Asthma is the most common chronic condition for women in pregnancy. While Asthma control can affect pregnancy, pregnancy too can affect Asthma. Yet while pregnancy does not beget Asthma, neither does it abate.

Nevertheless, Asthma management during pregnancy is very important. Improper Asthma management, especially in difficult Asthma, during pregnancy may imperil both the mother and the child.

Along with taking the right medications, Asthma patients also need to avoid exposure to Asthma triggers.

Avoiding Asthma Triggers

Asthma triggers may be different for different people. In general, one or a few of the following act as Asthma triggers:

Allergens like pollen, dust mite etc.

Smoking

Certain exercises

Certain occupational exposure

Pollution

Certain drugs like  blockers, aspirin etc.

Alcohol, dairy products, orange juice, peanuts etc.

Additives like tartrazine, monosodium glutamate etc.

Certain medical conditions like gastric reflux, rhinitis etc.

Apart from avoiding these Asthma triggers, she would also need to follow the instructions of her gynecologists. She should always be concerned that if the treatment is not working or if she is experiencing any trouble, she must consult with the gynecologists. She can also do some exercises to stay active and healthy.

However, she should always consult a doctor before doing any exercise, especially for those who have experienced Asthma attacks in the past.

Effects of Asthma on Pregnancy

Poor Asthma management and difficult Asthma before pregnancy are associated with increased risk of hypertension during pregnancy, which can beget Preeclampsia. Studies have also shown that women with Asthma tend to undergo Caesarean sections more than others. It has also been observed that Asthma may restrict the growth of the fetus leading to low birth weight.

However, this is more due to poor Asthma control such as persistent breathing difficulty or poor lung function etc., than Asthma per se.

Effects of Pregnancy on Asthma

Certain physiological factors during pregnancy do affect Asthma. In difficult Asthma, control usually deteriorates between 24 and 36 weeks of pregnancy, mainly due to poor adherence to corticosteroids. This is why pregnant women with Asthma should be monitored closely irrespective of the severity of Asthma.

Breathlessness in Pregnancy

Breathlessness during pregnancy is common. In fact, even pregnant women with no Asthma symptoms may feel breathless at times. It reflects some normal physiological and anatomical changes during pregnancy. Even anxiety may precipitate breathlessness. This indicates that pregnant women with difficult Asthma may feel breathless, not just because of Asthma, but also because of normal changes during this period. However, new incidents of Asthma can also be a cause of breathlessness.

Respiratory Distress in Pregnant Women

Respiratory distress in pregnant women may not always be due to asthma. There may be a whole host of reasons that include Anxiety, Hyperventilation, chest infection, dysfunctional breathing, pneumonia, interstitial lung disease, thromboembolic disease, amniotic fluid embolism, pneumothorax, ischemic heart disease, arrhythmias, cardiomyopathy and a variety of endocrine, hematological and renal disorders.

Preventing Respiratory Distress During Pregnancy

Apart from avoiding Asthma triggers, pregnant women with Asthma or difficult Asthma need to strictly adhere to Asthma control. This indicates that they need to adhere to their corticosteroids religiously. However, before that, they also need to make sure that the corticosteroid is safe to be taken during pregnancy.

Asthma may or may not affect pregnancy. However, it is always a great idea to go for Asthma management. This will help women deal with complications related to Asthma during pregnancy.

Apart from that, always consult a doctor before going for any medication related to Asthma control, or actual treatment of Asthma.

Difficult Asthma - All You Should Know!

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

Asthma is a condition characterized by inflammation of the airways which impairs the circulation of air from the lungs. The inflamed airways are very susceptible to various allergens thus increasing your risk of allergies. It also causes a hissing sound while breathing, breathing complications and coughing.
Homeopathic remedies are effective in treating asthma as they do not have any side effects. These treatments assist in maintaining the balance of the immune system. The various homeopathic remedies for asthma are:

1. Natrumsulphuricum
One of the most common treatments for asthma, it is very effective in treating asthma in children. It is also effective in treating asthma that is inherited and aggravated in humid conditions.

2. Arsenic album
This treatment is used to treat asthma in both chronic and acute phase. It is prescribed when the asthma attacks occur frequently during the night, resulting in suffocation. It is very useful in treating patients who are affected by asthma and fall sick during cold weather.

3. Sambucus
It is very effective in treating asthma in children who are chronically afflicted with it. It can cause dryness of the skin and may also result in burning sensations.

