Are you wondering what the best medicine for your asthma is? It depends on the severity and frequency of your asthma symptoms. However, treatment for asthma is not the same way as, for instance, bacterial or viral pneumonia; it never completely goes away but it is really, really controllable. Basically, there are two general classes of asthma medications. Asthma patients should have rescue medication available for the quick relief of asthma symptoms when they happen such as albuterol. However, as useful as they are, these medicines don't have a long-term effect. Consequently, the majority of people with asthma also need a controller medication. A controller medication (such as Long-acting bronchodilators, inhaled corticosteroids etc) is used to prevent asthma symptoms and is taken every day regardless of how the person’s asthma is doing that day. They can't be used for quick relief of symptoms because they don't start to work immediately. First, check if your asthma is controlled; and whether you should see your doctor so that a controller therapy can be prescribed. The greatest development in the asthma treatment may be the change in patients and physicians' perception toward using preventative medications and endeavours to make home rescue plans more useful and self-reliant. The accessibility of selective and more potent medications has made such changes possible. By identifying and avoiding known triggers in the environment, patients can help minimize airway inflammation. Common medications to control Asthma Anti-inflammatory medications: they are the most effective strategy for people with Asthma. Frequent use of these medicines make the breathing tubes less sensitive by blocking the inflammation that leads to asthma symptoms. Inhaled corticosteroids: The benefits of using these medicines include reduction of asthma flare-ups, improved lung function and decreased use of short-acting beta agonists (reliever) inhaler. Inhaled corticosteroids include beclomethasone (QVAR), ciclesonide (Alvesco), budesonide (Pulmicort), flunisolide (AeroBid) etc. The inhaled steroids prevent symptoms; they do not relieve symptoms. Systemic corticosteroids (oral or intravenous): These are medications in pill or liquid form that are given oral or liquids that are given through a vein (intravenous). They include methylprednisolone (Medrol), prednisone (Sterapred), Prednisolone etc Mast cell stabilizers: Mast cell stabilizers are inhaled medications that halt the release of histamine and other inflammatory substances from cells called mast cells. They are only used to help prevent an asthma attack and are not rescue medicines. These mast cell-stabilizing inhalants include Cromolyn and Nedocromyl. Bronchodilators: These controller long-term medications open the airways by relaxing muscles and also during asthma episodes they relax the tightened airways. Combination Therapies: Many clinical studies have has shown that a combination drug therapy for the treatment of asthma is safe and effective. Can Medicine Alone help to manage Asthma? Not really. While medicines help a lot, they may not be able to do the job alone. Patients have to avoid the things that cause or trigger their asthma symptoms as much as they can. Personal triggers can vary differently from one person to another person with asthma. But in every case, it’s important to avoid the triggers so as to keep airway inflammation to a minimum and decrease the symptoms. Do I always have to take the same Amount of Medicine? Not always. When you begin treatment to get control of your asthma you will probably take more medicine. After sometime, you and your doctor will find out which medicine(s) control your asthma best and how much you need. Once your asthma is well-controlled, it may be possible to cut down the amount of medicine you take and your doctor will focus on treatment of episodes or quick relief from acute symptoms When you identify that your symptoms occur at certain times and you know what triggered them, you and your doctor can use this information to determine the best treatment. The purpose of this step-down method is to control it with as little medicine as possible and as soon as possible. Once long-term, anti-inflammatory therapy begins, your doctor will typically monitor you once in a month but it may vary depending on a patient’s individual situation. What If Medicines Don’t Help My Asthma Symptoms? Although advances in clinical and basic research over the past few decades have led to the development of effective Asthma treatments and management guidelines, difficult-to-treat asthma continues to affect 5-10% of adults. Bronchial thermoplasty is a treatment option for people with severe asthma or not controlled with medicines. It is a series of procedures that use a bronchoscopically-introduced catheter to deliver precisely-controlled thermal energy to the airways. This can reduce asthma attacks or episodes for those with severe asthma by reducing the thickness of airway smooth muscle. Fayth Clinic is located in Prabhadevi , Borivali (West), Mira Road , Jarimari ( kurla) Mumbai. The clinics are owned and run by Dr. Saurab Goel, interventional cardiologist and Dr. Paula Goel , pediatrician and adolescent physician in Mumbai. The main objective is to develop an advanced and comprehensive outpatient medical clinic with multi specialty service , diagnostic facilities and medical rehabilitation unit under one roof as well as to provide quality health care services at affordable costs. Among the best of health services Fayth Clinic also provide acute asthma management and treatment in mumbai, allergic asthma treatment, identify its root causes, symptoms and triggers and thus providing effective treatment, especially for asthma in Mumbai. Visit Us : faythclinic.com
