Doctor insights on:
Bronchospasm Vs Asthma
Partially: Bronchospasm is the most important symptom in asthma - it causes the shortness of breath and all of the discomfort, etc associated with asthma. But the main problem is the underlying inflammation that leads to bronchoconstriction when exposed to allergens, odors and other irritants. The best long-term management of asthma is to treat the underlying inflammation. ...Read more
Symptom vs disease: Bronchospasm refers to "twitchy" airways. It is a sign of respiratory disease. Many diseases result in bronchospasm including asthma but also copd, cystic fibrosis, congestive heart failure, etc. In other words, bronchospasm can occur in many different disease states, not just asthma. ...Read more
Certainly: The mechanism that produces bronchospasm is present in anyone. Consider it a method of closing off the small airways/alveoli to invasion by noxious agents. Infections can sometimes do it. A room filled with chlorine gas will do it to anyone. The difference in normal is they easily reopen that mechanism when the stimulus is gone. Asthma patients have a poor re-open response. ...Read more
Probably: You'll get the best answer with an allergy evaluation. In true eib, there is no identifiable airway inflammation, and a thorough evaluation needs to be done to look for this. Controlling the airway inflammation early on is the best way to prevent more severe asthma from developing as he grows. Many kids who wheeze under age 3 don't develop asthma, but should be evaluated for their risk. ...Read more
No, but don't help: Benzos won't exacerbate the underlying medical condition, but because they tend to cause suppression of the respiratory center in the brain, they can make it harder for your body to respond optimally to it's internal compensatory mechanisms as well as to to medications. ...Read more
What specific symptoms warrant use of an epipen (epinephrine)? I have had one for years, have asthma, bronchospasms etc in life. Unsure "how bad" is bad enough 4epi
Maybe: Asthma occurs when people have excessive bronchospasm triggered by allergens, irritants, some medications or environmental exposures. Bronchospasm is typically acute and may not show up on spirometry if there has not been a recent trigger. In this case a methacholine challenge may be used to induce bronchospasm for diagnosis by spirometry. ...Read more
Is a bronchospasm possible in someone without asthma or a respiratory disease? A single cough sets me off, and not even a forceful one!
Bronchospasm: Bronchospasm is possible at any time and for any reason. However, not all wheezing equates to bronchospasm. There are multiple reasons to produce the familiar whistling sound- chest auscultation is a must. Having said that, undiagnosed underlying reactive airway disease is certainly possible especially in your age group. Would suggest specialty evaluation after you see your primary doctor. ...Read more
You don't: Asthma is a chronic condition of increased small airway reactions. There are genetic and environmental factors that persist throughout life, usually becoming evident in childhood. One learns to live with their asthma & present medications offer a near normal existence to most. There is no cure, there are programs that promote stability & reduced flare ups through early recognition of problems. ...Read more
Asthma is a chronic disease and the aim is to control the symptoms. It is not "cured" but as it is controlled symptoms become less frequent.
Always look for triggers in the environment and I your home, as well as seasonal allergic triggers. Infections, scents, changes in weather can all trigger symptoms.
Learn about your meds and always follow your action plan. ...Read more
Many: The most important factor is genetics, the second is the environment. At least half of the asthma cases are related to allergies, others mostly unknown and often called intrinsic asthma. Tobacco exposure, viral infection, aside from allergic triggers, often exacerbate asthma. For further details check www. Aaaai. Org. ...Read more
Lung testing.: Asthma involves inflammation, muscle spasm and mucus production in the airways. It is diagnosed by history, physical exam, and lung function testing. Patients often complain of chest tightness, wheezing, cough, and shortness of breath. It can occur in any age group, although it is the most common chronic illness in children. ...Read more
Inhalers & avoidance: Avoiding things that trigger your asthma, such as dust or animals, can help. Most asthma is controlled with short acting inhalers like albuterol, & long acting inhaled steroids. Albuterol helps acute attacks; inhaled steroids help prevent attacks from happening in the first place. Other meds, such as singulair (montelukast) or oral steroids, are used when these aren't enough to keep it under control. ...Read more
Airway inflammation: Simplistically, asthma is characterized by airway inflammation, and falls into the classification of allergic or atopic diseases. In response to various "allergens", such as pollens, mold, dander, etc., the body creates an inflammatory response which leads to bronchoconstriction. In some, this is chronic, in others, this can be occasional or "episodic." therapy is generally straightforward. ...Read more
Possibilities: This time of year there are a number of possibilities - this is a high season for ragweed and tree allergies. You might also have a viral or bronchial infection. I would seek medical advice in person if you are experiencing a significant worsening of your asthma. Sometimes asthma exacerbations can be shortened if treated early. ...Read more
Night...: Nocturnal refers to night time. So, nocturnal asthma is present when an asthmatic awakens from sleep with asthma sxs like shortness of breath, cough, etc. There are medications that can be given to try to prevent this from happening. Keep track of how often this happens, what time the awakenings occur, exact sxs present, etc so your doctor can prescribe an effective regimen for you. ...Read more
Were you tested?:
If you have been tested a course of treatment should have been prescribed. Depending on the severity of your asthma, various treatments may be started. Mild infrequent attacks may be treated with a rescue inhaler whereas more frequent severe attacks may require a controller inhaler to be added. The best course must be determined by you and your physician.
Good Luck ...Read more
Inflammation: Is the precipitating cause but no one really knows the actual underlying reason some people develop asthma. We do know that allergies and respiratory infections can lead to inflammation that leads to wheezing and "asthma" symptoms. Diet and genetics my also influence developing asthma. ...Read more
Lots of things: There are many asthma triggers. In some cases they can be identified & avoided, or desensitization therapy by an allergist might help. But in most cases, the triggers are difficult if not impossible to avoid, and the answer lies in calming down the asthma response with an inhaled corticosteroid. If asthma symptoms are frequent or severe, increased treatment is needed to avoid serious consequences. ...Read more
Many...: There are many medications that can be used for asthma. For acute wheezing episodes - albuterol in the form of nebulized medication or inhaler is the drug of choice. In an acute flare, your physician may also prescribe an oral steroid. When attacks are frequent, a physician will likely consider one of the many controller medications that are meant to be taken daily. Too many to list - talk to doc ...Read more
The background to the lung inflammation can be from many causes. Allergies, cold air, strenuous exercise, etc. It is very important to your treatment to get to the cause and minimize or eliminate exposure if possible.
A good history taken by your physician may be abler to pinpoint the cause (s). Get checked.
Good Luck ...Read more
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