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Asthma and running

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    Thanks WP, phoenix and Dandy
    Some good stuff there for me to consider...excuse my ignorance but what is Becotide?
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    tinkerbelletinkerbelle ✭✭✭
    my asthma is exercised induced but still have the seratide as well as the blue inhaler.it look ages to come to terms with and at first for 2 wks stopped them completely, not the best idea ive ever had, i use the peak flow maybe once every couple of weeks and if it dips to about 350 i know to go back to the nurse. with the drugs it is about 450,which isnt great but a vast improvement.
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    Trin Becotide is the steroid preventative inhaler
    Serevent is longacting ventolin
    seretide is ventolin and steroid together
    sound like you need a preventer trin
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    Thanx for that Benz...I will go back to my GP and discuss it
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    WelshpoppyWelshpoppy ✭✭✭
    Also be aware that some of the medications have side effects....I have been on Serevent and becotide and had to come of both drugs due to heart palpitations and blood clots dont want to scare you but just want you to be aware!
    ALF: Always a little further
    Miles makes smiles.
    Progression
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    Blood clots???????????????
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    WelshpoppyWelshpoppy ✭✭✭
    Thats what they told me at the hospital I was having severe cramps in my legs at the time.....must be over 3 years ago.
    ALF: Always a little further
    Miles makes smiles.
    Progression
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    you sure?
    did they put you on warfarin
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    WelshpoppyWelshpoppy ✭✭✭
    I am pretty much positive that is what I was told(but it was 3 years ago) and yes I was put on warfarin
    ALF: Always a little further
    Miles makes smiles.
    Progression
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    weird
    Not listed even in the American version of the BNF
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    Ok, I'm one step further to coming to terms with the fact that I do have asthma, and I actually can't get away without taking meds.

    I got a prescription filled yesterday that I've been holding on to since February for Montelukast tablets. Thought I'd take a risk and try them, see if it makes any difference. From what I understand (which isn't much at this stage) they do a similar job to a preventer, as in stops the narrowing of the airways and inflammation in the lungs.

    Don't like the look of some of the side effects tho, but hopefully they are rare.
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    Good luck Trinity!
    I think coming to terms with having asthma is almost the hardest thing about it! It has taken me a bit of time, and I'm not sure that I am completely ok about it yet.
    The depressing things that I found lately were getting realy my number for the Britannic 10k and having to draw a big black X through my number to indicate my "condition" and having to fill in a form in which I had to declare my "hidden disability"!!
    And I'm not even that bad with it! Oh well, I suppose it all makes sense in the long run, as first aiders need to know these things.
    Mind you, I am sure that you will get through this finem especially as you have the determination to compete in "serious" events!
    All the best
    Marion
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    Thanks Marion...it helps to know that I'm not the only person who has difficulty accepting it!
    I haven't come across the big black X thing yet tho, that can't be very nice at all.
    Take care
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    hi trin, sounds like you are getting used to things, is not great but so many people have it that it is almost the norm, if it makes you feel better lots of top athalets have asthma, even the ever wonderful Paula Radclif. You just have to learn how to live with it. I was diagnosed when 5 so dont know any different. Just remember by doing aerobic exercise you are strengthening your lungs and helping it. You might look at where you are running and what aggrevates it. eg if pollen aggrevates then run early in the morning in populated areas, if it is pollution then run offroad. Or (dull) in the gym occasionaly. Good Luck
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    Boinged for Jon Pepper

    Lots of info on here Jon
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    Yeh, I woz getting pretty worried today, as I have always had mild asthma, whcih is only ever bad when it's cold and I'm exercising, but I have never had a problem whilst running like I did today.
    I tried to tell myself that Radcliffe has asthma so it cant hold you back too much, but it does worry me that it may stop me from training and racing so well.

    Should be getting a preventer inhaler before long :)
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    First time of seeing this thread. Like Phoenix I too am asthmatic and have been since I was 5 (21 years). All my family (Mum, Dad, Bro, Sis, aunties, uncles and cousins!) also have asthma!!!

