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Asthma is chronic inflammation of the respiratory tract. People with asthma have very sensitive airways caused by inflammation, which causes increased mucous production. Mucous lingering in the bronchial tubes causes a response in the form of a cough. The coughing occurs frequently more in the morning and at nighttime.
Further inflammation is causing swelling of the bronchial wall, as well as spasm of muscles in surrounding bronchi. That in turn is responsible for wheezing (whistling sounds coming from the lungs), shortness of breath, chest tightness and heaviness.
The treatment for asthma is very important because in some people, poorly controlled asthma may result in permanent damage and scarring to the lungs. There are several factors which can cause asthma to flare up. Those are called “TRIGGERS.”
Dirty air – pollutants, perfumes, solvents, soaps, and chlorine
Infections – colds, flu, sore throats, sinus infections
Heartburn. Actually 70% of people with asthma have acid reflux
Weather – dry wind, cold air, sudden weather changes
Strong motion – such as laughter, crying
Usually, the diagnosis of asthma is not difficult to make based on the patient’s history and physical examination, as well as specific tests, such as Spirometry. However, milder forms such as cough, tightness and heaviness, may go undiagnosed for a while. Anyone with a couple exacerbations of asthma requiring Emergency Room visits, hospitalizations, or oral steroids, should be evaluated for asthma by an allergist, according to the national medical guidelines.
Asthma in children has unique risks due to the fact that children’s airways are already narrower and less stiff than adults. So, even a small amount of inflammation and swelling can cause serious problems. Frequently, the only signs of asthma in children are persistent cough at nighttime, especially after an upper respiratory infection or exercise.
Asthma affects about 4-8% of pregnant women. Any woman, who has asthma while being pregnant, should be monitored for her level of asthma symptoms because poorly controlled asthma may be dangerous for the developing baby. The medications used for asthma control are safe to use during pregnancy. However, we strive to use the lowest possible dose of those medications that still provided good asthma control.
If you are experiencing any form of asthma, don't delay, contact our office to get help.
The information provided in this Web site is not intended to replace consultation with your physician.
Entire contents © 2016 Ulrich O. Ringwald, M.D. Reproduction in whole or in part without
express written permission is prohibited.