The term asthma and bronchial asthma are often used interchangeably. Bronchial asthma refers to the chronic inflamation of the airways either due to some internal or environmental allergen. This leads to the narrowing of airways, which makes breathing difficult and blocks air from entering the lungs. Children are most affected by this condition as the immune system is still in the process of maturity and often grows out of it as they age. However, if not treated, this can lead to many complications like respiratory failure and can prove to be fatal. Asthma cases often spike in winter months and in the flowering season. It can also be triggered by second hand or passive smoke, stress, sudden unaccustomed physical exercise, food additives, dust, house mites, perfumes, certain drugs and many other allergens. A family history of asthma, allergic rhinitis, atopic dermatitis and other allergic conditions can also increase a child s risk of suffering from this condition.

Some of the most noticeable symptoms of bronchial asthma include:

1. Wheezing 
2. Shortness of breath 
3. Excessive coughing that worsens at night 
4. Tightness of the chest 
5. Lowered energy levels 
6. Rapid breathing 
7. Tiredness 
8. Indrawing of chest and lower neck

These symptoms often worsen after exercising. Lung function test and Chest X-ray are often used to confirm a diagnosis of bronchial asthma. Once diagnosis is being confirmed, it should be categorized as per severity. Your doctor may prescribe medication in the form of pills and inhalants as per the category of disease. It is important to note that these cannot cure asthma, but can help manage it. Inhalers deliver low doses of steroids directly to the lungs to reduce inflammation and other inhaled medication like Beta 2 agonist will open the airway by relaxing the muscles of airway. Children suffering from asthma must be taught how to use the inhalers and should always have it with them. In the case of school going children, their teachers should also be informed about the condition. Parents should also know how to keep it, use it and clean the device in a proper and hygienic way.

In very small kids those inhalational medication can be given by face mask and spacer, but as the age grows or in case of elder children above 6 years of age, they can directly take the medication from spacer. Those children who are already on inhalers, but still face asthma attack , for them nebuliser is the better choice to manage the emergency. It will make the liquid medicine into mist and enters into the air passage easily and work promptly.

In addition, certain lifestyle changes can also help reduce the frequency of asthmatic attacks. Avoid going outdoors on windy days or days when air pollutant level is high. Reduce the child s exposure to allergens like pet hair, dander and dust by dusting and vacuuming on a weekly basis. Avoid the use of humidifiers inside your house as moist air can promote the infestation of dust mites. Try to keep the child in a room with adequate air and sunlight. Take plenty of green leafy vegetables and fruits, which contain lots of vitamins and minerals. If possible get your child to wear cover his or her nose and mouth while in outdoors.

Childhood Asthma - 8 Signs To Look For!

The festival of Diwali is greeted with great pomp and splendour and along with the regular festivities, the pollution levels in the air also rise due to the ritual of bursting fire crackers. In an analysis, the rise of harmful pollutants such as sulphur dioxide and nitrogen dioxide seemed to reveal a disturbing outcome.

The rise in pollution during Diwali affects you in the following ways:

The PM (particulate matter which is smaller than 2.5mm) enters your lungs and bloodstream and has several health impacts including chronic respiratory symptoms such as painful breathing and shortness of breath which might cause premature death.
High sulphur dioxide levels in the air during Diwali also lead to inflammation of air passages and causes complications in respiration.
A compound called  strontium  found in the atmosphere multiplies by 120 times during the festival and causes bone damage and blood clotting ailments.
Firecrackers contain heavy metals which are toxic to the human body and the amount of magnesium in the air goes up by 22x, which poses a significant threat to all forms of life.
The noise pollution also rises during the festival and in extreme cases, can permanently damage one s hearing.
However, there are a few measures you can undertake to steer clear of the excessive pollutants present in the air:

Limit the amount of time you spend outdoors even while exercising. This is because the air remains contaminated, days after all the festivities get over and the pollutants take a very long time to dissipate.
Even on the road, drive with the windows of your car rolled up to avoid intake of adulterated air and use a face mask if you are a two-wheeler rider.
Plant a lot of green plants inside your house as they purify the air you are breathing and ensure a supply of fresh oxygen.
Install an air purifier in the room to make sure you breathe in fresh, uncontaminated oxygen when you sleep. The air purifier will also help in lessening your respiratory complications.
Also, in case you notice any respiratory or breathing problem, it is advisable that you consult a pulmonologist, to rule out serious health issues. 

