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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

Allergy Testing By Skin Prick Method - An Insight!

MBBS, MS - ENT
ENT Specialist, Delhi
Allergy Testing By Skin Prick Method - An Insight!

While a sizeable population suffers from allergy issues every year, treating them is often possible without an extensive diagnosis. However, diagnosis of the allergen becomes crucial when the problem recurs several times in a year.

The skin prick testing is a reliable means of diagnosing the IgE-mediated (immunoglobulin E) allergic disease in people who have asthma, urticaria, rhinoconjunctivitis, atopic eczema, anaphylaxis, and drug allergy.

It offers evidence for confirming the diagnosis of the type I allergy. The best aspect of allergy testing by skin prick method is that it is minimally invasive, inexpensive and the results are immediately available when carried out by trained professionals.

Why is skin prick test conducted?
Skin prick test is usually used for diagnosing the food allergy symptoms which are typically caused by the interaction between a food allergen and the IgE antibody. To diagnose a food allergy, the allergy expert may recommend you undergo a skin prick test for measuring the number of antibodies present.

What can you expect?
During the skin prick test, the allergist places a drop of solution which contains the food allergen on the back or the forearm. When testing the fruits and vegetables, food is used in place of solution. In this allergy testing method, the doctor would use a needle or a plastic probe for gently pricking or scratching the skin for allowing a small amount of solution to penetrate the skin surface. This method is not painful, and no bleeding is involved in it. Though many people think that the process would cause much discomfort, the reality is that it feels similar to a scratch caused by fingernails.

On the basis of the case history, a patient may need to be tested for just one or many foods. The results are almost immediate; You can get them within half-an-hour of the test. The positive results of the test are indicated by a wheal which causes a raised white bump encircled by a small circle of itchy red skin. Though the size of the wheal is not the accurate indicator, a large wheal generally indicates that the patient is affected by food allergy.

How accurate is skin prick testing?
The skin prick allergy testing hardly produces any false negatives which indicate that you are not allergic to a food. Having negative results is synonymous with not being allergic to the food for which you are tested. On the other hand, positive results are also not always accurate. About 50 percent of cases show false positives which mean the positive result is shown even though you are not allergic to that particular food.

This simple test can be the means of identifying the allergens which will help determine the allergy prevention plan. Consulting an allergist before undergoing the test is essential.

2617 people found this helpful

Allergic Asthma - Dealing With Person Suffering From It!

Diploma In Allergy & Clinical Immunology, MBBS, MD - Paediatrics, M.Med - Family Medicine
Allergist/Immunologist, Kochi
Allergic Asthma - Dealing With Person Suffering From It!

 Allergic asthma affects a vast majority of adults, being one of the most common respiratory disorders. There are various triggers, and with environmental pollution on the rise, the incidence of asthma has grown too. If there is a person in the family with asthma, it is not just the person who has it, but the entire family who needs to be sort of prepared to handle it. In most cases, there could be attacks or exacerbations and it is extremely important for the person who is in the vicinity to know how to act. This timely and prompt action could sometimes prove to be a life-saver.

  1. Handy inhaler: If your loved one has asthma, it is advisable to keep an inhaler handy. Practice how to use the albuterol nebulizer, which often is a lifesaver when a person has an acute asthma attack.
  2. What to do: In most cases, the doctor writes out an action plan that details what should be done if there is an attack. The person who could be potential caretaker should familiarize with this and probably do a mock trial so they are ready when required.
  3. Monitor: Whether it is a young or an elderly person, teach them to monitor peak flow levels. The peak flow meter is easy to use and the readings can help identify if there is any need to be watchful.
  4. Clean up the house: For allergic asthma, the accumulated dust in the furniture and animal dander are great triggers. It helps to keep the house clean by periodic cleaning of the carpets, mopping up the tiles and flooring. This helps to remove accumulated dust and prevents attacks. Avoid accumulating soft toys which tend to collect dust. Bookshelves need to be cleaned periodically.
  5. Smoking: Avoid smoking at home or as much as possible when the asthmatic person is around.
  6. Pets: If possible, avoid them as they produce dander which can trigger an attack.
  7. Empathy: An asthma patient requires a lot of empathy. One should understand that the asthmatics are also affected by their attacks, which in turn controls their overall schedule. Try to slow down and keep pace with them. Do not push for exercise or changes beyond a certain point, as the person knows how much they can stretch. Help them manage weight and stress, as these lead to acute attacks.

