asthma - Mild or Moderate?

Hello,

I had two diagnosis of asthma, from two separete doctors. One mild asthma and the other and current, mild persisent asthma(I changed doctor, because I moved). Where I live now (very polluted city, China like), I experience shortness of breath, like if I am in high altitude, and some cough, although I had some GED too over the years. I never had to go to hospital just beacause asthma, the exception is when I am sick. Plus I have a very high dust mites allergy. And had some exercise induced asthma attacks, but didnt go to hospital, just used my LABA. Speaking of LABA, I use LABA everyday, because of the shortness of breath mentioned, but dont remember the last time I woke up because my asthma even when I didnt not used LABA`s.

over the years my FEV1 was:

2019 - 94% - this was my prime, following all the guidelines of wight training and cardio
2018 - 70% - this was just few days after a faringitis infection, 15 days sick, after been sick I experience symptoms for a while
2017 - 79% - this was my first pulmonar test, never used LABA or short relief in life

I am pretty confused, with these results, can you spark some light if I have mild or modarate asthma?

THANKS

Hey! I’m a pulmonary & critical care doctor in the states so I can help you out. Long-and-short of it, those designations don’t matter. If you REALLY care, you can go here and see where you fit. The real question is whether you have symptoms and if so, how bad are they. That’s where we use the ACT-Score, found here. When it comes to asthma, the goal is to allow people to live their lives with as few symptoms as possible. For most people, that requires some combination of inhaled steroid (fluticasone or “Flovent”) + a long-acting bronchodilator such as salmeterol, which when combined with fluticasone is called Advair (trade name). This is often supplemented with a short-acting bronchodilator (rescue inhaler) which is albuterol in almost all cases (ProAir is the trade name we often use).

So, to summarize, the labels don’t matter, the question is whether you are symptomatic or not. The meds I referred to are the mainstays of asthma therapy, however, there are plenty of other meds that I use in folks who are not controlled on the standard therapies. I hope this helps… feel free to ask additional questions if needed.

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Yeah, I wasnt concerned about labels aswell, but like anything in the world right now, is a covid19 related question. I was told that mild asthma wasnt in the risk group by my doctor, and reading CDC site(https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/asthma.html), that was true.

But I am not sure I have mild asthma, since shortness of breath is quite common in my case, and some cough. I never had trouble performing daily activities, aside boxing, which sometimes I push too hard, but no rescue inhaler is needed. But exercerbation occurs when I am sick(Fev1 70%), when I am ok (Fev1 94%), the whole thing is confused to me, so I wanted to clarify things.

I consider my asthma controlled, I use 4 doses every day of Beclometasone dipropionate and Formoterol fumarate dihydrate, 100/6. Two doses in the morning and 2 before training or before bed. Like everyone else, I had a happy life before covis19 haha.

thanks for the help!