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Overview
Shortness of Breath: Treatment, Procedure, Cost and Side Effects
What is the treatment?
Shortness of breath or dyspnea is a discomforting condition where people face difficulty with their breathing. Heart and lung disorders can inhibit the air from getting fully into the lungs and cause trouble breathing. The problem of dyspnea varies from person to person and the duration of this condition can last for about a few hours to a few days and sometimes to about a few weeks.
Most of the times shortness of breath occurs as a side effect of another medical emergency. Aside from heart and lung disorders shortness of breath can occur as a result of anemia, as a result of hyperventilation or because of smoking habits or pollutants in the air that cause irritation. Dyspnea can also occur as a result of chronic conditions such as pneumonia, bronchitis and pulmonary fibrosis.
The signs and symptoms of dyspnea include wheezing, chest tightness, fevers, chills, feelings of breathlessness, headaches, muscle and lung pain, fatigue, bloating and swollen limbs (legs).
If you experience these symptoms it is advised that you seek help from your healthcare provider right away, then on consultation with him/her you notify the doctor of your medical history. Avoid smoking and environmental pollutants, do not share eating utensils with anyone and take warms baths.
How is the treatment done?
Shortness of breath or dyspnea can be treated either with medications or without it. If you are opting for a treatment that does not involve drugs then you would have to go for a ‘pulmonary rehabilitation’ treatment method. This method uses an exercise program that is well-structured. The method also uses in combination therapies, such as making the breathing muscles go through a training process where it will learn new breathing techniques. This rehabilitation method is very helpful because it treats the dyspnea condition even in a situation where the actual underlying disease cannot be cured.
Treatments that involve taking drugs include bronchodilators such as atrovent, albuterol, spiriva and serevent. The bronchodilator medications are effective for shortness of breath when a shrinking of the muscles happens and causes narrowing of the lungs. People who suffer from Asthma and COPD (Chronic Obstructive Lung Disease) are often prescribed to take these drugs. Anti-inflammatory medications are given to people suffering from COPD, asthma and interstitial lung problems where there is swelling of the lung airways and as a consequence there is a contraction of the passage. These medications work slowly overtime to reduce the swelling.
People who experience shortness of breath are generally heard to complain that while this condition occurs they feel a lack of oxygen within themselves. In such a situation giving the patient supplementary oxygen support reduces their condition of shortness of breath. Doctors may also prescribe taking corticosteroids, anti-coagulant and diuretics.
Who is eligible for the treatment? (When is the treatment done?)
All those who are experiencing dyspnea or shortness of breath are eligible to go for this treatment. Also, patients who are experiencing dyspnesa as a side effect to a treatment of another disease are also eligible.
Who is not eligible for the treatment?
People who are allergic to any of the ingredients contained within the medications mentioned above are generally not eligible for this treatment and should consult with their doctor regarding alternative methods.
Are there any side effects?
Patients who have been prescribed bronchodilator medications such as beta-2 agonists are likely to experience side effects such as muscle aches, headaches, trembling sensations, sudden palpitations and nervous tension. Anticholinergics can produce side effects such as constipation, dryness of mouth, headaches, trouble swallowing, heartburn and throat irritation. Theophylline, another bronchodilator can produce side effects such as vomiting, nausea, diarrhoea, palpitations and insomnia.
Side effects of corticosteroids if used for long can cause side effects such as high blood pressure, weight gain, diabetes, easy bruising, osteoporosis, mood swings, muscle weakness and eye disorders.
What are the post-treatment guidelines?
In order to prevent any future attack of dyspnea you need to adhere to certain post-treatment guidelines such as quitting the habit of smoking both first-hand and second-hand and losing weight (as that reduces stress on the lungs and heart). Also, it is advised that you try to take precaution against inhaling environmental pollutants.
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
The results of this treatment can be permanent if the patients adhere to the post-treatment guidelines well. Environmental triggers and other lung infections can once again lead to dyspnea.
What are the alternatives to the treatment?
