Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Asthma - Symptom, Treatment And Causes

What is Asthma ?

Airways become narrow and get constricted and there is excess mucus production in asthma. It makes breathing difficult and also triggers wheezing and coughing. For some asthma is just a minor ailment. Others might not be able to function and may have near fatal experiences. Even though it can’t be cured. The symptoms are manageable. As it can change with time, it is necessary that your doctor tracks your symptoms and signs and adjusts treatment as required. It isn’t known as to why some people have asthma while others don’t. Genetic and environmental factors are thought to play a role in this.

What trrigers Asthma?

  • Being exposed to various substances and irritants that might trigger allergies or the asthma symptoms and signs.
  • Airborne particles like dust mites, pollen, pet dander, cockroach waste and mold spores.
  • Common cold
  • Exertion induced
  • Chilly air
  • Emotional overload and stress
  • Irritants and air particles like smoke
  • Certain medicines like aspirin, ibuprofen, beta blockers and naproxen
  • Preservatives and sulfites
  • GERD or gastro esophageal disease, an acid reflux condition

The chances of asthma increase for a number of reasons. These are:

  • Having a relative with asthma
  • Having other allergic conditions like allergic rhinitis or atopic dermatitis
  • Smoking excessively
  • Having a high BMR
  • Being exposed to passive smoke
  • Being exposed to pollution or fumes
  • Having an occupation which involves dealing with chemicals

Diagnosis and Treatment

It is necessary to do a physical exam to rule out other possibilities like COPD (chronic-obstructive pulmonary disease) or respiratory infections. The doctor will conduct these tests and question about your symptoms and signs.

  • Lung Function Tests- Pulmonary or lung function tests can determine the amount of air moving out and in during breathing. They may include: Spirometry- This tests for the widening of the bronchi by seeing how much air is exhaled after deep breathing.
  • Peak flow- A peak-flow meter is quiet a simple instrument that checks the intensity of the exhalation. A low reading on the meter might indicate that the lungs aren’t working to their best efficiency and that the asthma is deteriorating. A doctor will instruct you on how the peak flow measurements are to be interpreted and tracked.
  • A medicine called bronchodilator is taken after or before a lung function test, to open the airways up.
Can't be cured, but treatment helps Self diagnosable Lab test not required Chronic: can last for years or be lifelong Non communicable
Symptoms
Pain in the chest Troubled breathing Wheezing Irritated or inflammed throat Mouth breathing Tightness of chest

Popular Health Tips

Asthma - Gendered Susceptibility And Prevention Of Attacks!

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Asthma - Gendered Susceptibility And Prevention Of Attacks!

All human beings breathe, that is how they live. Asthma is when the one thing that happens automatically for your sustenance decides to drop the ball. Asthma is the most common pulmonary disease that has people feeling breathless left right and the centre. It occurs when the trachea becomes constricted and the passage for the flow of air decreases dramatically thereby leaving people out of breath and wheezing, for they are unable to breathe. The bronchial tubes that help you breathe protest when you exert them and in turn close up so that you are unable to keep working or breathing properly. The lungs too get inflamed and participate in this ordeal.

Unfortunately, there is no cure for asthma, that being said, females are more prone to asthma than males and that makes females doubly unlucky. Asthma is a combination of genetic inheritance and environmental factors and more likely to occur in women because hormones are involved in the aggravation or retardation of asthma attacks.

Testosterone increases in men as they hit puberty and testosterone has been studied and it shows a particular quality that makes one immune to asthma. Women, on the other hand, have a healthy dose of a particular kind of immune cells that make them prone to asthma. These cells make proteins that lead to a mucus build up and inflamed lungs and causes wheezing along with the loss of breath. This is a huge breakthrough discovery in the field of medicine particularly for this disease since there is no discernible cure for asthma. Administering testosterone cannot be used as a line of treatment because hormone treatment is not a cakewalk but this finding can help make asthma treatments more precise and targeted.

