Is there anything wrong?

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I am concerned about my husband.  He is a 49 year old electrician, he has never smoked and doesn’t drink.  About 5 years ago he started coughing.  He went to the doctor who arranged an x-ray and diagnosed asthma.  He was given a blue and brown puffer to use.  His cough didn’t improve and so eventually he stopped taking these.  He continued having the cough and in 2014 we paid for a CT scan, just to check things were ok.  We were worried about asbestos as we know he has worked in buildings containing it.  The CT scan showed up some scars, granulomas and a raised left hemi diaphragm.  He mentioned this to his GP, but he didn’t do anything about it.  During his routine tests they found out he had a low heart rate, he was referred to a cardiologist who said his heart was fine.  In November/December 2015 his cough got a lot worse and at times his peak flow was 250.  He was prescribed a course of steroids and it got a lot better only to come back again so another course was prescribed.  His GP then referred him to a respiratory consultant who did a CT scan and a lung function test.  His consultant wrote the following

He had a high resolution CT scan of his chest which was essentially normal.  He also had a lung function test done which showed FEV1 93% of predicted.  Vital capacity was 104% of predicted whereas the ratio between FEV1 and FVC was 69.  After 200mcg of Salbutamol inhaler his FEV1 improved by 270 ml indicating some reversibility so overall my clinical impression if that his cough could be secondary to hypersensitive airways plus/minus mild asthma.

He was prescribed Symbicort Turbuhaler 200/6 one puff twice a day.  This was back in September.  His cough wasn’t improving so a couple of weeks ago he went to see his GP who told him to increase his dose to two puffs twice a day.  Two weeks later he still hasn’t improved.

He is constantly tired and get pains in the centre of his chest.  He doesn’t see his consultant again until March next year and I am concerned that there is something more going on in his chest. 

If the Symicort was working, shouldn’t he be feeling better by now?  Does this sound like asthma or COPD?  Can you offer any advice please.

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  • Posted

    Hi toffeecusion

    Referring to respiratory consultants findings; with normal CT scan and respiratory function test.  The results indicate its not COPD.  For sure something would have shown up if there was any lung damage or respiratory disfunction in those two tests.

    Keep in mind we are not medical professionals here, your best advice and test results to be trusted would be those carried out and advised by a medical professional.

    As far as the pains in the chest go, he should go back to his doctor to communicate that or contact 111 service if you want some reassurance and of course dial the emergency service if things get really bad.  Pains in the chest should be investigated.

    The diagnosis of astham previously and the reversability after medication is likely is a good indicator.

    People with asthma get narrowing of the airways the same as a COPD patient wood, the medicine is designed to open up those airways which is the reason why medicine / inhalers should be taken as prescribed (daily as indicated by the doctor)

    Airborn pollutant and irritants will also aggravate the airways of people diagnosed with asthma as well as those diagnosed with COPD.

    For further support you might want to check out the Asthma discussion forums http://patient.info/forums/discuss/browse/asthma-18

    or respiratory symptoms and disorders forums:  http://patient.info/forums/discuss/browse/respiratory-symptoms-and-disorders-2014

    For information, a search on patient UK for building trade and respiratory brings up these results:

    http://patient.info/search.asp?searchterm=building+trade+respiratory&searchcoll=All

    You may wish to use the search box (top right) yourself using specific key words, like cough respiratory etc.

    Hope you can get things identified properly and treated well regarding your husbands health.  Definitely have the chest pains investigated further. 

    Hope some of this information is of help to you.

    Best wishes V

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  • Posted

    Hi there. Does your hubby bring up phlegm when he coughs and is he short of breath?  Are there certain triggers that bring on his coughing?  
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