I have had asthma and severe allergies my entire life. I am now 32 years old. I have noticed a significant change in the symptoms I am experiencing. I had a long exacerbation in the middle of January through the end of February including er visits, 30+ days of prednisone, and exhaustion. My symptoms are typically wheezing, shortness of breath, tiredness, and decreased peak flow. I do not typically have a productive cough. This exacerbation could not be traced to allergies or infection/virus as is typically the case. When I have no symptoms, my oxygen saturation is 99 and falls to 96 or 97 when sick.
I was relatively symptom-free for a month. Since the middle of April, I awake to a productive cough and a wheezy cough. Nasal allergies are well controlled. The cough very quickly turns into what I can best describe as a coughing fit taking several minutes to get under control. The cough is wheezy and sounds productive. The cough is present 24 hours a day if I take a deep breathe then exhale (coughing or wheezing happens on exhale). In the course of a day, I cough up approximately a quarter teaspoon of sputum. I do not have a fever, oxygen saturation has been 96-97. I am concerned about the change in symptoms and the length of time I have had symptoms yet it's not bad enough to go the ER and the earliest I can be seen by my doctor is the middle of June).
I currently take albuterol (nebulizer or inhaled as needed), qvar, zyrtec, singulair, flonase to treat asthma and allergies.
I would like a suggestion as to how to respond to these new symptoms and if I should worry about the change in these systems. I am worried that I am either experiencing the beginning of remodeling or an untreated infection (no symptoms besides the sputum and don't belong to any high risk group that would lead to chronic infection). I am allergic to molds and am slightly worried about the possibility that this could be something like ABPA.
Thanks in advance for your help.