My pulmonary Dr never tested me for what caused my asthma at 60. How do you know? Because I take meds for reflux I think he assumed I have GERD asthma. But I've had surgery for my reflux 2 years ago. I have trouble walking going up stairs and heat.
GERD asthma is quite possible. depending how you are laying down has a lot to do with this. One does not need heartburn for this condition. A very small amount of acid will escape the stomach and when laying down on the back or stomach, too flat of a pillow, for example, will cause that trace of acid to aspirate into the lungs. This will cause damage to the membranes. The irritation is the asthma. It was not tested in me either. My
Pulmonologist said i was getting damage from that and he upped my ranitidine to prevent it. I suspect there is no test but a deduction by ruling out other possible causes. I do know that people who have GERD are more sensitive to this. How long have you had the asthma? Breathing test and if things like albuterol is effective are sufficient to know. Also the lungs sound different when listened with a stethoscope. He has plenty to diagnose from.
However, the walking, and stairs are signs of something else happening. Sensitive to heat as well together is a cluster of symptoms that I am also familiar with having. There are a number of rare diseases that have these symptoms together. I would be curious what he said about your last chest X-ray. I happen to have polymyositis. A rare disease that happens to affect walking up stairs, muscle strength, sensitivity to heat and cold, lung damage. There are many things to be checking and I think a rheumatologist is your next place to look. You may be experiencing an autoimmune disease. If they aren't looking for something like I have, most doctors have never seen it by the way, they don't consider it. Even if the asthma makes it hard to climb stairs, you are not receiving proper medication to control this. You are losing muscle and strength. Try another Pulmonologist for another testing.
The surgery you had may not have a thing to do with this. But in all likely hood it was good enough for most of what was your problem then. I suggest you talk further with your doctor or try a new one. Make a list to take with you and ask all your questions. Don't let him go until you get the answers and understanding you need.
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