Your Good Health: Patient with paradoxical vocal cord motion seeks new remedy

Dear Dr. Roach: I’m a 71-year-old man, and seven or eight years ago, I was diagnosed with asthma using the challenge test. I was prescribed Symbicort, which helped me exercise a little better. A couple years later, I was diagnosed with paradoxical vocal cord motion disorder by the use of a camera inserted through my nose. The idea recently occurred to me that I may not be getting the full benefit of Symbicort because of PVCM.

It turns out that she didn’t have asthma at all, but there are people who have both asthma and ILO. When this happens, asthma is still treated the same way it’s treated in everyone else, and inhaled steroids like Symbicort are the usual first-line treatment for people who have more than the very mildest of symptoms.

I do not think your ILO is keeping Symbicort from working. If air is getting into your lungs, then Symbicort will, too; it is a powerful anti-inflammatory medicine. The fact that you felt better on it is good evidence of its effectiveness. With any given episode that you have, though, it may be difficult to tell whether it’s asthma or ILO causing the symptoms. An acute asthma attack is treated with a different inhaler , whereas an attack of ILO can often be stopped by panting.

Source: Healthcare Press (healthcarepress.net)

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