Some alternative treatment methods include yoga and homeopathy. The homeopathic medications for dyspnea includes Arsenic album for people suffering from asthma, Antimonium Tart and Ipecac homeopathic medication for shortness of breath that is experienced during coughing, Ammonium Carb and Stannum Met homeopathic medications for shortness of breath experienced by people during walking, Carbo veg and Silicea homeopathic medication for the aged and Lachesis and Grindelia medication for dyspnea experienced by people during the process of sleep.
Popular Health Tips
We rarely take the time to think about the way we breathe. After all, breathing is an involuntary action that begins when we are born and never stops until the moment we die. However, some people find it harder to breathe than others. There are many different kinds of breathing problems that can affect the old and young and thankfully, most of them can be treated and controlled.
- Some breathing problems are short-term and dictated by seasons while others are chronic and long-term.
- Having difficulty breathing when you have a cold and a stuffy nose is considered a breathing problem.
- At the same time, shortness of breath caused by asthma is also a breathing problem.
- Other breathing problems include sinusitis, allergies and nasal congestion caused by diseases like chronic bronchitis or f chronic obstructive pulmonary disease.
- Breathing problems can also be a result of diseases such as HIV, tuberculosis, lung cancer and pneumonia.
Ways it can be treated
To treat a breathing problem, one must first understand and identify the factors triggering it. Avoiding these triggers can effectively reduce the frequency and intensity of breathing problems. For example, not allowing pets into your bedroom can help treat breathing problems caused by an allergy to pet dander. Similarly, wearing a nose mask when outdoors, can reduce breathing problems caused by dust and pollution.
Medication can also help treat breathing problems
- Antihistamines and decongestants are common medications used to treat such problems.
- These may be prescribed as tablets to be taken orally or in the form of nasal sprays. In some cases, steroids may also be prescribed.
- This is usually in the case of sinusitis and chronic allergies. These drugs are intended to be inhaled so as to clear the airways.
- For people suffering from long-term breathing problems that are triggered by seasonal changes, taking a flu shot can help.
- These injections reduce the body’s sensitivity to allergens and provide relief in cases of breathing problems.
However, it is important to note that when it comes to breathing problems, one should never self-medicate. What works well for one person may be ineffective for another. This is because unless the medication addresses the cause of the problem, it will not be of any use. Hence, it is important to consult a doctor for a proper diagnosis and understanding of your problem. It is also advisable to consult a doctor in the early stages of having a breathing problem rather than waiting for it to escalate.
In case you have a concern or query you can always consult an expert & get answers to your questions!
When you experience shortness of breath for no reason, you might wonder if there is something to worry. Breathing difficulty (dyspnea) affects around 1 in every 10 adults. The causes are varied, and just like other health problems like dizziness, fatigue, and abdominal pain, shortness of breath too has several causes. While a few are harmless, a few may be the signs of a possible complication. Though a common complaint in adults, it is a tough diagnostic challenge. Being aware of the symptoms will take you a step further in deciding whether or not the breathing difficulty is a cause of concern.
Causes
- In older people: If you are an older person, then your breathing problems will most likely be associated with a heart or lung disease such as COPD, pneumonia, and heart failure. Other causes include a stroke and cancer. It is advised to consult a doctor if you are experiencing serious breathing problems since the past few days and more so if you see other symptoms. Symptoms to worry about are pain or trouble staying upright.
- In the young: The common causes of shortness of breath in younger people are usually minor and partially treatable. Shortness of breath may occur due to myofascial pain syndrome. This is a condition in which trigger points or muscle knots occur in the respiratory muscles. Other causes are pneumonia and bad respiratory habits and/or weak breathing muscles.
- Stress can be the cause: Another common cause of shortness of breath in teenagers and working professionals is anxiety. This is a very significant cause and should be taken seriously because this may not necessarily be a minor problem. Its diagnosis is still reassuring when compared to other medical problems since this can be worked upon with a few techniques.
Should you worry or not?
- When the breathing difficulty is caused due to an acute condition like pneumonia or a chronic condition like asthma, treating the cause is imperative. Because, when the cause is treated, the episodes of shortness of breath is reduced.
- Any patient suffering from any one or more of the problems mentioned above can still take a sigh of relief as remedies are available. Various pressure point massages can be performed with proper technique to ease out the trigger points when you are suffering from muscle knots.
