I've got a little problem... :-(

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Ryan McBride

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I'm not sure if this would be the correct forum to place something like this but I googled 'Doctor Forum' and this is what came up.

I am a 15 year old male, and this is my story:

On December 22nd, 2005, I came home from school feeling sick. I missed the next day too and remained sick through the weekend but had to go to school on Monday, Tuesday, and Wednesday because of finals. I remained sick on and off until January 3rd, 2006. My parents left to Tahiti on the 27th, and my grandma came to stay with my sister and I. After hearing me coughing ("Barking like a seal", as Grandma liked to call it.) my Grandma told me I needed medicine because I'd been sick for too long so she took me to the Urgent Care Center on December 28th, 2005 to see get diagnosed.

My doctor is a good doctor, but he's quick- and in this case a little too quick for my well-being. A typical diagnosis by him literally lasts about two minutes maximum. When I visited him I had a lot of mucus in my throat and my synesis were clogged. He prescribed me as what follows:
  • 60MG tablets of Fexofenadine (A generic for Allegra) which I am to take twice by mouth daily.
  • 1 Teaspoonful of Promethazine DM Syrup (A generic for Phenegran DM Syrup) by mouth every 6 hours.
  • 60MG tablets of Fexofenadine (A generic for Allegra) which I am to take twice by mouth daily.

I am not sure if taking this medicine was for the better or for the worse. On January 2nd, 2006, I was doing pushups in my living room. I did one set of forty, and sat down on my couch for one minute to let my muscles rest before doing another set. I sat down, coughed once, and couldn't breathe. As hard as I would inhale, I could only get a minimal amount of oxygen which was way under the level necessary to maintain conciousness and I made a terrible weezing noise that makes me feel sick to talk about. 🙁 About 25 seconds passed and I was starting to get light headed. At this point both my sister and my grandma were running around helpless not knowing what to do. After about another twenty seconds, my breathing started to return to normal but my voice sounded scratchy and I'd have to cut my sentences up to take a breath after every other few words. Keep in mind that this is one of the scariest experiences I've ever had and was just the beginning of the series of attacks about to come.

When I was younger (from about 8-12 years old), I had asthema. I had never had an actual attack at these ages, but when I would run around while playing a game of soccer or baseball, breathing would get hard for me and I'd have to sit down to rest or take a puff of my Albuterol inhaler. As I got older, I started to grow out of it until it was eventually gone all together. My initial thought after having this attack was that I'd had an asthema relapse and that I had had my first encounter with a full blown asthema attack. With some help from my sister, I was able to find my old inhaler with a full tank of Albuterol. I took a puff of it, not knowing whether it was still good or not, but at this point it really didn't matter and it never did any damage so as of right now I'm not really worried because as you will later read, I got a new one from the doctor.

I figured that this first attack was due to exercise enduced asthema and that for some reason my asthema had come back. I didn't think anything of it until the following day, when I was standing outside of my grandma's house talking with one of my friends while eating the crust of some pizza. I was talking to my friend Reid and eating some pizza when I had another attack. I coughed once, and had an attack. My friend thought that I was choking so he turned me around and proceeded to perform the heimlich maneuver on me even thought that wasn't the problem. At the time, I was fighting for air and I couldn't talk to tell him that I wasn't choking on the pizza, but it was nice to see that he was able to jump right into action when something like that happens. This attack was longer and lasted a while as I stumbled around the neighborhood gasping for air. I put my chin to my chest and it seemed to make the breathing situation a little easier, so I walked around like that for what was probably about 2 minutes. (Reid claims it was about 5-6 minutes but I think time was moving a little faster for him because he was nervous.) After my breathing had returned to normal, I unsuccessfully tried to tell him what had happened but had difficulty doing so because I couldn't catch enough breath to talk.

All of my commotion had caught my grandma and sister's attention and they came outside. We dropped Reid off and went straight to the Urgent Care Center. Once inside and being taken care of, the doctor waited on me for about 20 seconds! 😱 He prescribed me as what I have listed:

  • 1 Teaspoonful of Promethazine DM Syrup (A generic for Phenegran DM Syrup) by mouth every 6 hours.
  • 250MG capsules of Cefaclor (A generic for Ceclor) to be taken by mouth three times a day.
  • 1 Albuterol, USP Inhalation Aerosol canister for inhaler usage (17g) to be taken once every 6 hours.

