Doctor insights on:
Will An Epipen Help Asthma
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
Since epipen (epinephrine) can temporary relax the air way, can epipen (epinephrine) used for asthma attack in emergency situations when no asthma medication available?
Peace of mind?: Epi pens are usually kept by people who have had an anaphylactic reaction to an allergen (life threatening situation). This is something you should discuss with your physician. ...Read more
Would it be dangerous to use an epipen (epinephrine) on my 70 lb kid after nebulized albuterol? She has asthma or reactive airway (not sure) & peanut & nut allergy.
I have severe shellfish allergy. I never had Anaphylaxis but I carry an EpiPen (epinephrine). Will an EpiPen (epinephrine) reverse throat swelling? I have Asthma as well.
Depends: Epi pens are used in people who experience severe allergic reactions. The source of the allergy is not really important. If the asthma attack is the direct result of the allergic reaction it may be beneficial. However, "epi" is a non-specific "agonist" whereas your rescue inhaler is specific for the receptors in your lungs and would probably work better with fewer side effects. ...Read more
Different use: Epi pens are used in people with severe, lifethreatening allergic reactions. Epinephrine is also a non-specific drug in that it stimulates different areas of the body so that side effects are very common anad sometimes dangerous. The rescue inhalers like albuterol are specific for the "receptors" in the lungs and so have little side effects outside that area. ...Read more
Yes: Epinephrine is old school - that's the way asthma was treated 30 years ago when access to nebulized bronchodilators like albuterol was limited. Another thing you can do in a severe asthma attack while waiting for help to arrive is to take an additional 2 to 4 puffs of your rescue inhaler. Either of these emergency actions will buy time but you need to get to the er or your doctor's office now! ...Read more
No: Outgrowing asthma is a slightly controversial topic; while some adults who had asthma as a child do not have symptoms as an adult, objective measurements of lung function often find problems in these individuals. It is not clear if there is truly a lessening of the disease, a decrease in activity, or tolerance (or some combination of all three) that leads to the phenomina. ...Read more
Probably not: Unlike pool chlorine which is a known trigger for asthmatics, at this time ozone has not been reported to cause any triggers. Interestingly, many highly trained, olympic level swimmers do suffer from asthma which has been related to constant exposure to pool chlorine. Ozone appears to be a safer, though more expensive alternative. ...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
Rarely: In kids that have ICU quality asthma & take oral steroids to survive/recover, there is evidence that long term use will reduce finalheight.These kids are often in the ICU before they are a year of age and hospitalized repeatedly.This is a fraction (<3%) of those with asthma.For your average asthma patient that follows a standard treatment plan, this is not a problem. ...Read more
Possibly: Though allergies are a common trigger for asthma attacks, food allergies are not as commonly linked as inhaled allergens like animal dander or pollution. Often, people with allergies are allergic to more than 1 allergen. Perhaps this is you case and investigating other possibilities with your physician cam be helpful. Good luck. ...Read more
Circadian rhythm: Everyone has a natural circadian rhythm that controls your sleep/wake cycle. At night your cortisol (stress hormone) levels fall causing you to be tired and sleep. This drop also causes a change in the physiology of your body resulting in a number of changes including worsening of diseases sensitive to cortisol. Asthma is one such disease. ...Read more
Define asthma: Most wheezing in early childhood is related to infections but often treated the same as asthma. A good 2/3rds of these will grow out of this wheezing tendency by school age. I do not call this asthma. For those with genetically linked asthma, some of the worst will be symptomatic in childhood, but it may emerge when older. True asthma is always there but you can symptom free for extended periods. ...Read more
Great question!: Asthma control is achieved through recognizing the severity of asthma so the appropriate amount of medication (good inhaler technique) can be used. Also, avoiding asthma triggers (smoke, pollen, etc), following a written asthma action plan when symptoms occur to react early. Having lung function checked by spirometry and exhaled Nitric Oxide if available as well. Influenza vaccine each fall. ...Read more
Lifelong issue: True asthma is understood today as a genetically linked issue that stays with you through life. For many it will go through phases of increased or decreased symptoms based on illness, triggers, growth, and environmental exposures. Many adults have reached a stable state where minimal maintainance meds or efforts are needed, but may have a return of symptoms at any time.Be ready if problems return. ...Read more
In my opinion Controller meds which include inhaled Steroids with long acting Bronchodilaters also inhaled in combinations if taken correctly work best and sometimes one can add Montelucast(Singular) to that to control Asthma and reduce the incidents of acute attacks and exacerbations to minimum
For acute attacks reliever meds like Albuterol or Levalbuteral are used with oral steroids sometimes ...Read more
Visit allergist: An allergist or pulmonologist can assess your asthma, perform pfts, measure feno and determine what controller medications you need to minimize your risk of asthma attack (that can be fatal) and your risk of accelerated loss of lung function due to untreated or under-treated inflammation in your lungs. Controller medications are usually inhaled steroids but there are other helpful medications too. ...Read more
Unlikely: Foods including chocolate are an uncommon trigger for asthma in adults. Very young children may have asthma triggered by foods. Foods that trigger ge (acid) reflux may then aggravate asthma. Chocolate allergy is pretty unusual with most symptoms related to milk, nut or peanut allergy. ...Read more