- When it comes to bad breathing habits, old habits die hard. Although changing your bad breathing habits may seem frustrating at first, it is relatively easier to achieve this if taken up with the mentality of achieving a goal. If regular breathing exercises are performed, respiratory strength can be increased. Moreover, breathing correctly has many long-term benefits as well.
- Anxiety is more of a mind over body kind of thing. Although it may seem tough to overcome, determined and head strong people can find relief if they try.
Ensuring safety first
If you are wondering about whether your condition is serious or not, it is advised to tell your doctor about any persisting symptom. If you have developed any new symptoms such as a chronic wheeze or a cough, fatigue and pale appearance, dry, painful cough and shortness of breath during physical activity, then these are slow and sneaky indicators of an onset of some serious medical problem.
Thus, breathing difficulty occurring often is a reason to worry, and you must seek medical advice at the earliest.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you suffering from chronic bronchitis and are looking for ideal treatment measures? Bronchitis occurs when your windpipe or trachea and your large and small bronchitis within your lungs get inflamed because of infections and several other causes. The condition is considered to be chronic when your cough with mucus is persistent for at least three months. Chronic bronchitis is a condition that falls under the group of chronic obstructive pulmonary disease. Smoking, inhaled irritants, secondhand smoke, inhaled fumes, and certain viruses are primary causes of chronic bronchitis.
Symptoms
The symptoms and characteristics of chronic bronchitis are as follows:
- Phlegm may be produced. The production of excess phlegm indicates that your lung and the lower respiratory tract are infected.
- The cough experienced is present on almost all days of the month, for over a period of three months.
- The forceful coughing because of chronic bronchitis is painful, and makes your abdominal and chest muscles sore. The coughing is likely to be very severe, and may injure your chest walls or make you faint.
- During exacerbations of chronic bronchitis, wheezing may be experienced because of inflammation in the airways and muscular tightness. This, in turn, leads to shortness of breath.
Treatment
The treatment of chronic bronchitis depends on the cause. There is no specific cure for the condition, and its treatment aims at improving your lung function and reducing the symptoms.
- Several medicines are used for managing the cough, and for loosening and clearing secretions. In the case of uncontrollable coughing spells, cough suppressants might be prescribed.
- Broncho dilator inhalers are used for opening the airways and for the management of wheezing.
- Certain nebulizer treatments are also recommended in some cases.
- Corticosteroids are used for reducing the inflammation in the airways. These may be used in the form of inhaled corticosteroids, or may be taken orally.
- In some cases, antibiotic medications may be required for the treatment of chronic bronchitis. Antibiotics are usually used when there is a bacterial infection, and in people with chronic lung problems, who require antibiotics to be treated.
- Home oxygen might be required in extremely serious cases of chronic bronchitis.
- In very rare cases, a patient may have to be hospitalized in case of severe breathing difficulty that does not respond to treatment. This is necessary in cases of complications in chronic bronchitis, and in patients who suffer from underlying heart problems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Shortness of breath, medically known as dyspnea, is the sensation of tightening of chest accompanied by a feeling of suffocation. Most of us would have experienced this while doing intensive exercise, while in extreme temperature or high altitude to a certain extent. But when the breathlessness is severe, it is due to a lung or heart ailment. The lungs and the heart play the most important role in transporting oxygen to our tissues and removes carbon dioxide. And so, any kind of problem in either of the organs can affect our breathing.
Causes:
Numerous underlying conditions can lead to a shortness of breath. An insight into the most common causes are enumerated below.
- Asthma: One of the common reason for shortness of breath is asthma. It is a serious condition in which the passage of air becomes narrow and swells up and produces extra mucus. This can result in shortness of breath, triggers wheezing, coughing and also makes breathing difficult. It cannot be cured but the symptoms can be controlled, and it is also necessary to consult with the doctor to track the symptoms and adjust the treatment.
