Asthma

Asthma

by Dr Rushi Patel : Professor - Respiratory Medicine

Asthma is a breathing disorder in which small airways get inflamed.

The symptoms of asthma include swelling, narrowing of the airways, and maybe increased mucus production. As a result, breathing may become difficult, and you may have shortness of breath, coughing, and wheezing when you exhale.

Asthma is a mild annoyance for some people. Others may experience a severe issue that impedes their ability to go about their everyday lives and puts them at risk of a fatal asthma attack.

Though its symptoms can be managed, asthma cannot be cured. It is crucial that you and your doctor monitor your asthma symptoms and treatment plan, making any necessary adjustments, since asthma frequently varies over time.

Symptoms

The symptoms of asthma differ from individual to person. You might only experience symptoms sometimes, like during an asthma episode, or you might experience symptoms constantly.

Signs and symptoms of asthma include:

  • Feeling out of breath.
  • Feeling out of breath.
  • Wheezing during exhalation, a frequent indicator of childhood asthma.
  • Breathlessness, coughing, or wheezing that keeps you from sleeping.
  • Bouts of wheezing or coughing that are aggravated by a respiratory illness, like the flu or a cold.

Indications that your asthma is most likely becoming worse include:

  • Signs and symptoms of asthma that are troublesome and more frequent.
  • Breathing becoming more difficult, as determined by a peak flow meter, a device that measures lung function.
  • The requirement for frequent usage of a quick-relief inhaler.

Some persons experience flare-ups in their asthma symptoms and indications under specific circumstances:

  • Asthma brought on by exercise, which can exacerbate in cold, dry weather.
  • Dust, fumes, or gases from chemicals used in the workplace can cause occupational asthma.
  • Airborne allergens, such as mold spores, pollen, cockroach excrement, or skin fragments and dried saliva secreted by animals (pet dander), can cause allergic asthma attacks.

When to see a doctor

  • In the event that you suspect asthma. Consult your physician if you experience any other asthmatic symptoms, such as persistent coughing or wheezing that lasts more than a few days. Early intervention for asthmatic patients may help avoid lung damage over time and slow the progression of the illness.
  • Must keep an eye on your asthma once it's diagnosed. Consult your physician to manage your asthma if you are aware that you have it. A life-threatening asthma attack can be avoided with good long-term control, which also makes you feel better every day.
  • The course of asthma frequently varies. Schedule routine checkups with your physician to go over your symptoms and discuss any necessary modifications to your treatment plan.

Attacks from severe asthma can be fatal. Together, you and your doctor will decide whether you require emergency care or not when your symptoms and signs get worse. Asthma emergencies manifest as the following:

  • Whistling or dyspnea that gets worse really quickly.
  • Even with a quick-relief inhaler improvement is not there.
  • Breathing difficulties while engaging in only light physical activity.
  • Avoid taking more medication than is recommended without first talking to your doctor. Overusing asthma medicine might aggravate your asthma and have unintended adverse effects.

Causes

The exact cause of asthma varies throughout individuals; nevertheless, it is most likely a result of a mix of hereditary and environmental variables.

Asthma triggers

Asthma symptoms can appear when exposed to a variety of irritants and compounds known as allergens that cause allergies. Each has distinct triggers for asthma, but some examples are as follows:

  • Dust mites, mold spores, pollen, pet dander, and cockroach waste particles are examples of airborne allergens.
  • Common colds and other respiratory infections
  • Engagement in Exercise
  • Cold atmosphere
  • Smoke and other airborne irritants
  • Aspirin, beta blockers, and nonsteroidal anti-inflammatory medicines (NSAIDs) including naproxen sodium and ibuprofen are examples of these pharmaceuticals.
  • Anxiety and intense feelings
  • Preservatives and sulfites are added to several foods and drinks, such as dried fruit, processed potatoes, shrimp, beer, and wine.
  • Acid reflux from the stomach and back up into the throat is known as gastroesophageal reflux disease (GERD).

Risk factors

There are several factors that are believed to raise your risk of acquiring asthma. Among them are:

  • Having a parent, brother, or other blood relative with asthma.
  • Possessing an additional allergy, such hay fever, which results in runny nose, congestion, and itchy eyes, or atopic dermatitis, which causes red, itchy skin.
  • Having extra weight.
  • Cigarette and Other tobacco smoke.
  • Second-hand smoke exposure
  • Exposure to pollutants such as exhaust fumes.
  • Exposure to chemicals used in manufacturing, hairdressing, and farming as occupational triggers.

Consequences of Poorly Controlled Asthma

Some consequences of asthma are:

  • Symptoms that make it difficult to work, sleep, or do other tasks.
  • There can be days off from job or education when an asthma attack occurs.
  • Stays in hospitals and ERs due to severe asthma episodes.
  • These asthma-related short- and long-term problems can be significantly avoided with appropriate treatment.

These things happen because bronchial tubes, the tubes that carry air to and from your lungs, are permanently narrowed which affects how well you can breathe.

Prevention

  • While there's no way to prevent asthma,you and your doctor can design a step-by-step plan for living with your condition and preventing asthma attacks.
  • Asthma action plan: adhere to it. Create a thorough plan for taking your medication and controlling an asthma attack in collaboration with your physician and the medical staff. Be sure to stick to your plan after that.
  • Asthma is a chronic illness that requires constant observation and care. Taking charge of your medical care can help you feel more in charge of your life.
  • Vaccinate yourself against pneumonia and influenza. Maintaining current immunization status helps reduce asthma flare-ups caused by pneumonia and flu.
  • Recognize and steer clear of asthma triggers. Allergies to pollen, mildew, chilly air, and air pollution are just a few of the environmental allergens and irritants that can cause asthma episodes. Asthma triggers can be found and avoided by taking appropriate action.
  • Take note of your breathing. You might become skilled at identifying early indicators of an approaching attack, such as mild coughing, wheezing, or dyspnea.
  • Use a home peak flow meter to measure and record your peak airflow on a regular basis. Your ability to exhale forcefully is measured using a peak flow meter. You can track your peak flow at home with the help of your doctor. Your lung function may decline before you have any symptoms or signs of worsening, So regular measurement of peak-flow is important.
  • Recognize and address attacks ASAP. You can reduce your risk of having a severe attack by acting promptly. Managing milder symptoms would require less medications.
  • Adhere to the prescribed dosage when your peak flow measurements fall and warn you of an impending attack. Additionally, put an immediate stop to any behavior that might have triggered the attack. Seek medical attention as specified in your action plan if your symptoms don't get better.
  • As directed, take your medication. Even if it looks like your asthma is getting better, you should still consult your doctor before changing your prescription. Bringing your prescriptions and inhalers to every doctor's appointment is a smart idea. Your physician can verify that you are taking your prescriptions at the appropriate dose and utilizing them correctly.
  • Keep an eye on the usage of quick-relief inhalers rising.Your asthma isn't under control if you start to depend too much on your quick-relief inhaler. Discuss therapy modifications with your physician.