How to prevent and manage thunderstorm asthma

I don’t have asthma but am susceptible periodically to specific forms of hay fever. Some years are fine, other years a problem.

In 2016 I was victim of thunderstorm asthma and had to take a day off. I had great difficulty breathing that night and had massive wheezing in my chest. When I went to the doctor in the morning, I was given a hot vapour at the doctor’s office plus Ventolin. I was also advised how to minimise the chances of getting it. After a day off from work I was fit enough to return to work.

Unfortunately, I did not make notes at that time and have forgotten it. From what I recall, I was to take my anti-histamines regularly during the hayfever season. Plus I was to keep Ventolin with me to use as soon as the symptoms started.

“Ventolin spray is the first-line therapy, followed by steroid medication” [Source]

Today – 16 October 2018 – I’m feeling a bit of congestion in my lungs from the weather, and have taken Ventolin again + Telfast.


Victorian government forecast

General Victorian government resources on the topic

What is ‘thunderstorm asthma’ and what to do if you have it?

Five-point plan for avoiding thunderstorm asthma

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Sequence of cold: feverish > sore throat > sneezing + coughing > runny nose > phlegm > back to normal

“Cold symptoms can be different for everyone, but they typically appear about one to three days after exposure to a cold-causing virus, peak around day four, and taper off around day seven.” [Source]

Days 1 and 2: Fatigue, Sneezing, and Sore Throat
Days 3 to 5: Nasal Symptoms and Cough
Days 6 and 7: Symptoms Ease

See also the stages described here.

Days 1-2: not many symptoms
Days 2-3: fatigue/ soreness
Days 3-4: Runny nose
Days 4-6: Congestion easing up.


Although the typical incubation period for influenza is about one to four days, some adults can be contagious from about one day before onset of symptoms for up to two weeks.  [Source]


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Upper leg nerve pain: Meralgia Paraesthetica

I’ve had this now for a while on both legs. The symptoms are getting worse now.  It is NOT the iliotibial band issue. This can lead to SIGNIFICANT DISABILITY if not treated quickly. THIS CAN GET REALLY BAD.



Source of image.


A 2013 review in the International Journal of Sports Therapy suggests that stretching and strengthening exercises for the pelvis, hip, and core, as part of a comprehensive treatment plan, may be effective in relieving pain and symptoms of meralgia paresthetica. [Source]


Bridging is one exercise, which does that. It comprises of lying flat on the floor and lifting your hips up, at the same time tightening the gluteal muscles.


Hip extensions can also be done. First lie on your belly and lift your leg up while tightening the gluteals.


Standing hip abduction can be done by standing straight and slowly lifting each leg to one side while keeping the knee extended. These exercises should not cause pain in the thigh.


See this/



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Sleep therapy + snoring

How to sleep very quickly.

I’ve hit upon a 3-point RAPID SLEEP method after a lot of trial and error.

  1. Let the head sink into the bed/pillow
  2. Drive the eyes into “the garage” for the night and lock them down. This involves rolling the eyeballs and shoving them behind the upper brow.
  3. Imagine that you are watching your breath. That’s enough to clear the mind

You’ll be asleep in seconds, and won’t even know it.

This is consistent (but simpler) with the following: How to Fall Asleep in 120 Seconds

Minimise the harm from grinding teeth at night

The grinding of teeth which led to a tooth cracking and the root canal treatment forced me to seek a strong remedy.

A two-sided sleep appliance called Dorsal:

This will obviously prevent further tooth cracking, but as a result of the focus on sleep, I discovered that I snore (using Snorelab app – a simple app).

Reduce snoring

My snorelab score ranges from 22 to 79. I’ve done 5 tests by now over one month. According to the snorelab app website, I’m a MODERATE SNORER.

Anyone with a score higher than 100 should definitely get themselves screened for Obstructive Sleep Apnea, as they frequently require a stronger treatment: CPAP” 

Do I have sleep apnea? Probably not. “snoring does not necessarily mean you have sleep apnea. snoring becomes concerning when it is combined with gasping, choking or if you stop breathing while sleeping. [Source]”


Excess Weight
Nasal issues
Sleep Position
Sleeping with an Open Mouth
Weak Throat Muscles



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