- Carbon monoxide poisoning: Another leading cause of shortness of breath is carbon monoxide poisoning. It is caused when carbon monoxide builds up in our blood stream. When there is excessive carbon monoxide in the surrounding air, our body replaces the oxygen in our red blood cells or RBCs with the carbon monoxide in the air. Appliances that are improperly ventilated and engines, especially in a sealed or tightly enclosed space might allow carbon monoxide to accumulate in our blood stream to a dangerous level.
- A hiatal hernia: This is caused when part of our stomach pushes upward through your diaphragm. Our diaphragm usually has a small opening through which our esophagus or food pipe passes and connects the stomach. The stomach pushes up through this opening in case of a hiatal hernia and results in shortness of breath. In most of the cases it can be cured by medications, but in some situations, surgery is required.
- Pulmonary embolism: It is a blockage in one of the pulmonary arteries in the lungs. In 95% of the cases of pulmonary embolism, it is caused due to blood clots that travel to the lungs from the legs or some other parts of the body. As the clot blocks the flow of blood to the lungs, it can also be life threatening besides causing a shortage of breath.
Apart from these conditions, others such as bronchitis, pneumonia, lung cancer, COPD, arrhythmia, hypertension, and many other lung and heart ailments can result in shortness of breath and can lead to dire consequences in certain cases. Thus, it becomes paramount to consult a pulmonologist when you frequently experience such breathing difficulty.
The heart is a wonderfully designed pump that takes care of proper functioning of the body. There are two separate channels, through which pure and impure blood flows through. Blood flow in these two designated networks is one-sided completely and controlled by valves. There are 2 sets of valves as below:
- Aortic and pulmonary valves which controls blood flow from the ventricles to the aorta and to the lungs respectively
- The mitral and tricuspid valves control blood flow from the atria (upper chambers) to the ventricles (lower chambers).
These valves are meant to be elastic and fibrous and open and close freely to allow for blood flow. Due to various reasons, they can become stenosed (hard and narrow) and depending on which valve is affected, complications arise accordingly.
The aortic valve is extremely important in that its proper functioning ensures that pure, oxygenated blood reaches various parts of the body. Due to various reasons, this valve may not open and/or close properly. Some causes include calcium deposits, advanced age, rheumatic fever, endocarditis, etc. With age or deposits, the valve opening can become narrow and reduce the amount of blood flowing into the aorta. The following symptoms and complications arise out of this.
- The heart needs to put extra pressure to pump out blood into the aorta
- The left ventricle therefore grows thicker
- The symptoms will take a long time to manifest, as the heart will work on alternate measures, but after a certain point, symptoms will show up including chest pain, fatigue with minimal exertion, shortness of breath, and racing heartbeats.
- As the heart has its own compensating mechanisms, symptoms show up when the condition is much serious. Therefore, onset of these symptoms requires immediate medical attention.
Diagnosis: This could be diagnosed with routine medical exam when the heart is being checked or it could only be diagnosed when the symptoms are seen as above. Treatment is easier in the earlier case, and requires more rigorous attention.
Management: If the stenosis is mild and was detected on routine exam, then it needs to be monitored periodically. Surgery is usually not done, unless it is very severe. However, preventive measures can be taken including
- Avoiding over-exertion
- Heart-healthy diet can be taken to prevent further damage
- Reduce sodium intake
- Quit smoking
If the stenosis is severe, then surgery is the only definitive treatment measure. Valve surgery can be either a
- Balloon valvuloplasty – the valve opening is enlarged
- Replacement – valve replacement is usually done as an open heart surgery.
Though aortic stenosis is a serious condition, it is also rare and can be managed by adopting an overall healthy lifestyle.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Popular Questions & Answers
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Studies have shown that more than 50% of people suffer from bad breath at some or the other time in their life. Bad breath as we in our language call Halitosis, can be because of a barrage of reasons there can be a lot of reasons for bad breath something like bacteria which are there in our mouth, they are there in the mouth always. When we feed them with a lot of food stuff which we don t clean from our mouth they eat up that food causing a lot of bad breath, the second can be dry mouth which may happen because of dehydration certain medicines or some other reasons which are not letting you saliva form. Gum disease can form a lot of bad breath. There is certain food stuff which can cause bad breath, something like garlic onions they can give you bad breath, some unhealthy lifestyle habits like smoking, tobacco chewing can cause a lot of trouble. Then there are systemic diseases which can lead to bad breath, the systemic diseases may be something like diabetes, sinusitis or gastro oesophagal reflux which can lead to bad breath.