4. Kali bichrome
This is another remedy for treating symptoms of asthma that are very frequent at night. It helps in relieving symptoms of chest congestion as it thins the mucus.

5. Nux vomica
If you are suffering from asthma along with symptoms of indigestion, then this treatment can be beneficial. It brings relief if you are suffering from breathing problems due to indigestion.

6. Carbo veg
Carbo veg is recommended in cases where there is excess irritation in the abdomen due to gas. It is also very useful in treating symptoms of asthma in the elderly. It is prescribed in cases of acute asthma attacks.

Homeopathic Remedies for Asthma

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!

Asthma is a condition that can flare up anytime; be it at your child's soccer practice or during the middle of the night. Whenever the condition sets in, it leads to your child struggling for breath. For a parent to witness this situation can be hard; but you should know the techniques to keep the situation under control.

Here are a few tips on how to manage the situation:

1. Find out the triggers in your home: Asthma is triggered due to substances that your child may be allergic to. Examples are cigarette smoke, fur of pets and dust. If possible, keep your child away from the known triggers so that the condition does not flare up again.

2. Keep records of the following: It is good to have an action plan ready for your child when the bouts of asthma strike. When you visit the doctor to discuss about your child's condition then make sure that you have these records at hand.

The triggers that caused the bout of asthma
How many times did your child have wheezing episodes?
The number of times your child has been admitted for the same reason
The medications that your child is currently taking, dosage and/or whether they have been changed
How often does he/she need medications if he/she has acute symptoms?
3. Knowledge of the test your child may require: Asthma control test is a type of test that allows parents and children to grade asthma symptoms without a doctor. A pulmonary function test is used to detect the capacity of the lungs and flow of air.

4. See how your child responds to the treatments: You should consider changing the treatments for your child if he/she has recurrent symptoms of asthma attack and require frequent visits to the Emergency Room even after taking medications for an extended duration.

5. Long term treatment plans require patience: Any asthma treatment plan requires patience as they might not immediately cure symptoms.

How to Manage if Your Child Is Suffering From Asthma

Asthma is a condition that severely affects the lungs. The airways become narrow and the lungs become inflamed. Its characteristic features include bronchospasm, reversible airflow obstruction and variable and recurring symptoms such as coughing, wheezing, shortness of breath and chest tightness. This might be caused up to 2 to 3 times a day.
Causes
Causes include:
1. Daily use of paracetamol
2. Vaccines
3. Daily use of antibiotics
4. Caesarean sections
5. Asthma in family

Asthma is usually triggered by:
1. Tobacco smoke
2. Exercise
3. Polluted or poor air
4. Cold air
5. Emotional stress
6. Allergies

Homeopathic treatment
Asthma should be preferably treated using homeopathy. It is safe for most age groups. Asthma is a chronic problem that is best treated by a qualified homeopath. While few cures are found in numerous home use packs since they can treat a number of problems, the effective treatment of asthma usually needs potencies and changes of cures more than the extent of a prescriber and a home kit. For best results, the monitoring of a qualified homeopath should be sought. The homeopathic cures required for asthma change according to the signs of the sufferer. Some of them are listed below:

1. Arsenicum album (ars.): symptoms requiring the use of this medication include wheezing with dry cough and asthma caused due to cold air. Upon application, the person will be anxious and restless and the condition worsens after midnight. Sometimes, it might result in exhaustion. There is a chilling sensation and they will crave for warmth. Patients required ars. Will be critical, anxious and afraid of being alone.

2. Kali bichromicum (kali-bi.): symptoms that require kali-bi include asthma with stringy and sticky mucus. The patients feel chilly and after a while they get sick. The respiratory tract often is infected with mucous membrane infections. Ulcers are an additional infection.

3. Antimoniumtartaricum (ant-t.): uncomfortable breathing and wet cough with mucus require this medication. It solves many issues that accompany difficult breathing. In severe cases, heart failure is possible.

4. Grindelia (grin.): key symptoms are dry cough and possibility of wheezing. It may be accompanied by rattling respiration, chronic bronchitis and suffocation during sleep.

5. Phosphorus (phos.): upper respiratory tract infections cause asthma that ends in the chest. This causes coughing and wheezing.

Other homeopathic medicines for treating asthma are nux vomica (nux-v.) and pulsatilla pratensis (puls.).

Homeopathic Treatment for Asthma

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