Notwithstanding all that has been discussed above, asthma is a serious deterrent in your daily activities and once you start suffering from it, it is highly unlikely you can ever live without it, so here are a few quick steps to prevent an asthma attack:

  1. Inhalers: Obviously carry your emergency inhalers at all costs, you never know what can trigger an asthmatic attack, it could be physical activities, your surroundings, pollution or smoke thus best be prepared. Albuterol containing medication can be used for quick relief.
  2. Cleaning homes: Keep your house and living environment clean, devoid of dust and any other allergens that may trigger your attacks. Identify your triggers and stay clear of them. Cockroaches also spread allergens into the home environment. Try and eliminate all possible hideouts and seal any open pipes. If you are hit by an attack get away from the inducer and look for an air-conditioned room with clean air.
  3. Deep breathing: Regulate your breathing by sitting down and staying calm. Taking deep breaths will help open up constricted passage-ways by inducing a normal pattern. Since attacks occur due to mucous build-up, consider drinking a hot beverage that will help open up your airway and breathe easy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3077 people found this helpful

Asthma - What Can Trigger It?

MBBS, Diploma In Tropical Medicine Health, MRCP(UK)
Allergist/Immunologist, Hyderabad
Asthma - What Can Trigger It?

Asthma is a chronic lung disease that causes inflammation and narrows the airways in the lungs. The problem of Asthma is often hereditary but there are cases where asthma develops due to certain environmental factors. In such a condition, the airways become swollen and the muscles around the airways tighten making it difficult to breathe. Sometimes it is called bronchial asthma or reactive airway disease. Asthma symptoms are experienced when the airways tighten, inflame or fill with mucus. Some of the common symptoms include:

Severe asthma attacks can be life-threatening, therefore one needs to be very careful and take all the necessary precautions in order to avoid any kind of triggers. Asthma attacks occur only when something irritates your lungs.

There are two types of asthma

  • Allergic asthma: Allergic asthma develops due to the continued exposure to an allergen.
  • Non-Allergic Asthma: It usually caused by stress, exercise, irritants in the air or due to some illnesses like cold or flu.

Some of the triggers are:

  • Extreme weather conditions such as extremely cold or extremely dry, wet or windy weather
  • Strenuous exercise
  • Irritants in the air such as smoke and strong odors.
  • Indoor allergens such as dust
  • Outdoor allergens such as pollens from grass, trees and weeds.

Asthma Management

  • If you are suffering from asthma, you should be aware of all the asthma triggers and avoid them at all costs. It can be very serious if asthma is misdiagnosed or left untreated. A person with asthma can lead a happy and productive life by taking proper treatment at the right time getting himself properly diagnosed by an allergist. Your allergist will give you a treatment plan.
  • Once your asthma has been controlled, the patient can return to regular life immediately and no hospital stay or visit is required.
  • The doctors usually use a combination of medication and breathing exercise to treat the problem of asthma effectually. It is, however, important to remember that asthma changes with time, which makes it essential to be in touch with your doctor to adjust treatment as needed. When properly managed with a good treatment plan and guidance of your doctor, you can live a perfectly normal life and do things that you enjoy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4019 people found this helpful

World Asthma Day - Spreading Awareness Is Important!

M.D - Respiratory Medicine
Pulmonologist, Hyderabad
World Asthma Day - Spreading Awareness Is Important!

Most people know all about Asthma, how dangerous it is and most importantly, with the rising levels of pollution and irritants how people are getting affected by it all over the world. Just like famous events, incidents and festivals have their special date in the calendar, May 1 apart from being the International Labour Day, holds another significant stance worldwide. As it is celebrated as the World Asthma Day. This day marks the initiation of the Asthma awareness campaign worldwide.

Understanding Asthma in brief

Asthma is a long-term respiratory condition, in which the airways of the human system may unexpectedly and suddenly narrow, often in response to an allergen, cold air, exercise or emotional stress. Common symptoms include wheezing, shortness of breath, chest tightness, and coughing.

Why is Asthma Day important?