Now that we know what causes bad breath let us try and understand how we can control this bad breath. First and foremost comes to the healthy habit of keeping our mouth clean after eating anything after consuming anything we need to clean our mouth, brushing after every meal may not be possible it is recommended but not possible many times, at least rinse your mouth forcefully to remove all your food stuff. In case you notice your gums bleeding or any other problem developing in your mouth please visit your dentist who can rectify the problem at the earliest. Get rid of bad habits like smoking tobacco chewing which will cause many other complicated problems other than bad breath. If your dentist finds that your bad breath is not controlled even after you have a healthy mouth he may suggest you a medical opinion where in your systemic problems can be diagnosed and treated by your physicians. Keep the saliva flowing always keep consuming small sips of water throughout the day to stop your mouth from drying, you can consume healthy foods like carrots, cucumbers of and on throughout the day which will help you produce more and more saliva, which will keep your mouth clean and let you avoid bad breath.
I hope this video helps you in taking care of bad breath.
Thank you very much for more information you can contact us via lybrate.
Thank you.
I am Dr Hemant Kalra, I am a pulmonologist.
Today I will talk about a very-very important topic that is Obstructive Sleep Apnea which is widely prevalent in our country but very-very underdiagnose and awareness is very-very less. So what is obstructive sleep apnea, those patients who snore very-very heavily, who feel tired or feel sleepy during the daytime they may have Obstructive Sleep Apnea. So what is normal breathing, normal breathing is when our upper airways they allow free air to go inside the lungs and out of the lungs, this is normal breathing. So what are the obstructive airways, obstructive airways is then these upper airways collapse and this collapse of upper airways causes snoring and sensation in breathing, this is abnormal breathing or obstructive breathing at night time when we sleep? So what are the symptoms, symptoms can be nighttime symptoms can be there or daytime symptoms can be there. Night time symptoms are frequent visits to bathroom, weakness, sensation in breathing, choking or gasping for air or loud a persistent snoring or restless sleep, these 5 can be there in the night time symptoms and daytime symptoms are early morning headache, lethargy, and poor concentration, poor memory, feeling asleep during and routine activities and daytime somnolence or daytime sleepiness, these are daytime symptoms. So what kinds of patients are prone to have obstructive sleep apnea. Those patients who are obese with a short and thick neck with large tongue or hypothyroidism such patients if they snore heavily or feel tired or sleepy during the daytime or if they have night time or daytime and symptoms they must be investigated for obstructive sleep apnea. So how to diagnose obstructive sleep apnea, there is a very small test called polysomnography that can be done at a house or in hospitals. That is conducted in two parts, one is diagnostic, one is titration in diagnostic. We diagnose, whether a patient is having obstructive episodes in the night or not, or in another part, if an obstruction is there what is the pressure required to eliminate those obstructions in the night time. So obstructive diagnostic and titration component one night sleep steady is more than enough. Once we diagnose obstructive sleep apnea then we have to treat it also. There are so many treatments available but gold standard till now is CPAP therapy Continuous Positive Airway Pressure therapy is the most appropriate therapy to treat obstructive sleep apnea and once you treated you will feel that next day if you get up you will feel very-very energetic and if you do not treat obstructive sleep apnea then you may have heart problems, rythm problems, your BP may not be controlled, your sugar may not be control, you may have strokes in future also. So, if you treat obstructive sleep apnea with CPAP therapy, it is a gold standard therapy in India it is widely available in our country but lack of awareness is there. It is a very important disorder you must be treated as early as possible.
Thank you.
I am Dr. Ankita Grover, Cardio-Pulmonary Physiotherapist at Xcell Physiocare Pvt. Ltd. These days as you all know that the pollution levels are rising in India and especially when we talk about Delhi NCR, the situation is even worse. There are many respiratory problems that are associated with pollution and which is causing problems to the patients such as COPD, asthma, emphysema, pneumonia etc. All these are the problem very common that you will be able to find around your surroundings. This is not only creating diseases but it is also causing patients to frequently go to the hospital. And hospital admission rates have gone up, their medication usage has gone up which is creating internal side effects for them.
