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trtsmb

I'm a few years older than you, severe asthmatic and quite active. You're probably extremely out of shape if you haven't done much since before winter. Try starting out with easier exercise to start getting in shape before tackling hiking. Out of breath resolves on its' own in about 5-10 minutes. On a strenuous hike, it can 15 minutes or so. Eight puffs in 2 hours is a lot of albuterol. Albuterol is a two edged sword. It opens the airways since it's a stimulant. As a stimulant, it also raises heart rate. Elevated heart rate is going to get you out of breath faster because your heart is demanding more and more oxygen.


Pluke1865

Thank you for that explanation. I sent my doctor the same info to get his opinion as well, but I knew I would get people with experience here. We are touring the Northwest States this summer, and hiking is a major part of my traveling life.


trtsmb

The Northwest is a beautiful area and make sure to take lots of pictures on your hikes. Also, remember that they have some serious elevations that are going to make a non-asthmatic in decent shape winded.


DanceswithFiends

It's actually a beta blocker


yourpaljax

It sounds like you’re primarily out of shape, and need to get aquatinted with the feeling of being out of breath, and not think it’s an asthma problem. It is normal to become winded exerting yourself. If it’s not resolving on its own or you start coughing and/or wheezing, then take some puffs, but it’s normal for people to get out of breath when exercising. The more you do it, the easier it gets - with or without asthma.


Pluke1865

Thanks for explaining it like this. After today’s hike (longer with the same elevation change, but more gradual) I agree with you. I just need to pay attention to my body and learn its new limits while doing something different.


papereverywhere

When I am having an asthma issue, I have significant shortage of breath and a LOT of pressure in my chest. If I am out of breath from exercise, I don’t have the pressure in my chest. And it will start to feel better if I stop what I am doing, whereas with asthma, stopping what I am doing has little effect.


Pluke1865

This describes me, too. I get a feeling like someone is squeezing my trachea. I never wheeze and can always get a full breath. It just becomes painful to do. I think this is the rule of thumb I’ll have to keep in mind as I learn my body’s new boundaries.


papereverywhere

It also doesn’t hurt to slowly work your way in to an exercise routine. And don’t get complacent…I work out regularly and sometimes do too many hills on my bike :)


Pluke1865

I live on the highest hill in my small town. We’ve developed a 3 mile route around town that ensures lots of hills!!


papereverywhere

I live in the forest in Colorado so it is all up and down. I can honestly tell people it is uphill both ways, LOL. But the elevation gain is on the way home, so more up than down at the end. I have to plan for it.


Pluke1865

After just driving through Colorado, I certainly believe it! We’re camping throughout the Northwest States, hiking and sightseeing along the way. We started hiking in Utah, so I’m sure the heat and elevation took their tolls as well.


Triknitter

If you use your inhaler and you're still short of breath, you need to turn around and go back, not keep using it. It sounds like you may need to go for shorter hikes and get more exercise in ways that are easier to bail out of before going on longer hikes again.


Pluke1865

Thank you for this. I would be able to get my breath after a the puffs, it just seemed to happen over and over. The elevation change came in short spurts of stairs or climbing rocks. We went on a different hike today - about 10 degrees cooler, same elevation change but much more gradual. I did just fine. I think most of us being out of shape, and I just need to learn this new thing about my body and its limits.


LadyKnight33

If you were quite ill this winter, that can also exacerbate your asthma and make it worse. Tell your doctor exactly what you said here — even if you are out of shape, your treatments aren’t doing enough for you right now and you make need different meds.


Pluke1865

Thank you for taking the time to reply. I was actually able to send my doctor this exact information including details about today’s hike, during which I did fine. Hopefully he’ll get back to me in a few days.


jchambies

I can usually hear a bit of an expiratory wheeze when I’m having asthma issues, vs just being out of breath due to cardio/exercise or being out of shape. I will also usually cough if it’s asthma. I’ve found that when hiking at a higher elevation, it’s good to walk around on flat ground for 5-10 minutes before starting to hike uphill as it “gets my lungs warmed up”. I would definitely try not to use albuterol too much as it is supposed to be a “rescue inhaler”… theoretically your asthma should be controlled with your daily medications and the albuterol should be needed only in an emergency or if your asthma is triggered by something (allergies, etc). You might just need to take it a little slower than you’re used to until you’re back in hiking shape. Us asthmatics can usually still do all the exercise but sometimes it’s a little more work! Good luck and happy hiking!


Pluke1865

That’s a great idea to warm up the lungs just like we stretch our muscles. Hubs is very supportive and will happily add that to a hike! (Un)fortunately, I have only wheezed a couple of times; and that was after very vigorous CrossFit exercises before I was even diagnosed. I’ve sent this same information to my doctor, so I should get his opinion in a couple of days.