World Asthma Day is celebrated every year on the first Tuesday of May. This year it falls on 1st May. The day is celebrated to spread awareness about Asthma and how people all over the world can spread it amongst their families. Therefore to commemorate the event and educate the students in school and parents at home, World Asthma day was commenced. The aim of this campaign is to make people understand the types of Asthma that can affect them and immediate safety tips so as to ensure that the severity of the disease can be curtailed. 

Things to keep in mind about Asthma

All over the world, there are several people who do not opt for Asthma treatment and that proves to be a fatal mistake later on in life. Chronic Asthma disease can be easily prevented by a simple treatment in the initial stages. People who suffer from Asthma often face chronic attacks if they forget to carry their inhaler and different kinds of allergies are also very fatal for asthma people.

Things that can trigger Asthma in people

  1. Dust 
  2. Pollens
  3. Gastroesophageal Reflux
  4. Pet Dander
  5. Certain foods 
  6. Exposure to chemicals 
  7. Excessive physical activity 
  8. Stress 
  9. 39-50% Of Sinusitis patients have Asthma also 
  10. Extremely cold conditions

Signs someone is suffering from Asthma 

  1. Persistent coughing
  2. Difficulty in breathing
  3. Wheezing 
  4. Tightness in chest

Diagnosis and severity are established by a simple air blowing test known as Spirometry.

  • Chest X-ray and Sinus X-ray Help 
  • Serum IgE a blood test tells about type and severity

Severe cases may require special blood test known as Arterial Blood Gases to look at blood oxygen and carbon dioxide.

Sheet anchor of therapy is the inhaled medication to dilate airway and to reduce inflammation. The dose being in microgram dose is harmless and delivered to the site of the problem.  New drugs known as Omalizumab and Benralizumab are approved for specific nonresponding patients with severe asthma.

Prevent asthma from being harmful

Asthma is a chronic disease can stay for the rest of someone's life. So on this World Asthma Day make sure that you know how it can be treated and prevent the disease from harming someone you love. Here are some treatment tips.

  1. First get to know more about asthma and become a partner with the doctor to carry out treatment for a long time period.
  2. Be aware of the allergens that may trigger asthma and prevent them from coming in contact with the person.
  3. Make sure to keep the doctor updated regarding the status of a patient's condition and for any sign of potential risk.
  4. If a loved one is suffering then ensure that they lead their life as per the guidelines shared by the doctor, in order to prevent any risky situation. 

So here are the important things that you should be knowing about asthma. And, in case you notice any of the symptoms mentioned above, one should immediately contact their doctor. On this World Asthma Day be aware of the disease and keep the people safe who are suffering from it. Stay Healthy!

In case you have a concern or query you can always consult an expert & get answers to your questions!

3319 people found this helpful

6 Precautionary Measures That Asthmatic Patients Must Take!

MBBS, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care
Pulmonologist, Gurgaon
6 Precautionary Measures That Asthmatic Patients Must Take!

While winter may feel like a welcome respite after a hot summer, the cold dry air can aggravate asthma symptoms. The cold also increases sinus and upper respiratory tract infections that in turn worsen asthma. However, there are still ways you can still enjoy the winter without worsening your asthma. Here are a few tips

