Ask a Doctor: Symptoms and Treatment of Asthma
23
August

By Adem Lewis / in , , , /


♪ Kristine: EVERY THURSDAY WE’RE TAKING A LOOK AT A HEALTHS ISSUE OR CONCERN AFFECTS MANY PEOPLING BREAKING DOWN THE INFORMATION TOF YOU AND TELLING YOU WHAT YOU NEED TO KNOW TO KEEP YOUR HEALTHY. DR. BRADY FROM THE JOHN A. BURNS OF SCHOOL JOINS US. GOOD MORNING. GOOD MORNING. Kristine: A LOT OF PEOPLE @AFFECTED BY ASTHMA. FIRST, WHAT EXACTLY IS IT? ASTHMA IS REVERSIBLE SPASM OF THE BREATHING TUBES WHICH MAKES IT HARD TO BREATHE. ACCOMPANIED BY THE SPASM IS THE COLLECTION OF MUCUS AND INFLAMMATORY CELLS FROM THE BREATHING TUBE THAT’S CAUSES MUCUS PLUGGING AND OBSTRUCTION OF THOSE TUBES. THAT AGAIN MAKE IT DIFFICULT TO BREATHE. Kristine: 300 MILLION PEOPLE WORLDWIDE AFFECTED. RIGHT. CHILDREN WORLD WIDE HAVE ASTHMA. IN THE UNITED STATES WE’RE REPORTING 7 TO 8% OF ALL ADULTS AND CHILDREN IN THE UNITED STATES HAVE ASTHMA. SEVEN TO 8%. ONE IN EVERY 250 DEATHS WORLDWIDE IS ATTRIBUTED TO ASTHMA. Kristine: WHAT ARE THE SYMPTOMS? THREE. SHORTNESS OF BREATH, CHEST TIGHTNESS AND A COUGH. Kristine: WHAT STRICTERS IT? MANY TRIGGERS. RESRESPIRATORY ILLNESS, PHYSICAL EXERTION, THAT MEANS EXERCISE. EXTREME EMOTION. AND INHALED ALLERGENS. MOST IMPORTANT IS PROBABLY CIGARETTES AND VAPPING AND CIGARS. TOBACCO IS VERY IMPORTANT. IN ADDITION, WOOD SMOKE, STRONG PERFUMES AND ODORS, MOLD, DUST AND MITES. POLLEN, COCKROACHES AND IN HAWAI’I, VOG IS ONE OF THEM. Kristine: HOW DO COCKROACHES TRIGGER ASTHMA? THEY HAVE PROTEINS ON THEIR BODY AND ALSO THEIR DROPPINGS HAVE PROTEINS IN THEM THAT CAUSE PEOPLE TO REACT TO THEM AND DEVELOP AN ASMATIC ATTACK. Kristine: AND HOW DOES IT GET DIAGNOSED? DIAGNOSIS IS BY SEEING YOUR DOCTOR WHO WILL GET A HISTORY AND ALSO DO A NUMBER — A PHYSICAL EXAMINATION AND DO A RESPIRATORY TEST. Kristine: WHAT ARE THE TREATMENTS? THE TREATMENTS THERE ARE RESCUE INHALERS. THIS IS ONE WHICH I’LL DEMONSTRATE LATER IN THE SESSION. AND WE HAVE LONG ACTING BETAA AGNONIS. Kristine: THESE ARE THE ONES THAT YOU TAKE REGULARLY? YES. ONCE OR TWICE A DAY. THEY PREVENT AN EXCESSIVE NUMBER OF ACUTE ATTACKS. Kristine: THIS OPENS UP LIKE THIS. THERE YOU GO. VERY EASY. Kristine: AND THE ONE YOU HAVE. DESCRIBE THE DIFFERENCE. IF YOU HAVE AN ASTHMA ATTACK, THAT WON’T WORK. IF YOU HAVE AN ASTHMA ATTACK, THIS IS THE KIND OF RESCUE INHALER YOU NEED. AND YOU NEED TO HAVE AN ACTIVE ASTHMA TREATMENT PLAN WHICH YOU’VE WORKED WITH YOUR FAMILY AND YOUR DOCTOR SO THAT AS I SAY, ASTHMA CAN KILL. SO THAT SERIOUS ASTHMA ATTACK DOESN’T — HAPPEN. Kristine: YOU’RE GOING TO SHOW US HOW YOU INHALE THIS. YOU WERE INHALED TEN YEARS AGO. THERE ARE FOUR STEPS. ONE IS TO SHAKE THE INHALER. SECOND IS BREATHE OUT. THIRD IS TO BREATHE IN WHILE SQUEEZING THE INHALER. AND FOURTH IS TO HOLD YOUR BREATH AS LONG AS YOU CAN. Kristine: THAT OPENS UP THE LUNGS? IT OPENS THE BREATHING TUBES. THERE ARE PILLS THAT HELP WITH THE MODERATION OF THE INFLAMMATORY RESPONSE THAT IS PART OF ASTHMA. STEROIDS ARE IN THOSE LONG ACTING ONES FREQUENTLY. AND ORAL STEROIDS ARE AN


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