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Viola
03-15-2003, 04:32 PM
My mother was talking to me on the phone today, and she suggested that I might have asthma. I remember reading and article in Walking magazine a few years back about the occurrence of asthma in pregnancy, but I don't remember much about the article, other than you should get it treated or the damage can become more severe.

My father had some asthma later in life, his daughter (my half sister) had serious asthma and died from complications of it when she was 46. I also have a niece with asthma who has to use inhalers.

Some of the symptoms I've read are coughing (esp. in morning or at night), wheezing, shortness of breath and tightness in the chest. I have had incidences of tightness in the chest in the mornings or while exercising, but it usually feels like I have air trapped in my chest. Sometimes I "burp" myself by patting myself on the chest, and that usually helps. I haven't had the tightness as much as I used to when I first got my treadmill in 1998. I don't wheeze, although I do cough in the morning sometimes, or at night, but usually it is because of a dry itchy throat.

My nose is usually congested, and when I breathe through my nose it sounds louder than normal. I am congested in the morning, and that seems to have been a problem ever since I moved to the west coast. I sometimes think maybe it is allergies--dust mites, mold or something else in the air. When I've talked to my mom on the phone, I tend to breathe more heavily, but often I am walking around, climbing stairs, bending over and doing things, so maybe that is part of it.

I exercise regularly and I do notice my breathing hampers my activity level more than my heart rate, but that has been just since getting pregnant. I now pretty much can't go over a heart rate of 150 without feeling like I am getting short of breath, but it used to be 160 or more, and even higher when I had just started. Maybe I am just more efficient now, so my heart rate doesn't have to go up as high. Maybe it is pregnancy related--I just don't know. I have also gained weight in the past year, about 55 pounds, and my sister had a weight gain after a large loss, and was having shortness of breath. She went to the doctor who told her it was related to her weight gain as her heart muscle had to become reaccustomed to the extra weight.

So I'm just curious if any other expecting moms are noticing heavier breathing than normal. I've thought of asthma in the past, but in general when I exercise I always take slow, deep breaths. I consider shortness as when I'm panting and breathing rapidly because I'm overexerting myself, or when I am breathing as deeply as I can, but it feels like my lungs are too "shallow" and can't expand fully, if that makes any sense.

I'm only 12 weeks and I haven't gained any weight, so I don't think it is extra poundage. I have been breathing more heavily in the past few weeks, especially when climbing stairs. I am at a higher elevation than I was when I was pregnant the first time, so sometimes I wonder if maybe it is a need to adapt to the higher elevation in relation to pregnancy.

I think I might try an elmination diet, getting rid of all dairy from my diet, and see if that helps. I never have attacks or flare ups, so that makes me think that it isn't asthma, but if it is something just starting, I want to take it seriously.




lisamarie
03-15-2003, 05:11 PM
I have always had bad allergies and nasal problems. But with this pregnancy, its been really tough. I'm on my 3rd sinus infection since October. I don't know about ashtma and pregnancy, but I do know that during pregnancy, your nasal cavities swell. Alot of mom's begin snoring during their pregnancy too.

Best of luck~

Lisa:hug

StarMama
03-15-2003, 06:12 PM
Yes I've been having this problem too. The shortness of breath like you mention... like my lungs are too shallow and I can't catch my breath. I used to have asthma but haven't had an attack in 2+ years (since I quit smoking).

I just thought it was because I'm heavy... but I've never had a problem breathing before because of my weight... especially not when I'm not up and *doing* anything... The last time I went to the Dr (first prenatal) it looked like I gained 6 lbs (from the last time I weighed myself... MONTHS ago...) but I don't think 6lbs on me would do all that much!

I've been really trying to get myself to exercise more, thinking my problem was not moving... Didn't even dawn on me to think its asthma being a lot more subtle than the weezy mess I used to be when it hit.... thanks for posting, this makes me think that it could be my asthma...

mamapenelope
03-16-2003, 02:01 AM
Hi, Amywillo.

I have very severe asthma and have had it for, well, over half my life.

FWIW...

1) Hey, we all know I'm no doctor. And only a doctor trained in pulmonology can tell you if you *have* asthma. If you have health insurance, go on in for a lung function test. It's painless, easy, and you'll have a lot of options (sometimes the options are staggering). It sounds like you have a lot of worry about familial lung disorders. Always best to lay those fears to rest, or deal with the situation as soon as possible, right?

2) Asthma usually gets *worse* if you engage in a lot of deep breathing during an attack. Again, I'm just going on experience, some reading and lots of talking with other asthma sufferers. If I start having trouble and try to fight it by breathing deeply, I'm just wading into deeper trouble, yk? So if your breathing issues don't get worse w/ deep breathing, maybe that is a point in your favor. (For me, even breathing deeply for the CNM to listen to my lungs triggered an attack).

3) Yes, on the cutting out dairy. One of the first things that happens to your lungs in an attack is mucus production in the bronchioles. It's just as damaging as swelling of the lining of the lungs and just as restricting. Anything that contributes to mucus production is a potential asthma contributor. Try cutting all dairy for at least 3-4 weeks and see if you're doing better. (It's rough if you do a lot of dairy, but it's worth it. I'm lucky that I'm also lactose-completely-intolerant!)