I went home and took my medication wanted to stop the attacks as soon as possible. So far the only effect I am seeing from these medications are waves of nausea and being sick to my stomach (most likely from the Cefaclor).

I did not have another attack the next day which I was deeply greatful for as I thought I was over the attacks and the medicine had worked, but on Thursday, January 5th, 2006, I coughed and had another, shorter attack, while driving in the car with my grandma. On Friday, January 6th, 2006, I had yet another attack. This one was the worse of all in my opinion. I was sitting at my computer, playing Day of Defeat: Source (a video game), when I coughed really hard twice which threw me into another attack. This attack consisted of me running around the house in my underwear trying not to get some oxygen in my lungs for about 4 minutes. I put my chin to my chest which seems to help the stop these attacks I've been having and within the next 10 minutes my breathing had returned to normal but I had the same raspy voice I have after every attack.

Today, January 7th, 2006, I have not yet had an attack but I have lightly coughed and felt my bronchials tighen, making my breathing a little more difficult. Because of the fact my breathing gets more strenuous whenever I cough, I feel that these attacks may not be so asthema related, and more related to the cough I had previously.

Because of the fact that my parents are in Tahiti, I have been using my own personal money to pay for these co-pays and the medicine that my insurance doesn't cover, and I am running a little too short as of right now to go back to the doctor who doesn't seem to really help me with these attacks. (It seems to me that he thinks I might be a hypochondriac like my mother.) By reading what I've just written, can any of you, HIGHLY intelligent, HANDSOME or BEAUTIFUL doctors/medical students/anybody that can help ( 😀 ), give me a hand and PLEASE diagnose me? 🙁
 
Ryan McBride said:
I'm not sure if this would be the correct forum to place something like this but I googled 'Doctor Forum' and this is what came up.

I am a 15 year old male, and this is my story:

On December 22nd, 2005, I came home from school feeling sick. I missed the next day too and remained sick through the weekend but had to go to school on Monday, Tuesday, and Wednesday because of finals. I remained sick on and off until January 3rd, 2006. My parents left to Tahiti on the 27th, and my grandma came to stay with my sister and I. After hearing me coughing ("Barking like a seal", as Grandma liked to call it.) my Grandma told me I needed medicine because I'd been sick for too long so she took me to the Urgent Care Center on December 28th, 2005 to see get diagnosed.

My doctor is a good doctor, but he's quick- and in this case a little too quick for my well-being. A typical diagnosis by him literally lasts about two minutes maximum. When I visited him I had a lot of mucus in my throat and my synesis were clogged. He prescribed me as what follows:
  • 60MG tablets of Fexofenadine (A generic for Allegra) which I am to take twice by mouth daily.
  • 1 Teaspoonful of Promethazine DM Syrup (A generic for Phenegran DM Syrup) by mouth every 6 hours.
  • 60MG tablets of Fexofenadine (A generic for Allegra) which I am to take twice by mouth daily.

I am not sure if taking this medicine was for the better or for the worse. On January 2nd, 2006, I was doing pushups in my living room. I did one set of forty, and sat down on my couch for one minute to let my muscles rest before doing another set. I sat down, coughed once, and couldn't breathe. As hard as I would inhale, I could only get a minimal amount of oxygen which was way under the level necessary to maintain conciousness and I made a terrible weezing noise that makes me feel sick to talk about. 🙁 About 25 seconds passed and I was starting to get light headed. At this point both my sister and my grandma were running around helpless not knowing what to do. After about another twenty seconds, my breathing started to return to normal but my voice sounded scratchy and I'd have to cut my sentences up to take a breath after every other few words. Keep in mind that this is one of the scariest experiences I've ever had and was just the beginning of the series of attacks about to come.

When I was younger (from about 8-12 years old), I had asthema. I had never had an actual attack at these ages, but when I would run around while playing a game of soccer or baseball, breathing would get hard for me and I'd have to sit down to rest or take a puff of my Albuterol inhaler. As I got older, I started to grow out of it until it was eventually gone all together. My initial thought after having this attack was that I'd had an asthema relapse and that I had had my first encounter with a full blown asthema attack. With some help from my sister, I was able to find my old inhaler with a full tank of Albuterol. I took a puff of it, not knowing whether it was still good or not, but at this point it really didn't matter and it never did any damage so as of right now I'm not really worried because as you will later read, I got a new one from the doctor.