Healthify your lifestyle: Eat healthy, avoid foods which can induce an attack, get a good night’s sleep, avoid triggers, maintain weight, avoid smoking, and manage stress. Emotionally, match up their pace and show empathy. All these will definitely produce better control over asthma.

Despite this, it is possible to have an attack, so be cautious. In case you have a concern or query you can always consult an expert & get answers to your questions!

4316 people found this helpful

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!

3078 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!

4020 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!

3328 people found this helpful

Popular Questions & Answers

My mom is suffering from asthma from last 4 year ,she is taking a inhaler (ipratropium bromide and levosalbutamol inhaler) but mostly at midnight she is having a breathing problem for at least more than 1 hour. What should I do please give me some suggestions and she is also having a high BP problem.

MD, MD - Tuberculosis & Respiratory Diseases / Pulmonary Medicine
Pulmonologist, Mumbai
The combshes using is useful and effective for short while. Use combination appropriate for her disease severity that can b determined by chest physician only. Do consult one for tailored treatment.

Sir I suffering asthmatics disorder nasal discharge cough making heavily I need help today taking montas l and combihale fb 200 then I feeling well but cough is persist?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Chest & TB
Pulmonologist, Faridabad
Cough may indicate and uncontrolled Bronchial Asthma, post nasal drip, Acid reflux, or any other underlying infection/disease. A regular follow up of a pulmonologist along with correct method of taking inhalers/rotacaps would help.
3 people found this helpful

Table of Content

What is Asthma ?

What trrigers Asthma?

Diagnosis and Treatment

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.
Play video
Know More About Asthma
I am Dr. MC Gupta, a respective physician practising in Faridabad for the last 40 years. My talk is on Asthma.

Asthma is a very common disease involves 3-10 % of the population and the prevalence is gradually increasing due to increased pollution in the industrialization and environmental and occupational problems. It is characterized by chronic inflammation of the air tubes that carry oxygen and air from and into the lung. Due to chronic inflammation of the air tubes, there is a hyper responsiveness of the air tube that means if there is any trigger they react, constrict, there is an increase inflammation and that lead to the attack of asthma.

Asthma by symptom is characterized by shortness of breath, chest tightness, cough. These are the main three symptoms. Asthma is usually variable. One we have an asthma attack and the patient may go into dimensions when there are no symptoms at all.

There are many risk factors and if we control the risk factor we can avoid or control the asthma attack. The risk factors are a family if any one of the parents is having asthma then there are twenty-five percent chances of children getting asthma or if both the parents are having asthma then fifty percent of children can develop asthma. Other risk factors are repeated viral infections, stress obesity, rhinitis, reflex, some medicines which can aggravate the symptoms of asthma, even in some exercise can induce asthma which is called exercise induced asthma. Tablet aspirin commonly taken as disprin and in some persons can induce the attack of asthma.

The diagnosis very simple usually on the basis of symptoms the patient is suffering supported by pulmonary function tests, x-ray test, haemogram and total IGE and rust test for lse.

Treatment of asthma depends upon the character of asthma, rather it just mild intermittent or it is persistent. In persistent is mild moderate and severe. If the asthma is just mild and intermittent one needs only rescue medicine that shorts acting beta 2 taken during the time of the attack and after that, the patient usually goes into remission and does not require the treatment. In persistent asthma, in mild asthma long acting beta 2 with an inhaled corticosteroid in minimum doses that control asthma and keep under control. Moderate asthma and severe asthma the bowls of inhaled corticosteroid can be increased from 800mg to 2000 microgram and it should be given in a combination of long acting beta 2. In the fourth stage of asthma, these inhaled corticosteroid plus long acting beta 2 agonists may be added with LAMA that is long acting muscarinic acids agents or taken orally or steroids. The oral steroids should not be taken continuously for the treatment of asthma because they can cause osteoporosis diabetes, hypertension and obesity.

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