  1. Get a flu shot: Asthma does not increase your flu risk but you may experience a worse flu as compared to a person who does not have asthma. Hence, it is advisable for everyone over the age of 6 months to get an annual flu shot before the winter sets in. Asthma patients should pick the injectable vaccine over the nasal spray as it contains inactivated flu viruses.
  2. Sit away from the fireplace: It is tempting to cozy up to the warm fire, but this can be detrimental to your asthma. This is because the smoke produced by burning wood can irritate your lungs and cause breathing trouble. For this reason, you should also stay away from second-hand cigarette smoke. It goes unsaid that cigarette smoking should be completely avoided by an asthma patient.
  3. Keep your mouth closed: Make an effort to breathe only through your nose. This is because the nostrils are lined with tiny hairs that filter the air and warm inhaled air. You could also wear a scarf or muffler around your nose and throat.
  4. Replace your filters: It is essential to replace filters on your air condition and heating systems before the winter. If left as it is, they can make the air polluted and also make the dust flow through your house. This can trigger an asthmatic attack. Also, keep an eye on the humidity levels within your home.
  5. Exercise indoors: Avoid stepping outdoors in early morning and late evenings, as this is when the fog and dust concentration is worst in the air. Instead, exercise indoors, if you have a gym close by, this is the time to become a member. Else, experiment with other forms of exercise such as yoga, aerobics etc. If you must exercise outdoors, step out during the middle of the day when the sun is out. It is also very important to warm up properly before exercising in the winters.
  6. Take your medications: Always keep your inhaler handy. Do not let your work or social calendar affect your medicines and take them regularly as prescribed. Get yourself checked up as per the schedule and do not change your dosage on medication without your doctor’ advice. In case you have a concern or query you can always consult an expert & get answers to your questions!
3482 people found this helpful

Rise In Pollution Levels - Effective Measures You Can Adopt!

MBBS, MD - Pulmonary Medicine
Pulmonologist, Noida
Rise In Pollution Levels - Effective Measures You Can Adopt!

If you’ve read the newspaper recently, you would no doubt have read about the alarming air pollution levels. Whether it is of exhaust fumes from cars and factories or smoke from burning stubble air pollution is a cause of great concern. The effects of this can be seen in the growing number of asthma and other respiratory diseases. These diseases affect adults and children alike, however, it is the younger generation and elderly people are most susceptible.

How does Pollution affect your health?
When it comes to air pollution, particulate matter is the greatest worry. This can be described a mixture of solid and liquid particles that remain suspended in the air. Inhaling air with this particulate matter leads to them being deposited on the lining of the respiratory tubes and organs. This can hinder the normal functioning of the respiratory system and act as catalysts for reactions that can harm your health. Along with the lungs, inhaling this particulate matter can also affect the heart and other organs. It also increases susceptibility to allergic reactions and diseases such as asthma.

Protecting yourself from air pollution
Simply talking about how there need to be stricter laws about car emissions and burning of waste will not help you. Here are a few things you can do to protect yourself and your family from the ill effects of air pollution.

  1. Carpool: Exhausts from cars and other vehicles are one of the biggest causes of air pollution. Do your part to reduce air pollution by restricting the amount you use your car. Try taking public transport to work or carpool with colleagues. Similarly, avoid making individual trips every time you need something from the market. Make a list and when it’s long enough, then step out.
  2. Limit indoor pollution: Do not smoke indoors. When cooking, keep the exhaust fan on so that the smoke produced does not collect indoors. Avoid spraying air fresheners etc. While they may temporarily make the air smell fresh, in the long run, they contribute towards air pollution.
  3. Check the weather before you step out: Just as you can see the daily temperature on your phone, a number of sites also tell you the pollution levels in your city. Avoid stepping out in the early morning and during peak traffic hours as this is when pollution levels are highest. When the air pollution levels are high, keep your windows closed as well.
  4. Cover your nose: Invest in a face mask. This will help filter the air you breathe and keep particulate matter from entering your system.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3971 people found this helpful

Popular Questions & Answers

Can you help in determine if some one is exposed to something in  home or  workplace that may be causing to asthma symptoms and relying on your quick-relief medicine. Can controlling environmental triggers are important in the overall management asthma.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Chest & TB
Pulmonologist, Faridabad
Yes we can find out possible allergens /triggers that are worsening your asthma symptoms. First is your history and then test like skin prick test. Avoidance of allergens is key to control of asthma along with regular inhaled controllers. If your condition allows you may go for Allergen immunotherapy for Allergen that can not be avoided.

I am suffering from asthma. But it is not present from my birth. It happens from tension. How to get free from it? And what are the symptoms of Dengue? Can you please explain? Help me out.

