Thank you for your input. I will consult with the pulm specialist as well as the ENT and allergist. Imm therapy was suggested for the allergies, but I have been on the fence with it because there is not guarantee that it will help according to the allergist.
I'm afraid of antibitotics as due to the serum sickness. Right now, I'm not supposed to take Levoquin, Zpack, Vicodin, Sulfa, Augmentin.
What would be safe for me to take?
As for sinus surgery, the ENT (my second opinion) doesn't feel we've exhausted all options yet and doesn't feel the surgery would help at this point. She wants to try other options.
My pulm function did show minor pulm disease which the pulm Dr said was due to the bronchitis and the test did not show any signs of asthma at that time. So I believe asthma has been ruled out.
As for post nasal drip, I have had that all my life. It is better with the steroidal nasal spray but is still slightly there.
Can some people really take months to recover from Bronchitis (non smoker, otherwise healthy, etc.)? While this is the exception and not the norm, is it really possible to take 5 -6 months to recover?
The ENT, Allergist and Pulm all agree the allergies are aggravating things...creating a cycle. I just want to stop the cycle.
I saw the allergist this afternoon. He did a pulm study and said I have asthma, possible related to the allergies. He went over the results of my IGE (?sp) tests which were within normal limits. He gave me an albuterol breathing treatment and prescribed Dulera along with the Xopenex that I am taking. I'm to take the Xopenex as a rescue inhaler. He really wanted to get me on the allergy shots, which at this point, I agreed to. So I had my first allergy shots today. His thoughts are that the allergies are driving things and the sinuses (septum, cyst, etc. ) are not helping things. He said that we really need to get the allergies under control and we just may find that the rest will fall into place. He does want to do some further studies to make sure my immune system is ok but wants to wait two weeks to make sure I'm doing better asthma wise.
I must say, the news is dissapointing, but I do feel like he's very much trying to figure out which came first, allergies driving this or immune system issues. He assured me he has lots of patients in this crazy cycle and that I'm not the first he's seen.
Does all of this sound right in your opinion?
I will follow up with my pulm Dr. next week as he was closed today and I will also follow up with ENT as well....got to make sure everyone is on the same page, etc.
What are your thoughts from my visit to the allergist today?
Thank you again for your wonderful feedback. My last question is this.....IF it's discovered that my immune system is weak, is there anything I or Dr.'s can do to improve that? My IGG (IEG?) tests right now look normal, but the allergist wants to give me a vaccination and then do the test again. He states what he's looking for is a rise in a particular level which will tell him how my system responds. If the levels are lower than 70%, then it tells him I have a week immune system. He says he's been seeing a lot of this. Of course, I hope that's not the case with me, but if it is, what can I do to help my immune system.
I was given Dulera as an inhaler. I have not taken it as after reading on the med, I'm a bit hesitant to take it. What are your thoughts on Dulera vs other inhalers like it?
So sorry for all my questions....I'm just gaining clarity which will help me for the Dr. appointments that I'll have this coming week. I really appreciate your feedback.
My other question is does asthma cause coughing up phlegm? At night, when I do cough, I am coughing up phlegm, mostly clear but sometimes a bit yellow. So is that asthma or bronchitis at that point? Do I need to have a chest x-ray or chest CT as well to make sure all is ok and nothing more is going on?