    Basically you have to learn for it not to stop you from doing anything. Yes there will be occassions when your sruggling and you need to have time off exercise, but once the asthma is settled you can start up again. All my family have found that exercise helps relieve the asthma better than any of the inhalers etc.... (yes still use them but I find when your fit you use them less).

    It used to really bother me at school when other kids who had asthma would use it as an excuse not to take part in all games lessons! (granted the odd lesson I would struggle with asthma and not be able to take part, but I loved games and hated missing it). How the hell did those kids expect the condition to improve when they were getting no exercise.

    My advice to anyone who has just been diagnosed with asthma is: Take your time, don't do too much if your suffering and get used to the fact that you have asthma. Also find something that works for you and makes you feel better. But once everything is settled don't let it stop you from doing anything, you can do anything that you could do before, why let the fact that you have to carry an inhaler stop anythiing!!

    Good luck all
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    CeridwenCeridwen ✭✭✭
    Hi,

    I've only joined this site today. I'm hoping to start running, but feel rather nervous because, in addition to being 50 and overweight, I also have asthma, which I first developed 12 years ago.

    I use Ventolin and also have Becotide. However, I only use the Becotide when I know I am heading for a cold and during smoggy or sultry weather. I know this is not the ideal way to use it, however, it irritates my throat dreadfully (using a spacer made no difference), and I just cannot cope with that discomfort on a permanent basis. I have mentioned this several times, but have never been offered anything else.

    The other problem is that my asthma is very unpredictable. There are days when I don't need Ventolin at all, and other days when I take it numerous times, and no obvious and consistent trigger factors.

    So in all, I'm wondering whether I should try running at all. On the other hand, I know that it is so easy to make excuses in order to avoid doing new and frightening things....
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    Take 2 puffs of Ventolin (1 min apart) 15-20 mins before you run, and you should be alright. Look at the beginners progamme on this website and start SLOWLY and don't overdo it, and you'll enjoy yourself. I never ran, never did more than 10 mins on the treadie (before dying!), and never took Ventolin (though I have a preventer that I regularly use). Now I take 2 puffs before running and there's no stopping me! The secret is Ventolin, and don't overdo things to start with, then slowly build up your strength. No hurry. The satisfaction comes from being able to do it in the first place. So no more excuses!
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    HelegantHelegant ✭✭✭
    "I took the preventer and the anti-histamine. I warmed up; even did some sprints before joining the start pens. I took two puffs of reliever before the event. 3.5 miles into the event, the bronchospasms started. So I had a 5 minute diversion into a first-aid post being asked if I wanted an ambulance. No, I bl**dy didn't, I wanted to run.

    Paula manages her asthma. Other people manage theirs. What am I doing wrong?

    Any tips from people who have been there and done it would be gratefully received."

    I posted the above yesterday, then found this thread. I'm still busy reading it, and thanks to all of you it's just dawned on me that my preventer isn't doing it's job as well as I'd like.
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    HelegantHelegant ✭✭✭
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    HelegantHelegant ✭✭✭
    To answer the original quesiton on this thread...

    I carry ventolin with me whenever I'm running. I've found I don't need it in the gym; preventative puffs work when training out of doors and when walking, but it's racing that is the problem.

    This leads me to ask what is different about racing? Is it that I try harder and don't pay as much attention to warning signs?

    I asked the asthma consultant about this and he said he thought it was unlikely that stress or emotion could trigger spasms in my case, and gave me a long explanation about different airflow/temperatures/humidity etc.

    I have noticed that if I really work hard to control the panic feelings and try to breathe steadily I do get more air into my lungs, so I would expect the reverse to be true as well.