MBBS, Diploma In Tropical Medicine Health, MRCP(UK)
Allergist/Immunologist, Hyderabad
Dear lybrate-user, if your asthma is triggered by tension you should consult a chest specialist (pulmonologist). Dengue causes high fever, rashes, head ache diarrhoea vomitings. Or some of the above mentioned symptoms. The diagnosis is made by doing some blood tests. There are no specific symptoms of dengue. It is a viral fever. If any body gets high fever and feels very ill he should see a doctor who will make a correct diagnosis.
1 person found this helpful

I have asthma. For a week now, have wet cough, so self prescribed Viscodyne LS+, composition levosalbutamol, ambroxol hydrochloride and guaifenesin. I've been prescribed levosalbutamol inhaler and Budamate 400 respules for the asthma. Is it safe to take the expectorant?

MBBS, MD Pulmonary Medicine
Pulmonologist, Pondicherry
Inhalers are must in the treatment of asthma. Do not stop them until suggested by a doctor. You can take expectorant along with inhalers.
2 people found this helpful

Table of Content

What is Asthma ?

What trrigers Asthma?

Diagnosis and Treatment

Play video
Indoor And Outdoor Air Pollution - Effects & Prevention
Hello Everybody!

I'm Dr. Kamal Gera, pulmonologist, practicing in QRG health city, sector 16 in faridabad.

Today, I am going to talk about the ill effects of pollution on our lungs and respiratory system and how to prevent them. Jesa ki aap sab jaante hain, bharat mein air pollution badhta hi jaa raha hai, jisko rokne mein hum asamarth hain. Jab bhi humara dhyaan air pollution ki taraf jata hai, tab hum gaadiyon se nikalne wale dhuen ke baare mein hi sochte hain, but hum bhool jaate hain ki ek indoor air pollution bhi hota hai, jo paint fumes, hair spray, air freshners, pollen, dust in sab se hota hai.

Air pollution se hone waale dusht prawahon ko humne kabhi na kabhi anubhav kiya hai - jese itching in the eyes, throat cough, sneezing, breathlessness. But we also should know that, air pollution can also lead to very serious and fatal diseases, when we expose the pollution for a long time. Usually asthamatics, diabetics, elderly people and pregnant women are most affected by the air pollution. But aaj kal itne zyda air pollution me vo log bhi itne zyda affect ho rahe hai jinko pehle se koi bhi bimaari nahi hai. Air pollution se hone waale dusht prabhavo mein asthama, chronic bronchitis, even cancer tak bimaariyan shamil hain.

Asthama jisko hum nazarandaaz kar dete hai or inhalers or normal anti bioics se treat krte hai, vo ek jaanleva bimaari bhi ban skta hai jab asthama ka attack hota hai. Reh gayi baat cancer ki, sab jaante hai cancer ek jaanleva bimaari hai. Ab hum aatey hai precautions pe, how to prevent the ill effects of the pollution. For outdoor air pollution, hume apne area ke air quality index par nazar rakhni chahiye. Jin dino air quality index kharaab ho, un dino ghar se bahar nikalne se bachna chahiye.

Doctor mask, jese ki N95 ka istemal krna chahiye. Indoor air pollution se bachna bohot kathin baat hai, hume apne gharo mein carpeting or kam se kam pardon ka pryog krna chahiye. Regular vaccume cleaning karni chaie or air conditioner me jo filters hotey hai unhe regularly saaf karna chaie. Mujhe aasha hai yeh jaankaari aapke liye laabhdayak rahegi. Antt mein mai aapki achi sehat ki shubkamana krta hu.



Good bye and take care.
Play video
Air Pollution
Good evening friends!

I am Dr. Piyush Goel. I am consultant Pulmonologist and critical care specialist.

Today we will discuss about one of the most happening topic which we are discussing in day to day life that is air pollution. Right, we talk lot about air pollution.

