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Showing posts with the label Diagnostic Evaluation

Asthma Causes Part 2

Causes Of Asthma The main component of bronchial asthma is Airflow obstruction This airflow obstruction is due to 3 factors: A-Contraction of the airway smooth muscle(Bronchoconstriction) Smooth muscle tissue is a type of muscle tissue found in blood vessels, digestive tract, some sphincters and bronchioles. This type of muscle tissue is innervated by the autonomic nervous system thus it is involuntary acting. In a normal individual, bronchial smooth muscle tissues relax causing dilatation of the airways when more oxygen supply is needed as in fight or flight, they contract causing bronchoconstriction when there is no demand for more oxygen as during rest and sleep. In an asthmatic, there is an exaggerated bronchoconstriction and airway narrowing on exposure to allergens. This is due to hyperresponsiveness of their airways ( This was discussed in the previous article). B-Increased secretion of the epithelial glands Airways are lin

Asthma Causes Part 1

It is chronic inflammation of the respiratory airways characterized by: – Air flow obstruction that is reversible either spontaneously or with treatment. – Airway hyperresponsiveness to many stimuli. – Genetic predisposition (it tends to run in families). It is the most common chronic respiratory disorder among all age groups. Chronic is a medical term which means that this disease tends to persist more than 3 months. Another example of chronic illnesses are hypertension (persistent high blood pressure above 120/80 ) and diabetes mellitus (persistent high plasma glucose level above 110 mg/dl after fasting for 8 hours). Inflammation means redness, hotness, swelling, pain and loss of function of the affected organ. It is an immune system response to any harmful stimuli such as injury, infection and irritation.  Inflammation is a beneficial response as the inflamed organ gets increased blood supply through the dilatation of its supplying blood vessels. Th

Asthma Diagnosis Part 1

It is very important to know that there is no diagnostic blood test, radiographic or histopathological investigation done to confirm the diagnosis of asthma. The diagnosis of bronchial asthma is based upon clinical diagnosis. It is important during the diagnosis of asthma to keep its definition in mind It is a chronic inflammatory disorder of the airways in susceptible individuals, the inflammatory symptoms are usually associated with widespread but variable airflow obstruction and an increase in airway response to a variety of stimuli. The obstruction is often reversible either with or without treatment. Remember Symptoms produced by asthma such as cough, wheeze and shortness of breath can be caused by other respiratory diseases as well, this also applies to signs produced by bronchial asthma such as rhonchi. How is a clinical diagnosis of asthma made ? A Detailed history taking is the most important step for the diagnosis of bronchial asthma What should the doctor ask

Allergic Asthma

Allergic Asthma This article is a continuation from each description of the Types Of Asthma Allergic asthma or extrinsic asthma (not part of the essential nature of someone or something; coming or operating from outside) is the most common form of asthma among all the asthma types. Allergic asthma from it’s self explanatory word, results from an allergic reaction. Our immune system normally exists to fight off infection. In allergic asthma, however, your body senses allergens(a substance that causes an allergic reaction), which would normally be harmless, as a foreign body and mounts an attack against them. This immune attack can lead to asthma symptoms. Allergic Asthma Symptoms Many of the symptoms of allergic asthma and non-allergic asthma are similar and include:-  Wheezing Chest tightness Shortness of breath Chronic cough Allergic asthma symptoms can be triggered by:-  Most smokes i.e tobacco smoke Animal dander(Skin flakes in an animal’s fur or hair) Du

Occupational Asthma

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This article is a continuation from each description of the Types Of Asthma: Occupational asthma Dental hygienists – latex Bakers – flour Roofers, insulators and painters – isocyanates (a salt or ester of isocyanic acid) – toluene (a colorless liquid hydrocarbon present in coal tar and petroleum and used as a solvent and in organic synthesis) Welders and metal workers – metals (nickel, platinum and chromic acid) Plastic manufacturers – glues and resins Farmers and veterinarians – animal proteins Carpenters – wood dust  Workplace exposure to substances that may directly irritate your lungs or lead to an immune response    Develop sensitization* to the exposure Resulting inflammation of upper and lower airways Development of symptoms Exposure continues nor stopped Persistence of symptoms or clinical improvement  Peak Expiratory Flow Rate : Repeated PEFR are the most common method to determine if a particular antigen is the cause of occupational asthma. You w

