Adult onset asthma 4 years ago. Viruses, cold air, sometimes exercise, some chemicals and smoke. To be honest I’ve always been faintly like this, it just got significantly worse after my first pregnancy. No allergies though some chemicals seem to sometimes make me cough if I’m a bit inflamed.
Never really bad, but I was struggling in the autumn and finally put on Fostair 200/6 which has been amazing. So my best is now 440, usually 420. 400 in the morning.
Recently, viral coughs dropped me down to 330 or 300, though with lots of salbutamol I could hover around 350.
Asthma uk nurses, my asthma nurse and one or 2 gps have said oral steroids fairly quickly - nurse said within 24 hours of below 380.
I’ve just caught a bad virus that’s given baby and older child bad coughs and croup, I really suffer and am prone to a croup like cough. Peak flow plummeted first to 330/300 then hovered around 350. Then the next day the coughing started. Day 3 I decided to start steroids after bad nights and frequent inhalers.
Gp I saw to get a replacement rescue pack felt she wouldn’t have taken the steroids as I wasn’t acute. She felt I was experiencing the sump of the virus. I felt I get so much inflammation I do need them though and was worried about not taking them. However I also really don’t want to take them unnecessarily. I had two courses in the autumn, one unnecessary in hindsight (pre Fostair, I needed a better reliever) so this is the third in almost 5 months.
I’m seeing the nurse tomorrow to go through exactly what I should do next time. Any experiences?
My cough symptoms can be worse than the peak flow, though that’s gradually got worse, they’re the most debilitating aspect. I find I can’t talk as it triggers relentless coughing, more talking seems to make everything worse. Teacher so it’s challenging. I personally feel the steroids have potentially eased this this time. Or do you ride it out for longer and let the virus play out?