Mail Us : [email protected] Book Your Appointment Here : faythclinic.com/book-appointment
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Asthma is a multifactorial, heterogeneous disease with an unpredictable and mostly reversible respiratory pathway obstruction based on a chronic bronchial inflammatory reaction. This heterogenic condition is always underdiagnosed and undertreated despite that the skills needed to diagnose it are readily attainable and effective treatments are available. The scientific understanding of asthma continues to improve and Asthma is an extremely controllable illness. In fact, for most sufferers, control is so effective that it amounts to a practical cure. However, asthma is not treatable in the same way as, for instance, a bacterial pneumonia; it never completely goes away. t is becoming more and more obvious that there many types of asthma--and they differ greatly in their genesis and presentation. Types of asthma: On account of the heterogeneity of the disease, several different phenotypes can be described. It is important for Distinguishing between them as it can be particularly relevant to the therapy in severe cases-
Asthma Triggers and symptoms: The sine qua non of asthma (as we understand it today) features variable airway obstruction and bronchial hyperresponsiveness. An asthma trigger is an activity, thing or condition that makes asthma worse. When you encounter a trigger it can cause a sudden worsening of symptoms, often called an asthma attack, flare-up or episode. Common asthma triggers include include respiratory viruses (common cold virus, bronchitis), pollutants (ozone and cigarette smoke), Strong fumes, vapors or volatile organic compounds (such as perfumes, gasoline, paints and scented soaps), airborne allergens (Dust mites, Cockroach droppings, animal dander, pollens and molds) and exercise, especially in a cold and dry environment. Sudden changes in weather, heat waves, Dry wind or cold air can sometimes bring on an asthma episode. There are also psychological triggers such as intense worries, excitement, depressed mood, panic disorder etc These triggers incite an inflammatory reaction in the airways that, in turn, results in the common symptoms of cough, wheezing, mucus production, shortness of breath, increased mucus production and sometimes, cyanosis (an ashen or bluish color in the face, lips, and fingernails. Successful management of asthma involves control of the inflammation in the airways and reversing the symptoms before they get out of hand. How do you identify which asthma triggers affect you? Nearly just as vital as knowing the asthma symptoms, and keeping them in check, is identifying your asthma triggers which is essential part of asthma prevention and avoiding problems that can come with this condition. You may ask yourself these two questions which can help you find out which triggers affect you: 1. Have I Got Any Obvious Triggers? Most of the times, its obvious which things trigger your asthma - for example, when your symptoms flare up after you’ve come into contact with a dog or cat. Or you might find that your asthma symptoms are set off by alcohol, food allergy, cigarette smoke or smoke from open fires. 2. Is There Any Other Invisible Triggers? Sometimes it’s not easy to pin down exactly what triggers your asthma. This is because some triggers are undetectable or unseen (such as grass pollen); you may have a delayed reaction to a trigger or sometimes, you may have more than one trigger. A bit of extra discerning work may be needed - try keeping a diary of symptoms and activities to help you spot any patterns. Common remedies to control Asthma Prevention: The greatest progression in the management of asthma may be the change in physicians' attitudes toward using preventative medications and endeavours to make home rescue plans more aggressive and self-reliant. The accessibility of selective and more potent medications has made such changes possible. By identifying and avoiding known triggers in the environment, such as dust mites, roach antigens, dander from warm-blooded pets like cats and dogs, air pollutants, cigarette smoke etc, patients can help minimize airway inflammation. Moreover, newer, compact and more energy-efficient homes, wall-to-wall carpeting and forced-air heating all contribute to higher levels of indoor triggers. Anti-inflammatory medications: they are another effective strategy for people with Asthma. They can be used either daily during a season (for most individuals with asthma, it is the fall season), during multiple seasons or year-round.
