Asthma Questions: Confirming Diagnosis

Question: I have read up on asthma symptoms and I am concerned that I suffer from the condition. How do I go about obtaining a diagnosis?

Answer:

First and foremost, consult your doctor. If you are experiencing any breathing difficulties at all, it is important to get things checked with your doctor.

At said appointment, your doctor will perform a number of checks to see if they can confirm a diagnosis of asthma:

- Listen To Your Chest

Your doctor will listen to your chest using a conventional stethoscope. Asthma is caused by a narrowing of the airways due to irritation, and this affects the way your breathing sounds. By listening to it, your doctor will have a firm idea of asthma may be the cause of your troubles.

- Perform A Peak Flow Reading

A Peak Flow Meter is a device used to determine the strength at which a person can exhale; someone with asthma is not likely to be able to exhale forcefully, and will have a low peak flow reading. The measurement is taken by blowing in to a small circular tube with a gauge at the top, and takes only a few seconds. This will be a key part of assessing whether or not you have asthma.

- Giving You Inhalers To Try

If the above tests, along with your detailed symptoms, suggest that you may be suffering from asthma, you will begin experimental treatment. Your doctor will prescribe two inhalers for your daily use, and you will return to see them within a fortnight. At this point another Peak Flow reading will be taken; if the reading has improved on the previous one, this is due to the inhalers, confirming you need them and thus confirming asthma.

Asthma Sufferers: What You Should Avoid

Although asthma is largely controllable with medication, there are certain stimulants that can bring on an attack even if medication has been used. Learning to identify these stimuli and – wherever possible – avoid them is an important part of learning to cope with asthma.

- Smoke: tobacco smoke is a major stimulant of asthma and can in fact worsen the conditions over time.

- Strong cleaning products: any cleaning product that contains strong chemicals is to be avoided. There are plenty of natural product solutions which will leave your home just as clean, but your lungs far more healthy.

- Certain medications: penicillin (primarily used to treat infections) and aspirin (used in pain relief) can exacerbate asthma. Use substitutes wherever possible, such as paracetamol in place of aspirin when you have a headache.

- Swimming pools: not for the water, but for the chlorine. As mentioned with cleaning products, any strong chemical will have an adverse effect on asthma sufferers. Always check with a pool venue before using it to see if the pool is chlorinated.

- Menstrual cycle: women may be more prone to asthma attacks during their menstrual cycle or during pregnancy, due to the hormonal changes and imbalances that occur during this time.

- Stress: an asthma sufferer is far more likely to experience an attack when they are stressed, nervous or panicked than they are when they are feeling emotionally stable. It is especially important to control your temper if you have asthma.

The above is just a brief grounding in the many stimuli of asthma; avoid them wherever possible, and also note down any stimuli that seem applicable to your experiences.

Asthma Questions: The Hygiene Hypothesis

Question: I’ve heard something called the “hygiene hypothesis” being referenced when discussing asthma. What is this?

Answer:

The “hygiene hypothesis” is a school of thought presented by certain medical studies, discovered during investigations in to why asthma is seemingly on the rise. While by no means a new condition, cases of asthma have been steadily rising since records began. Certain medical studies have tried to find out why this is, and along with environmental factors, the hygiene hypothesis has been suggested for this rise in cases.

“Hygiene hypothesis” is the term used to describe the fact that, as a species, we are far more hygienic than we have ever been. Most households use strong cleaning products, and young children are not as exposed to dirt and bacteria as they were in the 1950s and 1960s. While this cannot really be seen as a bad things, some studies have suggested that it may have contributed to a rise in asthma cases.

Bacteria in the air, when inhaled, is aggravating – and can cause temporary inflammation of the lungs. This usually manifests itself in coughing. Young children in the earlier parts of the 20th century would have had daily exposure to bacteria due to less rigorous hygiene and cleaning standards; as a result, the bronchi of their lungs would appear irritated. The body would then learn how to deal with this, and calm the bronchi down.

Asthma can essentially be described as a irritation of the bronchi. As children nowadays are not exposed to the same levels of bacteria, their bodies do not learn to ‘calm’ the bronchi in their early life. This, some suggest, has lead to a larger number of asthma cases, as when presented with bacteria now, the body is not as well-versed in how to react.

The Causes of Asthma

The exact causes of asthma are unknown; there is no direct chain of events that effects every single sufferer. There is some evidence that asthma is a genetic condition, as people inherit the tendency towards inflamed airways – the primary problem associated with asthma. If a child’s parents both have asthma, they are statistically more likely to suffer from the illness themselves – but this is not always the case. Similarly, a child can have asthma even if there is no genetic history of it in their family. It really does seem to be the luck of the draw.