Nocturnal Asthma

This article is a continuation from each description of the Types Of Asthma: When you have Nocturnal Asthma (occurring, or active at night), your FEV1 (Forced Expiratory Volume in one second; the volume that a subject can exhale in the first second during a forced expiration test – esp.done by a spirometry – decreases by at least 15% from bedtime to getting up in the morning in patients with asthma. For some people, the decline in lung function can be significantly more and this is all associated with increased symptoms, such as cough, wheezing and shortness of breath that disrupt sleep. Patients with large nighttime changes in their FEV1 may also have more daytime symptoms. Diagnosis Of Nocturnal Asthma Diagnosing nocturnal asthma is by taking a bedtime peak flow and a peak flow when you wake up.If there is more than a 15% difference in your peak flow, you have significant variability that may be the cause of your symptoms. But, peak flow meters are not very sensitive to

Cough Variant Asthma

Cough Variant Asthma This article is a continuation from each description of the Types Of Asthma. Symptoms Of Cough Variant Asthma While normal cough may follow the usual symptoms associated with asthma in Cough Variant Asthma but cough alone may be a precursor(a thing that comes before another of the same kind; a forerunner) to or the sole symptom in an asthmatic. So when cough is the only asthma symptom, this is known as Cough Variant (a form or version of something that differs in some respect from other forms of the same thing or from a standard) Asthma or CVA. Basically,the main symptom of CVA is a chronic, non-productive cough. CV Asthma patients have cough as the main or the only symptom of their asthma. CVA type of asthmatic patients are a small percentage of total asthma patients. CVA patients are, however, a distinct group rather than only being thought of as coughing asthmatics. However,CVA patients have some differences from patients with typical asthma.

Medication Induced Asthma

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Medication Induced Asthma This article is the final continuation from each description of the Types Of Asthma:- Medication Induced Asthma or Aspirin Induced Asthma: – Aspirin, most people don’t think twice about taking an aspirin under the prescription accordingly and it’s correct usage esp. when they have a headache,but for some people with inclusive of asthma, this unknown action can be fatal. Aspirin and other Non Steroidal Anti Inflammatory DrugS* or NSAIDS – such as ibuprofen ,naproxen and diclofenac – have been found to trigger asthma attacks in people who have asthma. The asthma attacks induced by aspirin and NSAIDS are mostly severe and can even be life threatening. The aspirin sensitivity generally increase as people age, and it is worse in people with more severe asthma. This symptoms has been recognized for many years, but it was unclear how many people with asthma faced a risk when taking these commonly used medications until further research were done on i

Asthma Pregnancy Breastfeeding

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Asthma is in fact one of the common disorders that can develop in the period of pregnancy. It is also one of the most serious disorders that can develop during pregnancy. Since it is state where the hampering of the most vital process of respiration is concerned it should never be neglected and adequate measures should be taken to relieve the situation. There is no evidence that suggests any increase in incidents of spontaneous abortions or development of congenital deformities in pregnant ladies with asthmatic condition. Generally the available statistics show that the asthmatic ladies who get pregnant have worsening of their disease in about one-third of the cases.  Anther one-third patients show no changes in their conditions and the last one-third show signs of getting better. It is a very rare incident that an asthma patient has complications due to her condition while child birth. In most situations women return to their normal condition of the disease in between thre

