Doctor insights on:
Case Study For Asthma Patient
Depends.....: Although there can be long, symptom-free intervals, asthma is an incurable disease so there are no "former asthma patients". Cats can contribute to asthma exacerbations in a patient with asthma and a cat allergy. An allergist can determine if an asthmatic is allergic to cats and, if so, can recommend treatments. ...Read more
Yes: Asthma is an inflammatory airway disease that occasionally causes reversible obstruction of the airway. Immediate relief is necessary for reversal of obstruction but anti-inflammatory agents are used to control inflammation of the airway. Key to control of asthma is control of inflammation to prevent airway remodeling hence need for chronic polypharmacy / immnuotherapy. ...Read more
Depends: Bronchoscopy is an useful tool to answer some clinical questions. In the context of asthma it is useful to answer questions such as difficult to control asthma, unexplained and difficult to control cough. These are some of the indications. In highly selected patients bronchial thermoplasty (via a bronchoscope) is a procedure that is offered to aid in control of very severe persistent asthma. ...Read more
Won't hurt: There have been many non-traditional treatments proposed for asthma. This includes yoga, accupuncture, chiropractic manipulation, etc. These are in general unproven and controversial, primarily because there have not been good scientific studies to show benefit compared to placebo. I think yoga is excellent and perhaps the calming and centering nature of yoga can help a person feel better. ...Read more
Can one de-sensitise from controlled allergen exposure. Also what exercise is good for asthma patients?
Does asthma affect my body weight? Or is it impossible for asthma patients to gain weight? If possible, what would be a recommended diet for us?
It depends: On more information and examining particular patient. Generally propofol is safe in a well controlled asthmatics, yet anesthesia plan is formulated by anesthesiologist after careful consideration of past medical and surgical history, current medications, allergies and the nature of the procedure, as well as patient's physical status. Consult your doctor or consider "virtual" appt on HealthTap ...Read more
Avoid allergens: 1.Avoidance one should avoid things to which you are allergic. Also avoid irritants like cigarette smoke and air pollution. 2. Medication medications control inflammation and symptoms, but do not cure. It is important to take medications regularly. 3. Immunotherapy for environmental allergies, allergy shots are effective. New research shows oral desensitization effective for food anaphylaxis. ...Read more
Beta-blockers: They are beta-blockers and may cause bronchial constriction which exacerbates asthma and copd. We treat asthma with beta-agonists (albuterol etc) which are exactly the opposite. That being said, metoprolol in particular is a selective drug and many asthmatics/copd-ers are able to take it if needed for heart disease without any ill effects. Talk to your doctor. ...Read more
What are the causes of breathing insufficiency? Patient age 44. No bp, no diabetic and asthma problems....
Needs evaluation.: Your doctor can perform the initial evaluation to determine your problem. If the answer is not clear, a pulmonary (lung) specialist might ultimately provide the answer. ...Read more
Can patients with vocal chord dysfunction get some relief from asthma inhalers, particularly blue rescue inhalers?
How are asthma & bronchiectasis similar & different? Can one be misdiagnosed as the other? How do you know that patient has one and not the other?
Different: Asthma is manifested by airway inflammation leading to bronchial narrowing and spasm. It may produce sputum if the inflammation is not controlled. Bronchiectasis is from loss of lung tissue beyond a small bronchial tube leading to a blind pouch at the end and collection of mucus. With nothing to expel the mucus, it often gets infected. (ba by lung function, bronchiectasis by hrct or bronchoscopy. ...Read more
Is it true with patients that have asthma excercise improves asthma and makes the lungs stronger to where your asthma is not as bad, or is that false?
Exercise helps: Exercise will help those with asthma in the fact that when the body is well conditioned the lungs do not have to work as hard to meet the body's oxygen demands. However, exercise does not control the airway inflammation associated with asthma and if your physician recommends a daily controller medication you should continue this even if you start exercising. Exercise can induce bronchospasm. ...Read more
Triggers: A majority of asthma is secondary to allergies. An allergist can test you and determine your triggers. They can help you avoid your allergens, get you on a good treatment plan and if you are a candidate for it, can suggest desensitizing you to your allergens to improve your asthma and allergies. ...Read more
Yes: You are concerned about the effect of steroids on your diabetes. Please call your treating physician if you are not sure, because I don't want to mislead you based on a little information. From my understanding, the local steroids administered in using a nasal steroid spray stay mostly in the nasal area, and shouldn't have a major effect on your diabetes. Best bet is to consult with your doctor. ...Read more
Selective may be OK: Selective beta 1 blockers are are tolerated by most asthmatics at lower doses. Non-selective beta blockers are contra-indicated in asthmatics because they block the beta2 receptors in the airways, leasing to broncho-constriction. Even non-selective applied to the eyes (for glaucoma) can cause asthma attacks or poorer control. High doses of beta1 may rarely cause similar worsening of asthma. ...Read more
Wheezing: Asthma is often but not always associated with wheezing when breathing out. However not everyone wheezes and the wheeze may disappear when the asthma gets extremely severe. If you need to monitor asthma yourself, you may be better off getting an inexpensive peak flow meter- not perfect but better than trying to listen to the kid's chest. Regular follow up with your doctor is required. ...Read more
My son has developed a rash on his chest back he says it do not itch he is an asthma patient should I be concerned?
Allergies?: Many young asthmatic have allergies and sometimes they are multiple. Of course the best way to get to the root of the problem is to have him skin tested. You may want to rule out possible contact dermatitis because of new laundry detergent, soap, new brands of undershirts sheets and pillowcases, etc. ...Read more
Asthma patient with bronchitis symptoms. Is bronchitis contagious, and would you assume it best for me to stay home from school?
Depends: Assuming that your asthma is under control but you still cough, then the cause for the bronchitis is likely from a viral or bacterial infection. Bacterial infection is usually not contagious unless you have whooping cough. Viral infection often does however since a cough often travels from 0 to 60 faster than your souped-up mustang. ...Read more
Of asthma, pneumonia, and appendectomy patients, are appendectomy patients likely to have the least number of other complications?
I am 16 years old. I am a asthma patient. It started in 3 years old. I am using inhaler esiflo 125. When this decease will go from me?
Depends on control: Asthma management is determined by the frequency and severity of your symptoms as well as your baseline functioning. If you continue to have frequent asthma attacks on your current medication, or if you are needing to use a rescue inhaler on a regular basis your doctor may not be able to step down your medication. It is not a question of time, but rather how well your asthma is controlled. ...Read more
Why must beclomethasone (becloment) be taken every day if the patient is not having an asthma attack every day?
Reduce inflammation: Asthma is caused primarily from chronic inflammation in the airways. The inhaled steroids prevent this inflammation which results in reduced need for rescue inhalers, reduced asthma attacks and lessens the chances of permanent damage to the lungs "remodeling". These are designed as controller medications and should be taken every day. If you are doing very well your doctor may decrease these. ...Read more