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

The lungs are made of pipes - starting from the nostrils all the way to the fine tubules in the lungs, through which the air we breathe passes through. The inhaled air also contains a lot of other particles - dust, pollen, virus, cigarette smoke, etc. Very often, the body is allergic to one or more of these particles, and the bronchi are constantly irritated and inflamed due to their sustained exposure. This causes allergic bronchitis which is identified by symptoms like chronic coughing, difficulty breathing, hoarseness, nasal congestion.

Ayurveda believes that the human body has 3 doshas or bio elements - vata, pitta, and kapha. Any disease is believed to be due to one of these being affected. Allergic bronchitis is believed to be an issue with vata.
1. The most effective treatment for bronchitis is believed to be a glass of milk mixed with 1/2 teaspoon of turmeric powder in it. This mixture is believed to be most effective when taken on an empty stomach and can be had 2 to 3 times a day.
2. Equal portions of powders of dry ginger, long pepper, and black pepper can be mixed with honey to make a smooth paste. This can be had 2 to 3 times a day to see wonderful results.
3. One-half teaspoon of licorice powder mixed in 1 cup of water can be boiled, cooled, and stored to be consumed through the day.
4. A creeping plant known as somlata (ephedra vulgaris) is found to be highly efficacious in relieving asthma. This grows in western himalayas in abundance and is sent in hundreds of tonnes to western countries where ephedrine is prepared from it. The powder made from the whole plant, after drying in the shade and is given in the dosage of 100 to 250 milligrams, mixed with honey or water at the intervals of 8 to 4 hours.

Other formulations

Kapha katari - literally translates as phlegm cutter, this works immediately. The powder needs to be wrapped in betel leaf and chewed slowly. Continue with another 4 doses over the next 24 hours.

Kanakasava - the extract of datura is very effective in halting bronchitis but needs to be taken under medical supervision only. This is habit-forming and therefore, needs to be used cautiously.

In addition, follow these general considerations too:
1. Avoid or minimize exposure to known allergens, cigarette smoke and pollution
2. Drink about 8 to 10 glasses of water to help form a thin mucous
3. Avoid dust in the bedroom, avoid feather pillows
4. Regularly vacuum clean the house
5. Do yoga, especially the breathing asanas which are very beneficial for bronchitis patients
Allergic bronchitis is a chronic condition, and acute attacks can be avoided by following some of the pointers mentioned above.

Ayurvedic Treatment Options for Allergic Bronchitis

Has your child been coughing frequently? Is the cough chronic in nature, making your child breathe rapidly and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

    Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
    Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
    Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

Asthma in Children: Diagnosis and Treatment

What is Allergic Asthma?

Allergic asthma is the condition in which the symptoms of an asthmatic attack appear after exposure to certain allergens. 90% of the cases of asthma in children are allergy driven, while in adults, the percentage is said to be around 50%.

An allergy happens when an individual's immune system exhibits massive reaction or fights vigorously against substances like pollen, dust, animal dander or certain other minute particles which are actually not harmful to the body but are considered so by the immune system.

Symptomatic changes in cases of allergic asthma:

If the symptoms of an asthma attack occur only when you are subjected to these triggers or irritant particles, your case is allergy driven.

In such cases, the airway reacts aggressively to the entry of such allergens.

The airway muscles tighten up and inflammation is observed.

Breathing becomes painful and compromised, and mucus accumulation sets in very quickly.

Coughing is a common phenomenon, as the body tries to expel the mucus accumulated.

The allergens mentioned above are not the only triggering agents. Basically, anything that causes irritation could trigger an allergy and an asthmatic attack thereafter. Symptoms in the case of allergy driven asthma are more or less the same as seen in other asthmatic cases.

Confirming the cause of asthma as allergic or not:

The doctor would give you a much better clarification on whether you're asthma is allergy driven or not. There are pretty much two ways to decipher the same:

One is to administer a tiny amount of allergen to the skin and making a note of the reaction to that. Whether the reaction is a normal one or an aggressive one would tell if an individual has an allergy or not.

Specific IgE test may be done to confirm the cause, or to test the presence of an allergic reaction in the individual.

All your queries pertaining to allergic asthma and asthma, in general, are more than welcome.

What is Allergic Asthma?

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!

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?

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