What is air pollution? It can affect your lungs, it can affect your heart, you, beside living in daily NCR in wrong area, you have a large exposure of air pollution at most of the things, most of the allergies, most of the lung infections, and most of the heart diseases are because of this air pollution. You all know this. You all know about this thing. You have read all these thing in the newspaper, but we just have to know how it affects your body? What is, basically first, what is air pollution, what are the contents of this air pollution? What is smoke? What is particulate matter? We heard lot of particulate matter. PM 2.5 so you just have to know about all these thing and how it affect your lung, how it effect you heart and other body parts. So we will discuss all these thing and how to avoid exposure to air pollution .what are the things you have to do to avoid air pollution. Right, so air pollution is basically because of our day to day activities right. First and foremost is combustion of fossil fuels which we are using in day to day activities like when we drive a car. We are, we are emitting lot of gas. Our car, our scooter, our bike is emitting lot of gases which can lead to air pollution. By burning of petroleum products like diesel and other things. Right, So the burning of fossil fuels is one of the most important reasons. Then you, the smoke originating from the industries ,factories and. The other types of air pollution are the greenhouse gases which are emitting into environment like as emitting from you refrigerator and from your AC which we call as hydrofluorocarbon, then there are other chemicals also in environment like lead, mercury and dioxin's and benzene and other chemicals and other compounds which also lead into air pollution right! Then there are other things which are not because of human that is basically the pollens. The presence of moisture in air leading to increase amount of mound and pollen in air which are also contribution for air pollution and all these things can lead to very harmful effects on your lungs, on you hearts, on your kidneys and other body parts like central nervous system and in children it can lead to liver diseases also and gastrointestinal disorders also. So many times you heard about levels of pm in your cities. Pm level in you surrounding .you have heard about pm level in newspapers. So what s this pm level .this is basically particulate matter .how this particulate matter forms? Particulate matter is formed when the smoke ,dust, dust from the construction sites ,dust from your pavement of roads and dust from other places where ever you do some exclamation. This dust with smoke with some other organic compounds and with some water vapors due to moisture in air .when they combine together they will form a pm means particulate matter and you heard about pm 2.5. So what is meant by pm 2.5? It is basically the diameter of that particulate matter that is 2.5 microns which is very small. For example you have seen a single hair. It is 70times less than that of a single hair the diameter is that .so this Pm 2.5 compound or this molecule can go directly into the lungs or in the deeper airways where it can go to the direct blood circulations and it can go to the heart , it can go to the valve, kidneys and brain which can lead to multiple problems.it can lead to heart diseases it can lead to stroke it can cause lung diseases asthma ,Copt and other lung diseases also . SO this is what is PM 2.5. So how you avoid this pm 2.5. Right. How you will, What are the precarious you take. First whenever you have pm 2.5 levels more than upper normal limits you can avoid going outdoor avoid doing physical activities right, outdoor. Right, avoid going to walk. Avoid. Stay inside. Stay inside your home. Right. Most of the times. And whenever you stay inside, you have to tool your doors. You, most of the, at least most of the time and the day. Right and you can use the mesh also you can invest in mesh. If you want to invest. There are some meshes which filter these particulate matter and other dust particle and also it will be a barrier for insects also .such things will not enter into your home and then you can use some plants also this will adds to your decorum also .there are some plants which are for this basic purpose to reduce particulate matter and dust into your house.so if you want to go out door you can use n95 mask. You can wear the N95 mask. Especially for those patients who are asthmatic patients, who have history of allergies and at this part of time I can only say this thing to you that if you have any allergies, if you have any breathing troubles, if you have any chest infections right now you can come to and contact me via Lybrate and you can come back to me at my hospital in Colombia and I'm seeing patients at my residence also so you can come and see me.

Thank you
Play video
Know More About Asthma
I am Dr. M.C Gupta. Practicing at Jeevan Jyoti Hospital, Faridabad. I am a pulmonologist and going to talk about asthma.

