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Asthma

Question
Posted by: Phumla Mali | 2019/10/03

Q.

sinus triggering nose bleeds?

My son has been suffering from racing or irregular heartbeat every time he suffers from breathing difficulties leading to my GP conducting ECG testing (which highlighted the racing heartbeat) and he was referred later on to a cardiologist who ran the same test and later ran sona heart testing. the results were that there are no abnormalities in his heart valve sack etc. The recent episode he had yesterday and my sons explanation of what happened was he walked past someone smoking and immediately experience shortness of breath resulting to his heart pumping too fast and him feeling weak/dizzy. Could this be an unexplained severe Asthma attack or underlying medical issues. He only recovered after taking few puffs of his Asthma Asthavan pump and the GP can not explain what are the cause of these attacks are. what measures or medical step can I take. The diagnose was made while he was still a toddler by a pediatrician and his GP heard from me that he suffers from Asthma or Severe Sinus problems. No further tests were done since then

Expert's Reply

A.

Asthma Expert
- 2019/10/24

The key thing would be to optimise his asthma control.  If he still reacts with wheezing and shortness of breath, the 2 triggers, it means that his asthma is uncontrolled.  You need to chat to your doctor about increasing some of the doses of the inhalers adding additional inhalers or other anti-asthma medication until he is well controlled.  This should sort out the problem.  If the racing heart issue (palpitations) continues and no other cause can be found, then a very small dose something to slow down the heart a little will abrogate these symptoms.  It can be terrifying to have these kinds of symptoms.  However, that part can be discussed with your cardiologist (if you ever get to that point).  I feel if asthma control is optimised things will get better.  It's important to treat the nose and the sinuses with appropriate anti-inflammatories as well as the lower respiratory tract.

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