4) Pregnancy increases the incidence of swelling of all mucus membranes. This includes the sinus cavities, nasal passages, and can affect the bronchioles. Try a neti pot or sinus wash, a humidifier (this could help or not...we have seriously dry air here and it helps me a lot), and increasing, increasing, increasing your water intake. It's amazing how seriously asthma and sinus problems are affected by dehydration.

5) Don't forget that when you get your HR up now, you're pumping a lot of extra blood through the placenta, too. Your body has redistributed its priorities, and you may have less efficient blood flow to your own brain, extremities, etc. That can lead to the feeling of needing to stop. It's your body's way of making sure the baby is getting all the oxygen s/he needs. You're pumping a lot of extra blood, which is a larger strain on your heart. It would be normal to have a different target heartrate during pregnancy.

6) If none of this helps, I'm sorry! Consider me chronically longwinded! :p

Sending you clear breaths and a joy*full pregnancy!!

Love, Mamapenelope

Viola
03-16-2003, 02:55 PM
Very helpful, Mamapenelope and Lisa. Always good to be longwinded when you can, huh? :D

I had remembered about the swelling of the mucus membranes at one point, but I had forgotten about it. I have had some snoring problems. The air is also very dry here, and it causes more problems for me--I end up breathing through my mouth every night. I started running a humidifier in my dd's bedroom.

I've also heard that houseplants can help with humdifying, but I have a black thumb.

Last night I was in a smoky area for awhile, and my chest was feeling tickly this morning, and I was coughing more than normal. I need to stay away from the cigarette smoke!

The part about the HR was very interesting too! I was thinking it was something like that. In my first pregnancy, my HR would go up easily in exercise even though I didn't feel like I was exerting myself very much. Now my HR doesn't go up as much, but I start feeling tired and almost dizzy at times, so I have to slow it down, but it sounds like it is all very normal.

I haven't had the tightness in my chest for awhile, but that was the one symptom that worried me. I think I may have things checked out at some point in time, just to make sure. I think I have some mild allergies related to things in spring, so that may be complicating things as well.

LaLaLuna
03-17-2003, 12:46 AM
mamapenelope- you didn't leave me anything to contribute! :D

Oh- maybe one idea. A cheap way to get checked for asthma is to call any local college that may have a respiratory care practitioner program and see if they offer asthma screenings. Maybe the American Lung Ass'n does this as well? Or could point you in the direction, anyway...

I like the idea of pushing more blood further- at 12 weeks that placenta ought to just about be up to speed so maybe you just haven't adjusted yet.

Pregnancy was the one time in my life that the asthma went completely away (well- adolescence too. maybe it's all the hormones?:LOL )

becca29
03-17-2003, 01:24 PM
I was hoping my asthma would go away during pregnancy, but nope, it jsut got worse. My doctor has had me on Advair the entire pregnancy, which has made things much better. Mine got so bad that I couldn't even hold a conversation or go up the stairs without become severly out of breath. The Advair has made life much more bearable, although I'm not too keen on taking meds. Even the daily meds, I still have days when I need to use another inhaler. Also, I'm the opposite with the deep breathing. I can sometimes control my asthma by taking slow, careful breaths. (But I also need to do that to keep from hyperventilating when I have an attack. )

Just know that it's important to get it checked out, for your own comfort and for the sake of your baby. Good luck!!

pixiepunk
03-17-2003, 03:40 PM
if your sinuses are very congested, it will often make breathing more strained. my allergies got a lot worse with pregnancy, to the point where i finally buckled and asked the m/w for something. She prescribed Flonase (safe for pg, according to her) and it has helped tremendously!! i also always sleep with a humidifier, and use saline nasal spray during the day if i get a little clogged up, so you might want to start there and see if that helps before getting any prescriptions filled.

i agree that a lung function test couldn't hurt - it will certainly help rule out asthma, if that's not the issue, and if it is, it will get you the help you need to breathe easier.

i also agree that you can't drink too much water - my sinuses are always worse when i'm dehydrated. and dairy can definitely exacerbate the problem - i've been drinking soy milk, because i've got a lactose issue as well, and as long as you don't have any progesterone issues, soy milk is a great source of calcium and protein without the side effects of dairy (if you do have progesterone issues, you may want to stay away from it - it has known estrogenic properties).

Kanga@work
03-17-2003, 04:10 PM
Just wanted to add a comment RE breathing deeply and triggering/making an attack worse. The Butekyo (sorry, may be improper spelling) theory works on just this in that asthmatics are chronic OVER BREATHERS. In other words, they are getting TOO MUCH oxygen and not enough CO in their lungs. This causes the lungs to restrict (the body trying to get less oxygen). I have found that when I have mild tightness in my chest (or even clogged nasal passages) doing a sort stint of Butekyo exercises helps alot. This basically entail forcing yourself to take SHALLOWER breaths, breathing as little as possible for as long as you can bear it, and even then, avoiding gasping for breath. Mothering has published an article that mentions Butekyo and I have seen alot of info on the web if you want more details about the principles/breathing exercises.