Asthma is a chronic inflammatory disease of the airways. Leading to hyper responsiveness of the airways, causing breathlessness, chest tightness, cough which is usually in the night or early morning hours. It should be reversible by it self or by drugs. Prevalence of asthma is in India between 1.3 to 2.5% and it is higher in the children and go even up to 10%. Type of asthma are childhood asthma, adult onset asthma, chronic asthma, occupational asthma and difficult to treat asthma. Asthma is usually genetic or environmental factors. The environmental triggers usually are allergens. Most of are, in allergens most important cause is house dust might. It can be due to stress, anxiety, obesity, drugs, infection. Infection are usually viral. It can be due to drugs like aspirin, NSIAD, or ace. The diagnosis of asthma is usually by pulmonary function test which shows the obstruction and the reversibility of the obstruction by inhaled short acting beta to agonist. If the reversibility is good then the patient is labeled as asthma. Treatment of asthma is for emergency patients or a routine patients. If a patient is unable to take proper breath, his heart rate is more than 120, he is having increased respiratory rate of 30 or having sinuses or unable to speak a single sentence then he is having a severe attack of asthma and should be rushed, patient should be rushed to the nearby health faculty for admission and treatment. Treatment for routine asthmatic is divided into certain steps. Steps 1 to 5. In the step 1, the patient is given short acting beta 2 agonist as and when required, with that the patient usually remain all right, the need for inhalation for beta 2 agonist should not be regular. Step 2 consist of inhaled corticosteroids in low doses, and the patient remain usually well controlled with that. In the step 3 of this, there is a either high dose of inhaled corticosteroids or combination of low dosed inhaled corticosteroids plus long acting beta 2 agonist. In step 4 if the patients is not controlled with the drugs in step 3 then, the patient is put on to step 4 and contain high dose inhaled corticosteroids plus long acting beta2 agonist. Most of the patients are controlled up to steep wise treatment 1 to 4. If the patient is not controlled given with that then the patient may need oral corticosteroids or anti iGE treatment.

For further queries or any follow up treatments you can contact me at my hospital.
Play video
Bronchial Asthma
Good mroning, I am Dr Ashok Rajput, a Pulmonologist, practising in Delhi. Today I will talk to you about very common disease, that is, Bronchial Asthma.

Asthma starts in early childhood and may persist in adult life. It is an episodic disease which is intermitted initially. Later, if left untreated, it become continuous and perennial. Whne one is exposed to dust, fumes, pollen and smoke then the inner lining of the airways swells and becomes inflammed and the lumen narrows. So it becomes difficult to breathe. So these patients get cough, wheezing, snoring and running nose.

The diagnosis of this condition is very easy. What you have to do?

You do Spirometry or a lung function study in which you blow into a computer and you get a graph. You repeat the test after giving bronchodilators, say 15-20 minutes. If you find an improvement in FEV1, one of the parameters, more than 12% you clinch a diagnosis of Asthma.
The treatment of Asthma is very simple these days. The main stay of treatment is inhaled corticosteroids which is given through the inhalers. There are many types of inhalers available with good drugs which act for 12 hours which you need to take only in morning or evening and your Asthma gets controlled. When I say controlled, that means you will no longer have cough, wheeze or sneeze. You can sleep undisturbed in the night and can perform all the activities. You can lead a normal life.What you require is small dose of this inhaler.

Thank you for listening to me.

If you want to contact us, you can come to our clinic or contact through Lybrate.
Play video
Bronchial Asthma
Good evening friends,

I am Dr. Piyush Goel, I am a pulmonologist and critical care specialist in Columbia Asia Hospital, Behar, Gurgaon.