    Mind you, it really doesn't help to be told to breathe deeply when that is exactly what I'm trying to do :-) Maybe I need a card to hold up to tell people how to help.
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    Helephant

    Read your other thread, and I've had a quick glance at the rest of this one. What I would say, having had asthma as a kid - way before the advent of ventolin inhalers - is that there's more to managing asthma than inhalers. I remember having a very strict regime of exercises to develop my lungs and to help me cope with attacks by regulating my breathing. The exercises seemed to consist of training me to use my diaphragm to inhale rather than my ribcage. This also had the effect of giving me a better exhaltion. I don't know whether these exercises are still used or what they're called but I'm sure they helped. I still carry an inhaler with me, but I rarely use it.

    An interesting side effect of the exercises was that I was eventually able to breathe quite easily without apparently moving my chest. Whenever there was a requirement for a corpse in a school production they always sent for me !!
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    if you go to the first page there is a link there for exercises, also trying alternative medcine it may help bring your body back into balance. good luck
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    HelegantHelegant ✭✭✭
    Fell Running, I think you are right. My diaphragm hurts after racing, and after bronchospasms.

    When I had a brief excursion into running many years ago I followed Brendan Foster's advice, "Concentrate on breathing out, the breathing in will take care of itself" That lead to a lot of coughing, but much stronger breathing.

    One of the reasons why my doctor found it hard to make the diagnosis of asthma last year was that he used a peak flow meter, which came out above average for a healthy woman my age, even when my peak flow had dropped by over 25%. His, quite reasonable, approach was that I shouldn't do the thing that was causing the problem (running), and he is very wary of prescribing any drugs, so didn't want to start preventers.

    Luckily the chest specialist is a runner and was able to recognise the problem and suggest a coping strategy. I think it's a good time to review that now.
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    I think that Phoenix hit the nail on the head when talking about balance.

    If you think about it, if you have a weakness in a particular area (say your back) you'll do exercises to strengthen that area. So if your problem is your lungs, then perhaps you need to work on them. I think GP's often throw an inhaler at the problem without looking at it holistically. That's not their fault, they don't have the time to to a lifestyle profile of every patient. Like you I have a very high peak flow.

    I remember that my mum always used to insist that I did my exercises as a kid. Half an hour a day after school before I got my tea or went out to play. I think that the discipline paid off.
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    HelegantHelegant ✭✭✭
    My grandmother spent the last few weeks of her life in an oxygen tent and I believe the official cause of her death was asthma. In 1964 there wasn't much else that could be done for her, so I'm very aware of the risks.

    I would guess your mum was pretty keen on keeping you alive, so she made you follow a disciplined route to asthma management.

    I spoke to the specialist about exercises as someone had already suggested them (and singing lessons for the same reason). He didn't think they would have any effect on the allergic element of my asthma, and suspected that the trigger for EIA was temperature/humidity change of air being breathed in.

    I think it's unlikely to do any harm, and if it helps me to cope with a restricted airway then it might be useful.
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    I think more than that it was a matter instilling a sort of physcological edge over the condition. If you can deal with an attack without panicking then you don't fear an attack as much, so you start feeling more confident about what you might be able to do and so on. Mum was always very keen on me not being scared of it.
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    HelegantHelegant ✭✭✭
    Good point Fell Runner. I find it really scary, and have to work hard to overcome those feelings of panic which make it worse. Can you remember what exercises you did?
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    There were a number, but the one I remember the best was to sit on the floor with knees raised as you would if you wrer going to do sit ups. Put a pillow on your thighs and lean foward until your chin touches your knees. Stay like that for thirty seconds. Try to breathe normally. Then rest and repeat. The pressure of the pillow on your chest restricts the movement of your ribcage which a: mimicks an attack, and b: gets you to use your diaphragm to breath.

    The other one I remember was more a visulisation exercise consisting of lying on my back and trying to breath as quietly and shallowly as possible. Mum used to put a book on my chest with an old threepence piece balanced on its edge on it. If I could go for a minute without the threepence falling over I got to keep it. In those days she earned about £5 a week as a secretary - so 3d was quite a lot of money !!
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