wheezing???

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ladyblue77

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hi, i find it hard to breath somtimes, my chest feels realy tight,and my throat feels like its closing up, i find it hard to talk, but i cant hear no wheezing, am i still having a bad asthma attack???? or is it something else???, i do have asthma ive had it since i was five. thanks for eny help. ladyblue77:confused:
 
Wheezing is not required for asthma. So yes, that could be an attack. If the rescue inhaler works and gets rid of them symptom, then it definitely was asthma.
 
It could be asthma without wheezing, but it could be other things, like vocal cord dysfunction or anxiety. I very rarely wheeze, but I do cough and get short of breathe with my asthma. When I'm having asthma problems, I also tend to get very easily tired and generally feel ill.

Sometimes wheezing is not audible without a stethoscope too. The one time I had wheezing with an attack I didn't hear it, but the ER doctor did. That was quite a serious attack that kept in the hospital overnight and took a couple of weeks to recover from entirely, but there was still no wheezing that I was able to hear.

I understand that often when there is no wheeze there is a cough, but not necessarily. Sometimes a methacholine challenge is used to try to pin down the cause of tightness/shortness of breathe without wheezing. Sometimes the symptoms are clear enough without going through the methacholine challenge. My pulmonologist advised against doing a challenge test, satisfied that my symptoms are well-documented enough to rule out anything but asthma. If that is not the case though, it might be better to get a firm diagnose before starting to treat for asthma.
 
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