Question 1

any new latest findings in treatment for asthma exacerbation in children?

Accepted Answer

No: Nothing new for many years now.  Singulair (montelukast) is probably the newest good thing and it is not for exacerbations, but for maintenance.

Question 2

is blue skin caused by asthma exacerbation in adults? what are the symptoms?

Accepted Answer

Serious complication: Cyanosis in an asthmatic is an ominous sign, life threatening.

Question 3

what is the chance that blue skin is caused by asthma exacerbation in children? what are the usual symptoms?

Accepted Answer

Unlikely: If an asthma attack is very severe it can lead to respiratory failure where, the oxygen level can decrease and lead to cyanosis (bluish color of the lip and around the mouth). This is a very late sign in an asthma attack and an emergency.  The usual signs of asthma in children is relentless cough, wheezing, shortness of breath/difficulty breathing.

Question 4

my workplace old bldg. i smell mold & mildew. i made c/o's to boss. no intervention to date.  seemingly, more asthma exacerbations. what can i do?

Accepted Answer

Sick Building: This is a very difficult topic to discuss as well as the fact most information is not standardized and poor research to date. The epa has no standardized guidelines just yet. You can ask for the material safety data sheets at your place of employment. You can also look into an occupational physician.

Question 5

in an asthma exacerbation and have been using proair rescue inhaler. my hr is already a bit high (108-113) so the proair  makes it worse. how long should the palpitations last for? mine last over 30 min. had a steroid shot today & starting prednisone

Accepted Answer

Contact doctor again: If you have rec'd a steroid shot and taking prednisone as well, these alone can make you heart go fast.  But if you are still having breathing problem, you need to go to the ER instead of relying on ProAir more than once every 4 hrs .    In the meanwhile, avoid caffeine,

Question 6

what is safe to give to pregnant women with asthma in exacerbation?

Accepted Answer

Many options: Asthma can be very serious during pregnancy. There are many options for both treatment of acute exacerbation, and more importantly prevention of attacks. Your OB should have you on an inhaled steroid for the prevention of attacks. Acute attacks may be treated with oral medication when severe. Please contact your OB to discuss the options. Good luck!

Question 7

can covid exacerbate asthma while having no other symptoms (fever etc)?

Accepted Answer

: Asthma is a reactive  airway disease and can be exacerbated by various triggers in different persons. Any infection in respiratory tract is a well known cause of asthma. Whether infection can be suppressed by immune system of a person will give rise to symptomatic or asymptomativ state. It is unusual but can occur. Hope it helps.,

Question 8

can seasonal allergies exacerbate asthma symptoms, even if one has not had an asthma attack in over 5 years?

Accepted Answer

Yes: Seasonal allergies can exacerbate asthma even after many asthma free years .Body keeps memory against allergies for rest of life.

Question 9

forgot to mention in an earlier consult that mucus i coughed up/vomited tonight was laced with blood. have exacerbated asthma - blood concerning?
i regularly cough up thick sticky mucus but not usually with red tinge.

Accepted Answer

Depends: The importance would depend on amount and origin. A little color can originate from your throat , back of the nasal passages or airway due to the mechanics of retching or coughing hard as it traumatizes the structures. This is rarely more than small amounts &amp; wouldn't give big clots. This would self heal. Any more would require an evaluation to be sure.

Question 10

in acute exacerbation of asthma, a nebuliser gave brief relief,  compared to a spacer and mdi. i would try a nebuliser 4-6 hourly.your recommendation?

Accepted Answer

Asthma: Depending on the age. Albuterol inhaler can be given:
2-4 puffs orally every 4-6 hrs for acute wheezing, coughing. 
It may be necessary to add QVAR (flovent if under 4 yrs) 
to the regimen to undo the inflammation in the lungs:
2 puffs orally q 12 hrs until cough, wheezes resolve.
Welcome to health tap, Dr. Ivy Fisher
If have respiratory distress, shortness of breath, see an MD to check.

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Doctor answers about:

ASTHMA EXACERBATION

A member asked:

Any new latest findings in treatment for asthma exacerbation in children?

A member asked:

Is blue skin caused by asthma exacerbation in adults? what are the symptoms?

A member asked:

What is the chance that blue skin is caused by asthma exacerbation in children? what are the usual symptoms?

A member asked:

My workplace old bldg. i smell mold & mildew. i made c/o's to boss. no intervention to date. seemingly, more asthma exacerbations. what can i do?

A member asked:

In an asthma exacerbation and have been using proair rescue inhaler. my hr is already a bit high (108-113) so the proair makes it worse. how long should the palpitations last for? mine last over 30 min. had a steroid shot today & starting prednisone

A member asked:

What is safe to give to pregnant women with asthma in exacerbation?

A member asked:

Can covid exacerbate asthma while having no other symptoms (fever etc)?

A member asked:

Can seasonal allergies exacerbate asthma symptoms, even if one has not had an asthma attack in over 5 years?

A member asked:

Forgot to mention in an earlier consult that mucus i coughed up/vomited tonight was laced with blood. have exacerbated asthma - blood concerning? i regularly cough up thick sticky mucus but not usually with red tinge.

A member asked:

In acute exacerbation of asthma, a nebuliser gave brief relief, compared to a spacer and mdi. i would try a nebuliser 4-6 hourly.your recommendation?

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