Doctor insights on:
Can I Join The Police Force If I Have Asthma
I'm a 30 year old police officer who has really bad asthma. Seems like meds aren't even helping. Help?
More info needed: If asthma has been bad past week or two & you've had a cold or flu perhaps you have an acute exacerbation needing oral Prednisone for 5 days. If you & your doctor are having trouble controlling ongoing asthma think about contributing causes like reflux or chronic sinusitis. If despite all efforts asthma is refractory to treatment oxalizumab (xolair) could be a consideration for you. ...Read more
Avoid all milk products since the milk protein causes respiratory tract inflammation. Also avoid grains, lentils. Consume veggies, flesh foods, olive oil.
Getting 30 -45 min of sunshine at noon daily or taking vitamin D3 10, 000 IU/day and taking a good probiotic (not yogurt) help reduce inflammation
Yoga breathing exercises 10-30 min/day help too.
This may help avoid the need for meds ...Read more
Can I join the military if I have had asthma past the age of 13 but it goes away by the time I apply?
Can I join the military if I have had asthma past the age of 13, but I don't have it at the time that I apply?
Varies: Ask a recruiter. Toughest is applying to a service academy. I've found AF Academy worse than West Point and here in Annapolis. Not unusual someone with albuterol on record as a child comes to me for a PFT while applying. Normal PFT at application goes a long way. Interestingly toughest is applying to USCG (they are spread thin so if asthma attack they often must ask another service for help). ...Read more
It's age-dependent: You must provide documentation, preferably from your healthcare provider, testifying that you have not had asthma symptoms or been treated for asthma after your 13th birthday. Any medication or medical intervention for asthma after your 13th birthday will disqualify you. ...Read more
Difficult to answer: Most asthma that starts in childhood can be linked to allergies. As we mature, other "triggers" may come into play such as occupational triggers (dust from manufacturing or fumes), pollution, etc. Though it sometimes can be difficult to put a finger on the cause, the treatments are usually the same- rescue inhalers and controllers (if necessary). Getting tested is always the best thing to do. ...Read more
Reliever/Preventer: This is a big topic. Most people only get symptoms every now and again (e.g. when they get a cold or exposed to dust) and their asthma will respond to a reliever like salbutamol (ventolin). Others get regular symptoms that require a preventer (there are various inhalers but most contain a low dose steroid). Have a look at this http://www. Asthma. Org. Nz/resources/ ...Read more
Many causes 4 asthma: Asthma is a chronic inflammatory disease of the airways caused by both inherited and environmental factors. It doesn't spread like infections but develops in patients when inflammation leads to spasm of muscles around the windpipe and the airways become hypersensitive. Many factors trigger asthma, including allergies, respiratory infections, weather changes, irritants, exercise, and acid reflux. ...Read more
No: Asthma can't be cured, but its symptoms can be controlled. Prevention and long-term control are key in stopping asthma attacks before they start. Treatment usually involves learning to recognize your triggers and taking steps to avoid them, and tracking your breathing to make sure your daily asthma medications are keeping symptoms under control. In case of an asthma flare-up, you may need to use a. ...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
Fight genetics!: That's right. 50% of asthma risk you get from your parents. If you choose ones with allergies or asthma you are already at high risk. Tell your parents not to smoke, especially when mom is pregnant with you. Tell them to get a dog and a cat before your birth. That helps. Don't live near roads with heavy diesel traffic. Avoid wood smoke & damp homes. Get exercise, sunshine & eat lots of fish. ...Read more
Get to the root:
The first thing is to be tested for your asthma. It is a simple test called spirometry. This, and your history, will permit the physician to make a proper diagnosis and recommend treatment. If you know now what things trigger an attack, either get rid of them (rugs, etc) or try to avoid contact (cats and dogs).
Remember, get tested first.
Good luck. ...Read more
Find out what:
Your "triggers" are...allergies/stress/environmental issues and find a good PULMONOLOGIST or ALLERGIST to help you design a medication program best for you! (Rescue inhalers, ongoing medications etc etc Some skin testing may be necessary! Start with your Primary Care Physician for a Referral
Hope this helps!
Dr Z ...Read more
See answer: Stop smoking and avoid second hand smoke, if you are overweight, than weight loss with a good exercise program and diet is recommended. Avoid triggers that may exacerbate your symptoms. Some people with asthma may have a genetic component and will simply need inhalers and meds to help with the disease. Best wishes. ...Read more
Symptoms, testing: Asthma is a respiratory condition diagnosed by compatible symptoms in a person who demonstrates airway obstruction on a breathing test that improves after a medication to open airways (albuterol). If symptoms are suggestive (chronic cough, wheezing, shortness of breath, typically worse at night) and criteria are met on a breathing test, then asthma can be definitively diagnosed. ...Read more
If your "triggers" are allergy induced-- remove or minimize as many as possible. If exercise induced, talk to your physician about pre-treatment. Pollution and occupational induced asthma should also be discussed. Make sure you also have your rescue inhaler with you and if you use a controller, do not skip any doses.
Good luck. ...Read more
Asthma can affect people to a varying degree for their whole life, although many children grow out of it.
Treatment is aimed at relieving symptoms during a flare & preventing how often the symptoms occur.
Broadly, there are 2 types of inhalers: Relievers (usually blue in colour) and Preventers (orange, purple, red, brown or green).
More info? See 'Asthma Relievers' or 'Asthma Preventers' ...Read more
1. Identify and avoid asthma triggers (this may be allergic, irritant, ge reflux, sinus, colds, cold air, etc)
2. If persistent asthma, a daily controller medication like inhaled steroid medication is most effective. Many other meds also.
3. Influenza vaccine annually and pneumonia vaccine
4. Monitor symptoms (sometimes peak flows) and have a written asthma action plan to follow during an attack. ...Read more
Unfortunately no: But the good news is that it can be controlled and you can lead a completely normal lifestyle, several Olympic medalists were asthmatic, treatments currently available helps managing the disease and controlling it to great extent, you need to keep follow up with your allergist/asthma specialist, and keep taking medicines as prescribed, good luck ...Read more
Yes if uncontrolled: In an asthma attack the muscles surrounding the bronchial tubes go into spasm in response to irritation. Trying to push air through the smaller pipes can cause fatigue and respiratory failure. Identifying your asthma triggers that set off attacks and working with your doctor to find the best combination of treatment to prevent attacks and an action plan to treat such attacks can control this risk. ...Read more
Treatment...: Asthma can be treated but not cured. Typical treatment includes bronchodilator and steroid inhalers. Other treatments depend on the specific symptoms present. Most asthmatics can be rendered symptom-free between exacerbations. If you smoke, quitting is necessary to decrease airway inflammation. See your doctor for treatment, especially if you still have symptoms. ...Read more
Each to his own: At least one study showed that nearly every case of asthma is unique in medication response and thus what is best is what works best for you. Inhaled steroid is the currently preferred drug, yet only about 50% of asthma actually responds to inhaled steroid.. As for pills, the only one I am aware of is Singulair (montelukast) or Accolate. Theophylline or terbutaline are rarely used nowadays. ...Read more
Testing, discussion: Sometimes asthma is easy to spot. You start wheezing and having trouble breathing with exercise or viral illnesses. Or a chronic nighttime cough. However, if you aren't sure, such as a little tight cough after notable exercise, or if you're in the heat a lot, etc, then a visit to your doc can help. Sometimes pulmonary function testing (blowing into a special tube) can show if airflow is normal. ...Read more
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