Asthma Diagnosis and Treatment

Category: Asthma

Diagnosing Asthma

After the first manifestation of asthma attacks (BA) a person needs to be examined by a doctor-pulmonologist who collects detailed information about:

  • disease’s course and duration;
  • working and accommodation conditions;
  • patient’s harmful habits.

He will carry out detailed clinical examination.

Sometimes asthma is difficult to be distinguished from other respiratory diseases:

  • pneumonia;
  • bronchitis;
  • heart attacks;
  • thrombosis;
  • pulmonary embolism;
  • vocal cords diseases;
  • tumors;
  • shortness of breath;
  • breathlessness;
  • wheezing.

The diagnosis of asthma is established due to pulmonary function tests (spirometry): it needs to breathe air into a special instrument. Mandatory study is conducted by peakflowmeter – measurement of peak expiratory flow rate. Then it must be done at home using laptop peakflowmeter. It is necessary for objective control over asthma and determination of required dosage.

Laboratory methods for asthma diagnosis include blood and sputum tests.

With the help of X-ray and computed lung tomography presence of infections and other respiratory tract lesions, chronic circulatory failure or foreign body presence in respiratory tract can be excluded.

You should also carry out research at allergist using skin tests with a variety of allergens. This study is necessary to determine what may cause an attack.

Asthma Treatment

Asthma DiagnosisBronchial asthma is a chronic disease that requires daily treatment. Only in this case, you can achieve success in asthma treatment. Chronic asthma is incurable.

There is a notion of stepped approach to asthma treatment. Its meaning is to change the doses depending on asthma severity. “Step Up” – is to increase the dose, “step down” – a dose reduction. In most clinical guidelines there are 4 of these “steps”, which correspond to 4 degrees of disease severity. Treatment should be conducted under constant medical supervision.

Medications for Asthma Treatment

It is possible to use several groups of drugs for asthma treatment. In choosing how to treat asthma Asthma Inhalers Online: offers you symptomatic and basic drugs in form of inhalers. Symptomatic drugs whose action is directed to bronchial obstruction restoration and bronchospasm removal — are bronchodilators. These means include the so-called drugs of “first aid” for rapid removal of breathlessness attack. They are used “on demand”.

The second group includes preparations of basic anti-inflammatory therapy, the effect of which is aimed at suppression of allergic inflammation in bronchi such as:

  • glucocorticoid hormones;
  • cromone;
  • antileukotriene;
  • anticholinergic drugs.

Unlike “emergency” drugs, “base” drugs are appointed as long-term therapy for asthma prevention; they do not provide quick, momentary action. Without removing acute asthma attack, anti-inflammatory drugs have influence on root cause of diseases’ symptoms – inflammation in bronchi. By reducing and suppressing it, these drugs, in the end, lead to a decrease in attacks frequency and severity, and eventually – to a complete asthma attacks termination.

Since inflammation in bronchi in case of asthma is chronic, taking anti-inflammatory drugs should be long-lasting, and their effect develops gradually – within 2 – 3 weeks.

Glucocorticoid hormones, notably their tablet or injectable form, have many side effects:

  • immune suppression (and therefore the tendency of body to various infectious diseases);
  • inflammation and ulceration of gastrointestinal tract;
  • weight gain;
  • hormonal disorders;
  • others.

However, pharmaceutical industry does not stand still and the list of drugs to cure asthma permanently refills. Nowadays a significant achievement of pharmaceutical industry is inhaled corticosteroids – topical medications, rather than systemic one. Inhaled glucocorticoids are a large group of synthetic drugs produced in form of personal metered dose asthma inhaler or spray-nebulizers which can be ordered via Asthma Inhalers Online.

These asthma inhalaers are:

  • Ventolin;
  • Proventil;
  • Flovent;
  • Advair;
  • Spiriva;
  • Entocort;
  • Atrovent;
  • Pulmicort;
  • Combivent;
  • Seroflo;
  • Symbicort;
  • Serevent.

The creation of such products and their active introduction to the clinic was a truly revolutionary step in choosing how to treat asthma. High efficiency, good tolerability and few side effects make these medications drugs of choice in asthma treatment, including children.
Among all known anti-inflammatory drugs used to treat asthma today, glucocorticoids have the best ratio of safety and efficacy. Their unique feature is that, when used as basic therapy, inhaled corticosteroids can reduce original bronchial tree reactivity level, ie, propensity to respond adequately to various irritating stimuli.

In addition, regular use of glucocorticoids allows transform asthma into a mild degree, and often reduce inhaled agonists intake to a minimum.

We should not forget about non-drug treatments for asthma, which can be very effective.

They include:

  • special breathing techniques and use of various respiratory devices;
  • modification reflexology (acupuncture, electropuncture);
  • methods of physical training;
  • climatotherapy (speleotherapy – treatment in salt mines, use of the so-called gala cameras);
  • others.

For competent treatment of bronchial asthma, patients (and, ideally, and their relatives) need to visit asthma-school, where he learns:

  • basic steps of attacks prevention;
  • study technique of rational breathing;
  • work out special asthma diet.

The importance of such schools can not be overestimated. Indeed, thanks to them, a person is left alone with his problem and get used to idea that asthma is not a sentence, but a way of life. Typically, asthma-schools operate on basis of clinics and hospitals. Address your nearest asthma-school, speak with local therapist or pulmonologist, which consult you.

Bronchial Asthma Prevention

There exists:

  1. primary asthma prevention;
  2. secondary asthma prevention;
  3. tertiary asthma prevention.

Primary asthma prevention is focused on asthma occurrence in healthy people, which is directed to prevent allergy and chronic respiratory diseases development (eg, chronic bronchitis).

Secondary asthma prevention includes measures to prevent development of disease in sensitized individuals or in patients in pre-asthma stage, but not yet suffering from asthma. These are people, who have allergies (food allergy, atopic dermatitis, eczema, etc.), those with a predisposition to asthma (eg, there are relatives who are suffering from asthma), or those who have proven sensitization using immunological methods.

Tertiary asthma prevention is aimed at reducing disease’s severity and relapse prevention in patients who already suffer from asthma. The main method of preventing asthma at this stage is to eliminate patient’s exposure to allergen that causes an asthma attack (an elimination mode).

An important place in asthma treatment is taken by idea to visit resorts. Spa treatment has beneficial effect on patients with asthma. In world practice, it has accumulated considerable experience in successful asthma treatment by means of climatic resorts. The efficiency of sanatorium asthma treatment depends on correct choice of resort. In choosing the best resort area you should undergo rehabilitation, doctor will select health spa suitable for each individual case.