am hoping for some answers and solutions.

Have you had your appointment yet and was it helpful?