Combination Therapies: Many clinical studies have has shown that a combination drug therapy for the treatment of asthma is safe and effective. Long-acting beta (2)-agonists (bronchodilators) have effects on airway smooth muscle, and inhaled corticosteroids have potent topical anti-inflammatory effect. This combination has been shown to efficiently improve symptoms and reduce exacerbations. Leukotriene-receptor antagonist can also be used along with antihistamines for enhanced asthma control. Several other combination therapies are presently being tested. Another attitudinal advance in controlling asthma has been the early and aggressive use of symptom relief medications (as a part of the home rescue therapy), including Beta-2 receptor stimulants and short courses of oral steroids. This form of therapy has the extra advantage of making patients and caregivers confident and self-sufficient in handling acute episodes of asthma. Fayth Clinic is located in Prabhadevi , Borivali (West), Mira Road , Jarimari ( kurla) Mumbai. The clinics are owned and run by Dr. Saurab Goel, interventional cardiologist and Dr. Paula Goel , pediatrician and adolescent physician in Mumbai. The main objective is to develop an advanced and comprehensive outpatient medical clinic with multi specialty service , diagnostic facilities and medical rehabilitation unit under one roof as well as to provide quality health care services at affordable costs. Among the best of health services Fayth Clinic also provide acute asthma management and treatment in mumbai, allergic asthma treatment, identify its root causes, and thus providing effective treatment, especially for asthma in Mumbai. Visit Us : faythclinic.com
Mail Us : [email protected] Book Your Appointment Here : faythclinic.com/book-appointment Asthma is a complex and inflammatory disorder of the airways characterized by at least partially reversible airway obstruction, bronchial hyper-responsiveness and episodic exacerbations (asthma attacks). The cause of asthma remains indefinite; obviously, both complex interplay of genetic susceptibility and environmental influences are considered significant in Asthma. Recent research indicates that asthma is a heterogeneous disorder of the conducting airways with several phenotypes that are likely to result from differing underlying etiologies with no unique set of clinical manifestations or any single diagnostic test is specific available for asthma. The incidence of asthma has rapidly increased over the last few decades to epidemic proportions and there are now an estimated 300 million sufferers worldwide with approximately 250,000 annual deaths, which are expected to rise dramatically over the next 15–20 years. The medical definition of asthma can be straightforward, but the condition itself is quite complex. This is a disease which is defined not by a specific cause but instead by its symptoms. However, the heartening fact is that most asthmatic patients who get the appropriate treatment and take it properly - can manage their symptoms and get on with what they want to do in life. Causes: Genetics: Scientists have identified several different genes that seem to play a role in the pathophysiology of asthma or act together with specific triggers. A child's risk of developing asthma is three-fold with one asthmatic parent, while both parents having asthma increases a child's risk by six times. History of viral infections: An estimated 30 percent of asthma exacerbations in adults are caused by a viral illness. Persons with a history of viral infections during childhood are more likely to develop the condition. A number of viruses can be blamed for triggering viral-induced asthma. The common examples are the rhino virus which causes the common cold and influenza A - which causes the flu. Allergen exposure: Frequent exposure with possible allergens and Irritants in the environment may increase the risk for developing asthma. Exposure to tobacco smoke as a child, exposure to second hand smoke or early allergen exposure are also said to cause asthma later in their life. Hygiene hypothesis: This hypothesis proposes that being exposed to unclean conditions is good for a child's immune system as their immune systems become strong enough to differentiate between harmless and harmful irritants, therefore fight off asthma and other conditions. Research has indicated that individuals living on farms develop fewer allergic diseases and children who are kept in very clean environments have a higher rate of hay fever, asthma and a wide range of other conditions. The most common asthma triggers include:
Irritants in the environment
Respiratory infections Respiratory illnesses are the most common asthma trigger in children.
Exercise Strenuous exercise and other activities that make you breathe harder can affect your asthma. Exercise –in cold, dry air, as opposed to warmer, moist air – is a frequent asthma trigger. Exercise-induced bronchospasm (EIB) is a form of asthma that is triggered by physical activity. Symptoms may appear immediately after cessation of as little as 6 to 8 minutes of intense exercise activity. (When symptoms appear faster than this, it usually means you need to adjust your treatment.) With specialized help and other nonpharmacologic ways, you do not need to limit your physical activity. Weather Sudden changes in weather, heat waves, Dry wind or cold air can sometimes bring on an asthma episode. Psychological triggers
Some medicines can also trigger asthma: Those who are sensitive to aspirin and NSAIDs (nonsteroidal anti-inflammatory drugs) If you take medicines such as beta blockers and ACE Inhibitors– they can also make asthma harder to control. Occupational asthma: Some persons may also be at risk of developing asthma due to their job. Bakers, pastry makers, animal handlers, chemical workers, Paint sprayers, nurses, timber workers, welders and food processing workers are all examples of people who may have a higher risk of asthma
