It can be very difficult to distinguish between the two, even for a GP. I suffer from both asthma and reflux/silent reflux (confirmed diagnosis of of both conditions): persistent asthma I’ve had pretty much all my life the reflux began ten years or so ago and comes and goes. Sorry to hear you’re having problems and I completely sympathise. I probs won't have those for months given the current climate. I've now been referred for a methacholine challenge test and an ENT appointment.
I'm now on a LABA and only really benefit from the bronchodilator bit of it.Ĭovid pandemic has not helped as I've had my consultation cancelled. I don't seem responsive to steroids, I've been on them 6-7 month now. Over the last year I developed a bit of breathless when I walk short distances, but what's weird is if I keep walking for long distances, I improve. My symptoms started with a wheeze when I exhaled with slight force, after I had a 2-3 month long chest infection Xmas 2018, ventolin helped with that. My CT said early bronchiectasis but have since had 2 other radiologists and my consultant disagree with this (clinically, I've only had 1 bacterial chest infection ever, and no history of lung problems as a child) My PFT were suggestive of obstruction with questionable reversibility (9% and 400ml) If anything my symptoms feel like they are getting worse. Just to offer you some condolences, I too am without a diagnosis and I have been for 18 month! I've had 4 x-rays, a CT scan, pulmonary function test, 3 different steroid inhalers and still no further forward. I sleep on my left and the soreness is on the right. No heartburn, bad taste, burning, hoarse voice, nausea or vomiting. What if this was silent reflux all along? Is it dangerous to leave it untreated? I have an occasional cough, definitely not persistent. Nobody has listened to my chest and heard the wheeze, or checked for a hiatal hernia. I've had 11 phone consults since this started, no examinations (I get it - they can't) and I don't feel much further forward. Maybe he's right and I just have to continue to be patient, but I can't help over-thinking it. He said he's got a lot of patients reporting the same thing, dismissed the desloratadine, rejected my revisit of the reflux suggestion, renewed the Qvar and that was it - 10 minutes. He said to carry on the same until I "bore it" and it goes away. I rang my GP to find out about renewing or stopping the Qvar but also to say that this isn't changing. Covid antigen test at week 10, and antibody test, bloods and eosinophils at week 11 were all negative/normal. I tried 10 days of desloratadine antihistamine which felt great for the first 3 days then worse again. I've been on salbutamol as required for 9 weeks and Qvar 50 (beclometasone) for 5 weeks. Night times and lying down are generally fine. Most days I'm pretty good in the mornings, then it gets tight after lunch and progressively worse until after dinner. I'm undiagnosed - now 3 months post-suspected-Covid, still with laboured breathing, and an "itchy" and often sore chest especially on the right side.
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