Important Asthma Medical Information

Asthma is a common breathing difficulty condition among most people all over the world. The common asthma symptoms would include wheezing, coughing and tightness of the chest. There are situations when asthma is also called reactive airway disease or bronchial asthma. Asthma is more common in children compared to adults. If they are treated early and well, both adults and children can live well.  SYMPTOMS OF ASTHMA There are minor and severe symptoms that can vary from every individual. Some may have infrequent attacks of asthma, which means that they can have symptoms only at certain times like when having exercises. There are some people who may also have asthma attacks more frequently. Some of the most common symptoms of asthma would include: Pain or tightness of the chest Shortness of one’s breath A wheezing or a whistling sound when the person is exhaling. For children, the most common asthma sign would be wheezing. Sleeping troubles due to coughing, shortness of br

Asthma Treatment

Asthma is a very dreadful disease, and many people are becoming the victims of this disease throughout the world. There are no geographical, ethnic or racial restrictions for this disease. It can affect people belonging to different geographical regions, races, etc. People of all age groups are affected, although kids are more commonly affected from this disease. The symptoms of asthma are very difficult to control. They can be triggered very easily. They can be triggered by mild household dust, pollen from the flowers, and even by cold weather, which makes it very difficult to prevent the symptoms of the disease. It has many symptoms like wheezing, coughing, flaring of nostrils,difficulty in breathing, and fast breathing or tachypnea. Medications or drugs need to be taken to control the immediate symptoms or the attack of the asthma, when an attack is produced. But, drugs also need to be taken to prevent the symptoms, or to provide long term control of the disease. Both are eq

Asthma Causes

Asthma ailment, which is produced due to the inflammation or swelling of the respiratory tract, or the airway. Every year, millions of people are becoming the victims of Asthma. The exact causes of asthma is not clearly understood, yet. But, many possible causes of Asthma have been suggested. Asthma is believed to be due to interaction of many factors, and these might be related to your genes, or the environmental factors. Asthma is a type of hypersensitivity reaction. It is caused due to the over-reactivity of the respiratory tract or the airway to the environmental factors, like allergens, cold air, etc. Asthma belongs to the group of Type 1 hypersensitivity reactions. Family history or heredity: Asthma is known to be caused by the hereditary factors. Presence of asthma in the family members like parents, increases the probability of occurrence of the disease, in the kids too. The chances of occurrence of Asthma among the twins is also high. Scientists have mapped out severa

Asthma Attack

An asthma attack is always taken as a physical experience. Sufferers often experience chest tightness, coughing, and an more effort to breathe. Yet asthma also has an emotional component. There is the frustration of experiencing an attack and the fear of what might happen if the attack worsens. Asthma can be a life-threatening condition. This can increase levels of anxiety, leading to panic, which in turn can trigger or worsen an asthma attack. Anxiety, resentment and despair are common emotions felt by the asthmatic. For centuries, many people believed asthma was caused by stress or emotional disorders. This led to a stigma being attached to the condition and there grew a stereotype of the asthmatic being a weak, anxious person, forever wheezing and coughing. Breathing is obviously tied in with emotion. We gasp with fear when we watch a scary movie, and take short breaths if we get involved in an action flick. We catch our breath if something startles us. Laughing and cryi

Managing Asthma Effectively

Asthma,controlling and managing it is an essential part of your life. Controlling your asthma means staying away from things that bother your airways and taking medicines as directed by your doctor. If you have asthma, it is important to learn how to take care of yourself. MAKE AN ACTION PLAN FOR ASTHMA WITH YOUR DOCTOR It is important that you work with your doctor to make an action plan that you are both happy with. As part of this, you will need to: * Tell your doctor about all other medications and drugs you are taking, in case one of them affects your asthma. * Follow your asthma action plan and have regular checkups. * Learn to use your medication correctly. Ask your doctor to teach you how to use your inhaler. This is very important. If inhalers are not used correctly, less medication gets into the airways. * If you are having problems taking your asthma medicine, seek your doctor’s advice immediately. IDENTIFY YOUR ASTHMA TRIGGERS You also need to l