Today I throw light on the most important lung disease which we call as Bronchial Asthma. There is lot of stigma associated with Bronchial Asthma and there are, people need lot of clarification in view of asthma. How we can control this disease? How we can cure this disease and how we can prevent this disease and in today I will explain regarding this disease in a layman language so you can understand this disease well and I just want to remove some stigma associated with this disease also. This is my sincere effort. Right, so asthma is basically a part and parcel of allergic disorders. Most of the patients, most of the people in all over world are allergic to many things. The people can be allergic to dust, people can be allergic to smoke, people can be allergic to perfumes and other odors, people can be allergic to humidity, people can be allergic to temperature change and all these people who are allergic can get asthma. Right, so what do you mean by asthma? Asthma is basically lung allergy. If you are getting symptoms associated with lungs and the reason behind this is allergy then we call it as a, we scientifically we have given name to this thing, we call it Bronchial Asthma, so it is a part and parcel for allergy. Right, so you can get allergy of skin in scientific, in medical language we call it as dermatitis, allergic dermatitis. If you get allergy of a nose we call it as allergic rhinitis. If you get allergy of the throat we call it as allergic pharyngitis, and if you get allergy of the lungs, this means you are suffering from Bronchial Asthma. Right, so basically what is allergy, now you will ask me the question, what is allergy? Allergy is basically abnormal response of your body to some foreign substances of foreign stimulants. Right, like if the person is not allergic and he had a test exposure, right. The body of that person in subconscious way will tell that don t worry. It will not do any harm, so don t do any reflux things and don t take any reflux actions, right so normal persons who are not allergic are absolutely fine if they have exposure to test. So the normal person will continue and there will be no symptoms in a normal person. If a person is not allergic. Now, if the person is allergic, suppose the person is allergic to dust then his body in a subconscious way will tell that we have to get rid of this dust particle and how this body can get rid of this dust particle? You start having sneezing, you start having rhinitis, that is watering of the nose, you start having coughing when this dust particle goes into throat and you can have a narrowing of your airways, right when it, this dust particle goes into the lungs and you feel difficulty in breathing and you see some vising sounds coming from your lungs, which we call it is as, which we call it as a lung allergy, that is Bronchial Asthma. So this is about basically a Bronchial Asthma. Bronchial Asthma is nothing, nothing beyond that. Right, so if you are allergic then how can you control this thing, how can you control this thing, right, first of all, first and the most important, the symptoms. As I discussed the physiology of the disease the symptoms are rhinitis, sneezing, sore throat, coughing, breathing problems and wheezing coming from the chest, so these are the symptoms of asthma. So how can you control it? You can t avoid the exposures sometimes you are in a market and there is a dust going on, there is a dusty environment then you can stop taking breath at that time, you have to take a breath, and if you take the breath you can get an allergic symptoms or symptoms of asthma. So for you to controlling this first and foremost is to avoid the things, but you can avoid sometimes, so control these things you have to take some medications which includes anti allergic and bronchodilators which will open your airways when aver these is allergic manifestation. So most important thing in asthma is to control your symptoms. Right, treatment is something which we have to give every time, but in background you have to control the symptoms then you will remain disease and center free. Right, so to control you have to take the anti-allergic and the bronchodilators. Now a days bronchodilators we are using an inhaler form that goes directly into the lungs and which will open the airways because, and this will, you will get rid of the symptoms at that tie only. Right, so bronchodilators, they are, there is some stigma associated with the bronchodilators, that the patient will become habitual after taking the bronco inhaler from inhaled bronchodilators, but I will say that you will not become habitual because if these inhalers. You will become good that is why you want to take inhaler again and again. You will feel much better. You confidence will be much better, your concentration will be much better, you will progress more in life if your asthma symptoms will get controlled with one single inhaler in a day, right, and that is for sure. Right, there are no side effects. There are more side effects are analgesic, the tablet you are taking for headache. Right, because it goes into your stomach and from stomach it goes into your blood and from blood it goes into all parts of your body weather you have a headache, weather you have a leg pain, weather you have a hand pain. So there are more side effect of these drugs as compared to inhaler because inhaler goes directly into the lungs, where the problem is. Right, so it will produce only good effects not the bad effects. But somehow, there are some very subtle side effects of these medications. Every medication has their side effect. But in view of, if you see the pros and cons of each and everything and if you see the cost effective analysis, if you do the cost effective analysis of these medications you will see that you will become much better. Your symptoms will be much controlled. Your visits to hospital will be much reduced after taking inhalers. Right, so you have to take inhalers and anti-allergens also to get rid of these nasal and the throat symptoms of allergy.

Thank you.
Having issues? Consult a doctor for medical advice