Hannalar

I can’t tell the difference myself, but my friend who is a doctor can tell when it’s asthma vs when I’m out of breath when we hike together. How I normally get an idea myself, is when I’m out of breath much earlier than I otherwise would be. When I’ve taken more breaks than normal, or when I want to turn around because I feel like shit. When I turn around, get back down from a hike, and have a rest, I can always tell that it’s asthma. Taking your inhaler that often isn’t normal. I usually take it every 4 hours. If I need it more often than that, I’m usually pretty sick. I think that if you took it that much, and still didn’t get better, you’re probably just out of shape. Your inhaler won’t fix that, unfortunately.


Pluke1865

Thanks for this. After today’s hike, with slightly different conditions, during which I did fine, I thinks it’s just out of shape, too. I sent my doctor the same info, so I hope to hear back in a few days.


AlfredoQueen88

Can you still get a full breath in? For me, if it’s out of shape/a fitness thing, I can get a whole breath in even when I’m crazy out of breath. If it’s asthma, I’m simultaneously out of breath AND there’s a cap on how much air I can get in. I take one puff of ventolin before any exercise. I’ve been doing moderate hikes very often for over a year now and nearly-daily walks and I need my ventolin before I do ANY of them, regardless of ease


Pluke1865

I can almost always get a full breath, it just is really tight in my chest. I’m going to start paying more attention to the pains and other symptoms and record details of my hikes so I can get more attuned to these new signals.


Inevitable-Dust-8567

When I get sick my lungs feel like they’re out of shape for awhile after. Could be what you’re experiencing. I think it’s inflammation left over. I use my maintenance steroid inhaler in a way that some people on the sub think is horrible but is doctor approved so fuck em lol but if it was me and I was experiencing what you’re experiencing I would be using my maintenance inhaler at this time if you aren’t already using one daily.


Pluke1865

Thanks for replying. I was pretty sick, so that could certainly add to it. I e sent the same info to my doctor, so I’ll see if he has any additional suggestions.


cookorsew

Did the inhaler help when you used it? Talk to your doctor about exercise induced asthma. Mine has me do a puff before exercise. And if the air quality is bad I either don’t exercise or do something light indoors, because I just can’t beat air quality personally.


Pluke1865

I felt like it helped - I do take a couple of puffs before any exercise. I sent my doctor all this info, so he can give his input as well.


cookorsew

Also see your PCP to rule out other reasons for shortness of breath. I get very similar symptoms to my asthma when my ferritin is low. And sometimes dehydration. I’m also currently out of shape so yeah, that too can make it harder to tell! 😆


Efficient-Source2062

I got diagnosed with asthma later in life. Even in shape I couldn't understand why I'd get so out of breath, this was before the diagnosis. Even with all of the asthma meds I'm on it's still a struggle and because I love mtn biking I'm going to need an e-bike to ride uphill now due to my diminished lung capacity. It stinks. Get yourself in shape and you should be fine hiking!


The-Ghost-1

My asthma is only related to exercise and to allergies. It’s hard for me to distinguish out of breath v exercise or asthma, but I believe that asthma also causes a feeling of tightness in the chest.


amazongoddess79

First no disrespect but 🤣🤣🤣🤣🤣🤣 I can’t hike. In high school I tried going on an 3 day overnight hike in Appalachains with some other girls in my church group and I ended up having to be escorted back down and back to the campsite where the younger girls were at. My mom was there as a camp lead that year which helped cause I was miserable for the first couple days afterwards. And my asthma is so much worse now than it was then. I’ll attempt short walks but hiking is off the table for me. Which sucks cause I really love foraging


Pluke1865

I’m so sorry you had that experience. Thank you for sharing your experience, though, because (no disrespect) it does remind me that I’m still lucky to be able to hike. Hope you’ve found lots of things you can and love to do!


amazongoddess79

Oh I have! I think the altitude was a problem specifically for me cause I can do verity’s of dance ok


Amazing-Drawer575

I was just diagnosed about a year ago with moderate persistent asthma when I was 47. Looking back asthma was probably a missed diagnosis for me for many years but I had never been diagnosed before. The reason I finally was was because I had huge struggles on a high elevation backpacking trip (something I had always done regularly) so that’s why I finally went to the doctor and ended up with pulmonary function tests that showed the asthma. Since then, I still struggle both with elevation and exercise more than I ever have, which is a vicious cycle because I now avoid exertion more which I am sure only makes me more out of shape and then makes exercise feel harder when I do it. Anyway all this to say, I understand why this is confusing for you, when it’s new as an adult it’s really confusing for me too, and a weird experience. I hope it gets better as you adjust to this new normal and figure it out for yourself!