People who suffer from asthma are more likely to have allergies, particularly to dust mites and hay fever But again, this is not a certain link: lots of people who have hay fever do not have asthma, for example, just as lots of people who have asthma do not have hay fever

There are no known substances that are thought to actively ’cause’ asthma – though certain things, such as chemicals, allergens and smoke are known to exacerbate an existing condition.

It is natural when you, or someone you know, is diagnosed with asthma to question why it has happened. Unfortunately, asthma is one of the many illnesses that simply do not have a specific and clear-cut cause for why they have occurred. Learning to accept that sometimes, quite genuinely, these things do just happen is an important part of coming to terms with their asthma diagnosis.

Finally, if you are a parent and are concerned about passing asthma on to your children, this is by no means a certainty, so try not to fret.

Asthma Questions: The Hygiene Hypothesis

Question: I’ve heard something called the “hygiene hypothesis” being referenced when discussing asthma. What is this?

Answer:

The “hygiene hypothesis” is a school of thought presented by certain medical studies, discovered during investigations in to why asthma is seemingly on the rise. While by no means a new condition, cases of asthma have been steadily rising since records began. Certain medical studies have tried to find out why this is, and along with environmental factors, the hygiene hypothesis has been suggested for this rise in cases.

“Hygiene hypothesis” is the term used to describe the fact that, as a species, we are far more hygienic than we have ever been. Most households use strong cleaning products, and young children are not as exposed to dirt and bacteria as they were in the 1950s and 1960s. While this cannot really be seen as a bad things, some studies have suggested that it may have contributed to a rise in asthma cases.

Bacteria in the air, when inhaled, is aggravating – and can cause temporary inflammation of the lungs. This usually manifests itself in coughing. Young children in the earlier parts of the 20th century would have had daily exposure to bacteria due to less rigorous hygiene and cleaning standards; as a result, the bronchi of their lungs would appear irritated. The body would then learn how to deal with this, and calm the bronchi down.

Asthma can essentially be described as a irritation of the bronchi. As children nowadays are not exposed to the same levels of bacteria, their bodies do not learn to ‘calm’ the bronchi in their early life. This, some suggest, has lead to a larger number of asthma cases, as when presented with bacteria now, the body is not as well-versed in how to react.

Asthma Questions: Can A Child “Grow Out” Of Asthma?

Question: My daughter is six years old, and I recently took her to the doctor as I had noticed she was occasionally struggling to breathe and was coughing a lot. She was diagnosed with mild asthma and given two inhalers to use, which seem to be doing the job. I have, however, heard that sometimes children of my daughter’s age “grow out” of asthma and it does not effect them as a child. Is there any truth in this?

Answer:

There is actually some truth in this – perhaps not in medical record, but certainly in people’s experience of young children with asthma. Some children do indeed appear to “grow out” of asthma, and do not need to use inhalers or suffer attacks in their adult life.

There are various theories for this; the main one being that a child’s developing lungs are more sensitive, and this can make a mild tendency towards asthma seem more serious than it actually is. When the child grows up, their asthma appears to almost vanish, as their lungs grow and mature.

However, the concept of children never suffering from asthma again in their adult life is very rare – many childhood sufferers will find their illness returns as they age, particularly in their 50s and 60s. Hoping that your child’s asthma will fade away as they grow is natural, though it is important to be realistic. This is particularly true if your child has moderate to severe asthma, as this is less likely to be improved with age.

Learning To Live With Asthma

Asthma is a respiratory illness, caused by an inflammation and subsequent narrowing of the ‘tubes’ of the lungs (medically known as the bronchi). It is largely incurable but is not life threatening, and for many asthma sufferers it is merely a matter of learning to shape their life around asthma and discovering tips on how to deal with it.

When one first receives an asthma diagnosis, there is a natural reaction of shock and upset. Asthma is a chronic condition, and when diagnosed in adults will tend to be with the person for the rest of their life. This shocked and saddened reaction is completely natural, but it is important to focus on the fact that asthma is very, very rarely fatal – and even then, usually only in conjunction with other medical problems.

Asthma is an illness that needs to be recognized in a daily lifestyle, but not given in to. With correct, inhalation-based treatment, the vast majority of asthma cases can be controlled – and the sufferer will live a normal life, providing they take the correct precautions. Asthma does not mean the end of being able to exercise or enjoy life – it merely means learning what works for you, what triggers an attack and how to prevent it.

Simple changes can make big differences to the life of an asthma sufferer. Things like switching from chemical-based cleaning products to natural solutions have great effects, and avoiding smoky places also makes a big difference. Asthma is controllable, and with the correct medication and a little due care and attention, people may never need know someone has it.