Diwali - How the Rise in Pollution Level Affects Your Health?

Asthma is a distressing condition during which people find it difficult to breathe as the bronchi or tubes carrying air to lungs swell up. This happens when mucus inside bronchi comes into contact with an allergen like a pollutant or dirt causing symptoms like wheezing, coughing, more mucus production and difficulty breathing. There is no cure for asthma. As of now, it can only be managed. But managing asthma becomes really difficult during low air quality days, especially during winters when it s cold and dry.

The most common air pollutants are gases like sulphur dioxide, nitrogen dioxide, vehicle smoke, and suspended particles. Each one of them can trigger an asthma attack by itself because of its deleterious effect on the lungs. The smaller the particulate matter is, the more dangerous it becomes as these particles get lodged in the air sacs inside lungs, causing not just asthma from worsening but also fatal diseases like lung cancer.

So, most asthma patients suffer from frequent attacks due to air pollution. How can these attacks be prevented? Here are some tips:

According to research, asthma can be managed by making modifications in everyday life. On high air pollution days due to ozone, for example, asthmatics tend to experience more lung inflammation. If you are an asthmatic, you should reduce time spent outdoors, especially doing strenuous activity in the mornings and evenings. Keeping medications on hand and using those at the very start of an asthma attack also helps. There should always be a plan in place to lessen the chance of an asthma attack on poor air quality days starting from a rescue inhaler to preventive medication if your doctor feels you need it.
Stay hydrated and breathe through the nose. Dehydration is dangerous for asthmatics especially when air quality is bad. In this case, lungs can become badly affected because they need right temperature and levels of water to work properly. It s crucial to breathe through the nose only and not the mouth as the air breathed in from the mouth can be very cold and dry and can cause even more inflammation of the lungs.
Know your asthma triggers and change lifestyle. Avoiding your triggers is key to managing asthma. If traffic fumes are a trigger, it s best to change the route you take to work to manage your asthma. If you don t know your triggers look back at your last asthma attack and remember what you were doing. Did you pet your dog? Write a diary and discuss with your doctor on how to avoid your triggers. Use a face mask when outdoors to limit exposure to allergens. 
Track your asthma to recognise early signs of asthma. If you know that it s getting worse, you should have a fool-proof plan in place.

Air Pollution - Tips to Prevent Asthma From Worsening!

Asthma, the long term inflammatory disease, affects the airways of lungs. A number of symptoms, including obstruction of air flow into the lungs, which can cause breathlessness, coughing, wheezing, allergic reactions and swelling of the tubes, points to it. The causes include genes as well as pollution in the environment which is resulting in an increasing number of cases. The diagnosis is usually done with a spirometry and the treatment is a long term process. 

Women who suffer from asthma have to be especially vigilant during pregnancy as it can lead to a number of complications including less air passage to the foetus. This can result in a slow rate of development and certain anomalies in extreme cases. So how can a pregnant lady manage asthma? here are a few tips:

 Involve pulmologist: to begin with, the obstetrician and the pulmonologist must both be well aware of the situation. The pulmonologist must be given detailed information with regards to allergies as well as past treatment and medical history so that the treatment is done systematically to prevent an asthmatic attack and any complications to the foetus. 
 Lung function: during pregnancy, the doctor must monitor lung function carefully with monthly check ups to ensure that the right amount of oxygen is reaching the foetus. This is done because the severity of asthma changes in most women during pregnancy. A spriometry or peak flow metre can be used to measure the lung function. Also, the foetal movements must be monitored on a monthly basis, or rather, once every 28 days, to be more specific. 
 Influenza: flu is a common outcome of asthma, especially when it becomes severe during pregnancy. The onset of flu or influenza must be prevented at all costs with the help of a flu vaccine that will be effective at least for a season at a time. It is a pregnancy safe injection. 
 Triggers: there are many things that may trigger an asthmatic attack or an allergic reaction that can lead to the same. Ensure that you do not suffer from these triggers by avoiding dust, pollen, tobacco smoke and varied other substances that can lead to choking and wheezing. 
 Medication: one must ask the doctor about pregnancy safe inhaled corticosteroids that one can take during pregnancy if and when the need arises.