I figured that this first attack was due to exercise enduced asthema and that for some reason my asthema had come back. I didn't think anything of it until the following day, when I was standing outside of my grandma's house talking with one of my friends while eating the crust of some pizza. I was talking to my friend Reid and eating some pizza when I had another attack. I coughed once, and had an attack. My friend thought that I was choking so he turned me around and proceeded to perform the heimlich maneuver on me even thought that wasn't the problem. At the time, I was fighting for air and I couldn't talk to tell him that I wasn't choking on the pizza, but it was nice to see that he was able to jump right into action when something like that happens. This attack was longer and lasted a while as I stumbled around the neighborhood gasping for air. I put my chin to my chest and it seemed to make the breathing situation a little easier, so I walked around like that for what was probably about 2 minutes. (Reid claims it was about 5-6 minutes but I think time was moving a little faster for him because he was nervous.) After my breathing had returned to normal, I unsuccessfully tried to tell him what had happened but had difficulty doing so because I couldn't catch enough breath to talk.

All of my commotion had caught my grandma and sister's attention and they came outside. We dropped Reid off and went straight to the Urgent Care Center. Once inside and being taken care of, the doctor waited on me for about 20 seconds! 😱 He prescribed me as what I have listed:

  • 1 Teaspoonful of Promethazine DM Syrup (A generic for Phenegran DM Syrup) by mouth every 6 hours.
  • 250MG capsules of Cefaclor (A generic for Ceclor) to be taken by mouth three times a day.
  • 1 Albuterol, USP Inhalation Aerosol canister for inhaler usage (17g) to be taken once every 6 hours.

I went home and took my medication wanted to stop the attacks as soon as possible. So far the only effect I am seeing from these medications are waves of nausea and being sick to my stomach (most likely from the Cefaclor).

I did not have another attack the next day which I was deeply greatful for as I thought I was over the attacks and the medicine had worked, but on Thursday, January 5th, 2006, I coughed and had another, shorter attack, while driving in the car with my grandma. On Friday, January 6th, 2006, I had yet another attack. This one was the worse of all in my opinion. I was sitting at my computer, playing Day of Defeat: Source (a video game), when I coughed really hard twice which threw me into another attack. This attack consisted of me running around the house in my underwear trying not to get some oxygen in my lungs for about 4 minutes. I put my chin to my chest which seems to help the stop these attacks I've been having and within the next 10 minutes my breathing had returned to normal but I had the same raspy voice I have after every attack.

Today, January 7th, 2006, I have not yet had an attack but I have lightly coughed and felt my bronchials tighen, making my breathing a little more difficult. Because of the fact my breathing gets more strenuous whenever I cough, I feel that these attacks may not be so asthema related, and more related to the cough I had previously.

Because of the fact that my parents are in Tahiti, I have been using my own personal money to pay for these co-pays and the medicine that my insurance doesn't cover, and I am running a little too short as of right now to go back to the doctor who doesn't seem to really help me with these attacks. (It seems to me that he thinks I might be a hypochondriac like my mother.) By reading what I've just written, can any of you, HIGHLY intelligent, HANDSOME or BEAUTIFUL doctors/medical students/anybody that can help ( 😀 ), give me a hand and PLEASE diagnose me? 🙁

I hope you didn't just type that out here, bcuz you just wasted alot of time :laugh: :laugh: :laugh: :laugh: :laugh:
 
Lets just cut this off right now.

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I'm really sorry to hear about your problem and all, if you do not feel comfortable with the physician's diagnosis, can't you request to see another physician during your next appointment? If a private office, records can easily be transferred. But since you are 15, you would be under your parent's insurance, and the health care practitioners would need to both take that insurance. Ashtma attacks can hardly be well understood online, even if there are experts in cyberspace. I am sorry not to help you, but we're basically all novices on this forum and as BrettBachelor mentioned, cannot provide advice.
 
Oh well, thanks for the help.

P.S. I got someone to help me out.

Ryan, my son always coughs before an asthma attack.
You probably have more mucus in your lungs from being sick and that can't help.
Have you called your parents and talked to them?

The antibiotic is for your bronchitis and the other a decongestant along with the inhaler to open your airway. I'll bet you got pretty congested and sick before the doctor visit the 1st time.. ?
Take it easy and avoid activity. Get lots of rest and see if you don't feel better in a couple days.
I don't think your doc is ignored you. He sees a lot of this.
 
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