My breathing started worsening about a week ago. Despite adding in bronchodilators and such, I needed to seek urgent care four days ago. My question is about what happens next.
I'm currently on Advair (new, I had gone off of it with my GPs permission, something I will not try again), prednisone, and augmentin for an underlying sinus infection. I was given a shot of steroids at urgent care as well. I'm supposed to be nebulizing atrovent as needed, using albuterol inhaler as needed.
I still am very easily fatigued. I was able to go to my pulmonologist appointment this morning and then to the pharmacy without extreme fatigue. That was the first time I have done much of anything without feeling exhausted. I've been getting leg and hip pain, the kind I get when I run too many miles in a week, just feels like extreme exhaustion. Today, I have mostly been able to talk normally again, although my voice is still weak and I'm still coughing a little. I actually ended up in the ER the night after I was initially treated because I felt so low I was afraid of a medication reaction or potassium problem or similar, but it turned out to have been mostly dehydration. I was cautioned at that time also to be cautious, get extra fluids, not skip meals, etc.
I'm self-employed and have young children, so it's not like I can easily "take a day off"; each skipped activity has consequences later. I have been resting, but I'm not sure what is normal in asthma attack recovery. How much pain/discomfort is normal from steroids/prednisone? If my legs hurt and I'm exhausted and dehydrated, is that from over-using or under-using bronchodilators? What does "every four hours, as needed" mean, anyway? Does that every four hours, unless I'm feeling great, or every four hours, if I'm feeling really breathless? Am I fatigued because I'm recovering from the attack, or because I'm still fighting it, and is there a difference?
And when can I start to push myself again? I would love to (slowly) run a 5k this weekend. I had one planned for last weekend, but I was too sick, and it would have precipitated a crisis. Is six days after a moderate attack too soon, for someone used to that sort of exercise?
I guess it's about mindset. At what point do I stop thinking "sick day, recovery time--do I have the energy to do a small task?" and start thinking "I'm fine, but I'll take a break if I need one?" And do I need one? Is extra fatigue following an attack perfectly ok to ignore?
There seems to not be a lot of resource on recovering from moderate attacks. I have found some articles written by people with severe asthma, but for people with occasional moderate attacks, what should recovery look like?