Other Asthma Triggers Sulfites, additives and preservatives, monosodium glutamate (MSG), salicylates in food Hormonal changes during the menstrual cycle and hormonal medication Other medical problems like reflux (GERD) Asthma Symptoms: Keep in mind that Asthma symptoms have no set pattern. Its symptoms can fluctuate from person to person. The symptoms may be mild, moderate or severe and one asthmatic episode can vary from the next. 1. Wheezing 2. Shortness of breath, rapid breathing 3. Tightness of chest 4. Persistent Coughing especially at night or when laughing, or during exercise 5. Cyanosis (a very pale or bluish color to the lips, face, and fingernails) 6. Anxiety, panic or profuse sweating 7. Rapid nostril movement 8. Fatigue Fayth Clinic is located in Prabhadevi , Borivali (West), Mira Road , Jarimari ( kurla) Mumbai. The clinics are owned and run by Dr. Saurab Goel, interventional cardiologist and Dr. Paula Goel , pediatrician and adolescent physician in Mumbai. The main objective is to develop an advanced and comprehensive outpatient medical clinic with multi specialty service , diagnostic facilities and medical rehabilitation unit under one roof as well as to provide quality health care services at affordable costs. Among the best of health services Fayth Clinic also provide acute asthma management and treatment in mumbai, allergic asthma treatment, identify its root causes, and thus providing effective treatment, especially for asthma in Mumbai. Visit Us : faythclinic.com Mail Us : [email protected] Book Your Appointment Here : faythclinic.com/book-appointment Breathe in, breathe out ... inhale, exhale ... Breathing is supposed to be easy and customary. So when you start coughing fitfully, wheezing or struggling for breath, it gives even the most mellow persons, high anxiety and depression. Asthma has crept in all countries, races and ethnicity regardless of the level of development. The condition is also frequently misdiagnosed or undiagnosed and undertreated. Tragically, three people die every day because of asthma attacks and research shows that two thirds of asthma deaths are preventable. So what is asthma? The medical definition of asthma can be uncomplicated, but the condition itself is quite complex. This is a disease which is defined not by a specific cause but instead by its symptoms. In general, asthma is a “chronic inflammatory disease of the airway” characterized by episodic acute limitation of airflow, reversing either spontaneously or in response to treatment that causes the following symptoms:
Not all these symptoms are episodes of asthma. Asthma can sometimes be very tricky. You may experience all of the signs of asthma or only a few or you may not experience any of these symptoms. Asthma has no set pattern. Its symptoms:
Asthma is now most commonly described amongst experts is that it centers on the airways in your body that help you breathe and is an inflammatory response disease. It has been suggested that the two main causes of breathlessness - airway wall inflammation and airway wall constriction – both are due to the release of inflammatory response chemical signals. Simply put, your airway anatomy extends from your nose and mouth to your lungs and they work to carry air in and out of your body; they may be sturdy workers and do this job flawlessly. However, when you’re exposed to certain triggers (allergens or Sensitising agents) the airway wall gets inflamed which can cause swelling that prompts the muscles around your airways to constrict, making it really tough for them to pass on life-giving oxygen and cast out waste products like carbon dioxide out of your system. The airways’ mucus production is also thrown out of gear. These factors can generate the (im) perfect squall that leads to several asthma symptoms including cough, shortness of breath, wheezing, chest tightness, and many more. Who's at risk? Several factors can increase your chances of getting asthma. These include:
Some people may also be at risk of developing asthma through their job (occupational asthma).
Asthma triggers Asthma symptoms often crop up in response to a trigger. Common triggers include: 1. infections like Cold, flu, bronchitis and sinus infections 2. allergies – such as to pollen, dust mites, mold spores, pet dander or feathers 3. smoke, fumes and pollution 4. medicines – particularly anti-inflammatory painkillers like aspirin, ibuprofen, and naproxen 5. emotions, including stress, anger or excitement 6. weather – such as sudden changes in temperature, cold air, thunderstorms, wind, etc 7. exercise-induced asthma Fayth Clinic is located in Prabhadevi , Borivali (West), Mira Road , Jarimari ( kurla) Mumbai. The clinics are owned and run by Dr. Saurab Goel, interventional cardiologist and Dr. Paula Goel , pediatrician and adolescent physician in Mumbai. The main objective is to develop an advanced and comprehensive outpatient medical clinic with multi specialty service , diagnostic facilities and medical rehabilitation unit under one roof as well as to provide quality health care services at affordable costs. Among the best of health services Fayth Clinic also provide acute asthma management and treatment in mumbai, allergic asthma treatment, identify its root causes, and thus providing effective treatment, especially for asthma in Mumbai. Visit Us : faythclinic.com
Mail Us : [email protected] Book Your Appointment Here : faythclinic.com/book-appointment |
Fayth ClinicFayth Clinic is located in Prabhadevi , Borivali (West), Mira Road , Jarimari ( kurla) Mumbai. The clinics are owned and run by Dr. Saurab Goel, interventional cardiologist and Dr. Paula Goel , pediatrician and adolescent physician in Mumbai. |