So, what we at Xcell have come up with is state of the art physio or pulmonary-physio specialised labs that we have set up here and it is properly dedicated to lung rehabilitation in India. It is first of its kind in Delhi NCR and it is properly dedicated to all the lung issues that you are facing. Now coming over to what we do at Xcell Physiocare. Our first start of the treatment before the treatment is the patient screening part and the assessment part that whenever the patient comes to us we access him thoroughly through the screening test and through our specialised scales that we use. We focus on proper assessment of the patient then after the assessment is done we chart some goals for the patient.
We frame some targets for him to achieve so that symptoms are reduced and his problems related to lung issues instead of getting worse, they lower down. After framing the goals for the patient, we start a customised treatment plan and that plan is according to the patients situation. It's like ABC, A part is your assessment, B is your goal formation and C is your customised treatment plan. Now coming to our treatment plan we are having certain specialised part of pulmonary and lung rehabilitation at our setup. Firstly we focus on airway clearance techniques. Now airways clearance techniques is something which is something very important for any patient who is having a lung issue. Their airways are blocked may be due to any kind of situation, be it asthama, maybe it is Bronchitis. So our motto is to clear their airways and for that we are having specialised devices in our setup and through them, we help in getting clearance techniques.
Secondly we have focus on breathing exercises of the patient which is very important because many of the patient that come up to a centre are either complaining of shortness of breath which we call Dyspnea in medical terms and they are not able to breathe properly or even if they are breathing the breath is very shallow. We focus on training their breathing and make them do breathing exercises. Now breathing exercises and not just the exercises that we do teaching them manually but we also have devices here which specially train the respiratory muscles of the patients. You all have heard about muscle training through equipments, the body muscle training through various equipments for exercises but when it comes to respiratory muscle training I think India is far behind compared to the western countries.
We have dedicatedly planned an inspiratory muscle training program also for the patients so that we can increase their inspiratory and expiratory muscle strength which is very important for their lung rehabilitation program. Coming over the third aspect that we deal is their overall increased energy levels and that will come through their increased strength, their increase stamina or endurance and this is done through our gym section which we have at our set up at Xcell Physiocare. We also train the patients through specialised equipment that we have had for strength and conditioning as well as for endurance. This is all how our Xcell Physiocare pulmonary setup is. I have just given you an introduction about it and I would like you all to come and visit us and also I would like to you to know that on your first visit we have a special free consultation offer going for you for this month. So please do make a visit and let us know about your experience.
Thank You!
Now the scariest part of heart disease and the scariest form of heart disease is Coronary artery disease that means you have blockages in the arteries of your heart. Now, if you have blockages in the arteries of your heart, there is less amount of blood flow that goes to the heart and you can have chest pain, coronary artery disease, and in severe cases even a heart attack. Now, there are various reasons why people have heart disease. You can have risk factors which increase the risk diabetes, blood pressure, cholesterol, smoking, a family history, increased stress, poor lifestyle, poor dietary choices. These are just some of the risk factors that increase your risk of having heart disease and when I say heart disease, right now I am referring to blockages in the artery of your heart.
Now, how do you know you have a heart disease?
Well, most people have some sort of discomfort, some sort of symptom that makes them think they have heart disease like they have shortness of breath, they can have just generalised fatigue, feeling of tiredness, they can have chest discomfort, they can have trouble breathing, decreased exercise capacity. For example, they may say that they used to walk two kilometres before but now every time I walk only four hundred meters, I get short of breath, I get this discomfort in my chest, it goes down my arm, I get this increased sensation of gas. That means you may have blockages in the arteries of your heart and it is time you don t ignore it and actually consult a cardiologist and get this evaluated because proper treatment of heart disease is essential. Early recognition is part of the treatment.
I hope you enjoyed this and feel free to contact your cardiologist. You can contact me via Lybrate or the M.P Heart Clinic website and I will be there to help you.
Thank you so much!
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.