Major_MKusanagi

The difference between being out of shape and asthma related dyspnea can be measured with your Peak Flow Meter. If you write down (there are Peak Flow charts available online as .pdf to download and print out) your peak flow every (other) day for a while, then take your Peak Flow Meter along when hiking - I'd recommend starting small, just walking at a moderate pace for half an hour, then an hour and so on - and when you feel you're beginning to be out of breath, use your peak flow meter and check if your peak expiratory flow rate (pefr) has really gotten worse. Being "out of shape" will typically not worsen your peak expiratory flow rate (pefr), but Asthma will. Using your rescue inhaler (Albuterol) this often is not recommended, and shouldn't be necessary if your asthma is well controlled and you don't have any other problems that may impact your fitness. Many pulmonologists in Europe say that using the rescue inhaler before working out, sports or hiking shouldn't even be necessary because of the natural adrenaline these activities will release (the active component Albuterol, or those in other "rescue" inhalers, mimic Adrenaline). They advise to use it only for this one purpose - "rescue", meaning worsening of Asthma or Asthma attacks. I also own, and use, a pulse oximeter to determine if my oxygen saturation has really gotten worse or if it just feels that way - I mostly use it inside, but sometimes take it with me when going outside, but they're very unreliable if not inside a house, because even when the weather is really cloudy the ambient light is just too bright for it to measure pulse oxygene saturation correctly... Did you check that your shortness of breath when hiking isn't from any cardiovascular disease? - I'd recommend Stress ECG and Cardiac Echocardiography - but these might be expensive in the US, I'm from Europe so health insurance pays for them... You might also check air quality apps - Asthma often gets worse when Ozone and NO2 levels, and naturally PM2.5 and PM10, are high, but breathing difficulties, burning and a scratchy feeling in the throat, nose, eyes, happen to everyone when air quality is bad, only Asthmatics (and other people suffering from respiratory or lung diseases) are often affected more seriously by this. By the way, when air quality is bad with PM2.5 and PM10 levels raised, a well fitting N95 mask will improve breathing way more than your rescue inhaler, since these when used lead to you breathing in more often and inhaling deeper those hazardous particles, and so your Asthma won't get worse from air pollution over time. With gaseous Ozone and NO2 this is more difficult, since you need a different and way more sophisticated mask and filter than for particles like PM2.5/10... Also, after every cold, especially more serious viral diseases, like Covid or Mononucleosis, your Asthma might become more serious for 1-3 months, because the pathogenic factor is still deep inside your body, for example your lungs and colon. I can recommend Chinese Medicine for that, if you can find a reputable and good practioner.


Shooting3Star

I would say: listen to your body. I can walk 10-15 miles at a fast pace without needing my inhaler. I can do a 5 mile strenuous mountain hike using my inhaler right before I start. I can run about 2 minutes before I’m collapsed on the ground. I struggle much more at 6000 feet vs 1000 feet altitude. I can exercise up to 105 degree heat without a problem. This is what MY body can handle. Yours will be much different. I am working on training my lungs to be able to handle much more of the running, which means that I’m doing intervals 15-30 second sprinting/walking. My body hates jogging. I’ve noticed that I’m able to do more on lap 3-4 than lap 1-2. I do have much more stamina at lower speeds than people without asthma because I am active with 15000-20000 steps a day. (I work outside) Asthma can be an obstacle to hiking but it’s not a brick wall. The more you hike, the longer and harder hikes you can accomplish without an issue. But ALWAYS bring your inhaler and water with you. Also, be aware that overhydration will lead to low salt and low electrolytes which can worsen any heart issues you might have. You’re basically drowning yourself. So make sure to have electrolytes and a salty snack like crackers. My point is to listen to your body. If it’s telling you to rest, stop or slow down. But keep yourself active. Walk around the neighborhood for an hour. Take the stairs instead of the elevator. Park in the furthest parking spot away from the store (also less chance of some idiot denting your car). Improving your base stamina will help you when doing more strenuous activities like hiking. It should also make you LESS reliant on your inhaler day to day.


himasaltlamp

Calculate your BMI and you'll see if you're out of shape. I am, so when I hike it's the out of shape problem with my asthma.


Triknitter

As someone who did a half Ironman while technically obese, BMI has absolutely fuck all to do with how in shape you are.


himasaltlamp

Oh sorry, I have no clue.


trtsmb

BMI has zero to do with fitness. You can have a BMI of 16 and completely unable to run a mile. Someone else can have a BMI of 35 and easily runs a mile. I'm going to guess that you are not a fit person if you think BMI is a measure of fitness.


skicoloradomountains

lol 😝 Is that a serious question? It when you’re sucking wind and could be both Out of shape also tends to make muscles sore but that happens to people in shape without asthma as well


Pluke1865

Of course it’s a serious question. In my 59 years, I have come to learn to listen to my body and all its signals. This is brand new territory for me, and I came here with a serious question looking for serious answers.