The Ins and Outs of Asthma Treatment

Although asthma is defined as a chronic (i.e. long term) illness, it is not usually life threatening – and for most sufferers becomes more of an annoyance than a genuine threat to their well-being. As one of the most common non-life-threatening illnesses in the world, asthma is well studied by medical research scientists, and as a result there are several treatments available.

By far the best known asthma treatment is via medicine inhalation. The primary medicines used in inhalers are beta-2 agonists (for relieving an acute attack of asthma) and corticosteroids (for preventing attacks). These medications come in a variety of doses depending on the severity of the sufferers’ condition, and are inhaled directly in to the lungs using an inhaler (sometimes known as a ‘puffer’). As these treatments go directly to the source of the issue by entering the lungs immediately, they have long been proven to be the most effective asthma treatment.

Another option is steroid treatment, usually in tablet form. However, a course of steroids is usually only ever prescribed following a severe asthma attack – usually of the kind of severity that results in hospitalization The vast majority of sufferers will never need anything beyond their combination of inhalers to deal with their illness.

The concluding option is also only used in the case of a severe attack, though is an option during the attack rather than following it. Nebulizers create a mixture of water and air, through which one can inhale a purer form of the usual medication used in inhalers. Nebulizers tend to be carried on emergency calls and at hospitals, though some sufferers’ of extremely severe asthma may be offered one at home.

Asthma and Cough (Asthma Cough)

Today I would like to discuss a very distressing symptom that many Asthmatics experience, and that is coughing and being unable to take their inhalers.

This can sometimes occur in the winter time with the Asthmatic waking up in the middle of the night coughing or first thing in the morning. A sharp drop in the temperature of the room overnight can cause this; one way of combating the problem is to have a small heater on low in the bedroom each night, thus keeping the room at an even temperature. On saying that please making sure it is a heater that is completely safe and has a good energy rating.  Also make sure that the room has no draughts and that the curtains are closed, so the heat does not escape. We had to to do this for our daughter from when she was a baby.  Now married the practice still goes on!

However, there can be other causes for coughing, but firstly let’s look at what a cough is – A cough is a sudden, explosive exhalation of air. The function of a cough is to clear material from the airways. Coughing is a familiar but reasonable complicated reflex and is one way in which the lungs and airways are protected.

Coughing only occurs when the airways are irritated –

Respiratory infections, either bacterial or viral can irritate the airways and are a common cause of coughing.

Allergies are a big cause of irritation to the airways as well and may cause postnasal drip, in which nasal secretions drain down the back of the nose into the throat and sometimes into the trachea and other airways, where they produce irritation resulting in Coughing.  Many Asthmatics have continuous Post Nasal Drip.

Coughing may also result from gastroesophageal reflux, in which stomach or oesophageal contents flow backward from the oesophagus into the trachea and airways, producing irritation.

We would advise you see expert advice from Your Medical Practitioner/Respiratory Physician regarding the cause of your cough and a management plan tailored to suit you.

That’s all I have for you today on Asthma and Cough (Asthma Cough)

Until Next time,

I wish you and yours the best of Health!

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Disclaimer

It is important to note that information contained in this post is not intended to replace professional medical advice. Any questions regarding a medical diagnosis or treatment should be directed to a medical practitioner.

Home Remedies To Soothe Asthma Irritation

While any asthma sufferer should always first and foremost rely on their inhalers and other medication to ease the condition, there are at-home remedies that can be tried. Please note these should be used in conjunction with formal medical treatment, not as a replacement. Ideally, try one of these methods if you have already used your medication and are still experiencing some discomfort.

– Steam

Many asthma sufferers will be well aware that cold air can exacerbate asthma, and the reverse is also true: you may find that warm air is soothing, and may reduce coughing and wheezing in between taking doses of medicine. Rather than directly inhaling steam, fill a bath tub with very hot water and then sit in the room for half an hour, inhaling deeply. This may just get rid of some irritation, and allow for a sufferer to be more comfortable until their next dose of prescribed medication.

– Sit Up

When we are feeling unwell, there is a natural tendency to want to curl up in bed. However, this can have a detrimental effect on asthma sufferers, as being horizontal makes it more difficult to get air in to your lungs – especially if you lay on your back. To ease this, sit up regularly and extend your torso in a stretch while breathing deeply.

– Cover Your Mouth

If you are finding the very act of breathing is making your asthma uncomfortable, try breathing through a cloth or cotton wool. For reasons unknown, this sometimes has the effect of calming asthma irritation down.

–Caffiene

A good strong cup coffee also helps as caffeine opens the airways

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