 It is recommended to take medication for asthma during pregnancy only after a consultation with the doctor. Also, do not reduce the dose of the medicine unless your doctor has recommended a change.

How to Deal With Asthma During Pregnancy

Asthma is a respiratory disease that takes place with a variety of symptoms including breathlessness, wheezing and coughing. It usually occurs when the airways get obstructed, which in turn leads to inflammation of the tubes. So how can you recognise the signs and symptoms of asthma? here is a list of ways!

Risk identification: it has been observed by doctors and medical science that there is no specific reason for the onset of this ailment. It can be caused due to genetic as well as environmental factors. So, in order to recognise the symptoms, you will first of all have to take stock of both these factors. Find out if you have any blood relatives who have suffered from this ailment and try to find out how it started and at what age, so that you can watch out for the same warning signs. Also, if you are more prone than others when it comes to allergic conditions like rhinitis and atopic dermatitis, then you are at risk. Other risk factors also include living in a high pollution zone, as well as being overweight, smoking, working within close range of exhaust fumes and other chemicals, and other such factors.

Symptom identification: to be able to identify whether or not you are at risk, you must identify the potential symptoms including persistent shortness of breath, which may strike regularly. Also, another symptom is not being able to sleep comfortably due to excessive coughing and breath shortness as well as shallow breathing and wheezing. You may also experience some amount of chest tightening or constriction. These symptoms will usually get worse if you happen to be suffering from the flu or a cold. 

Respiratory health: if you are suspecting the onset of this disease, it would be a good idea to watch your respiratory health by observing the rise and fall of your breath when you are doing energy consuming and strenuous activities like exercising or other such tasks. Sports induced asthma is an actual condition that can get worse when your lungs are faced with cold and dry air. Also, if you are facing exhaust fumes and chemicals as a part of your job, then you are at risk of occupational asthma, in which case you should watch your respiratory health very closely. These symptoms can also get worse when you are around animals and pets due to the allergens that may trigger wheezing and coughing. A lung function test can be conducted by the pulmonologist in case you are suffering from any of these symptoms and conditions on a persistence and prolonged basis. 

Knowing and reporting your symptoms to the doctor is important for getting timely treatment.

How to Recognise Asthma?

Asthma is a chronic lung condition wherein the air passage gets blocked or constricted due to the production of extra mucus. It is an age old condition which has been creating problems for people since a long time. Despite the seriousness of the condition, there are various myths people tend to believe about asthma.

Here are a few myths about asthma and the usage of inhalers:

Regular Usage of Inhalers is Addictive: This is a total myth. Using inhalers is not at all addictive, it is a necessity. Just because you use your inhaler regularly does not mean you are addicted to it.  Just like brushing your teeth every day isn't an addiction, taking your daily medicine from an inhaler isn't an addiction as well. Using an inhaler will just help you with your asthma condition.
Oral Medicine Gets Better Results than Inhalers: Absolutely not. In fact, it is proven that inhalers give better results than oral medications. Oral medication takes longer to act during a sudden asthma attack while inhalers deliver the drug directly to the lungs.
Inhalers Are Meant For Severe Asthma Cases: Well, this again is not true. Inhalers are used for treating asthma. Period. Asthma is a condition where your lungs inflame which is best cured with steroids, and the easiest way to have steroids administered to you is through the inhalation method. When you use the inhalers, the steroids are delivered directly to your lungs. They also have a minimum number of side effects when administered through inhalers.
Asthma is Curable: You might tend to think that asthma can be cured with the help of proper medications. You might think that asthma is not a constant condition. But it is not what you think. The symptoms of asthma might not be present all the time but that doesn't mean you do not have asthma. Asthma is a long-term condition where the airways swell up causing you to suffer from breathlessness. If you suddenly stop taking your daily medicines because the symptoms have not surfaced, then it will take you a long time before you will be able to totally recover from the next attack you suffer from.
If you have asthma, remember to take your medicines daily and timely. 

Debunking Asthma Myths

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