What is Asthma, Symptoms,Causes & Treatment
What Is Asthma?
Asthma (AZ-ma) is a chronic (long-term) lung disease that inflames and narrows the airways. Asthma causes recurring periods of wheezing (a whistling sound when you breathe), chest tightness, shortness of breath, and coughing. The coughing often occurs at night or early in the morning.Asthma affects people of all ages, but it most often starts during childhood. In the United States, more than 25 million people are known to have asthma. About 7 million of these people are children.
Asthma Overview
To understand asthma, it helps to know how the airways work. The airways are tubes that carry air into and out of your lungs. People who have asthma have inflamed airways. This makes them swollen and very sensitive. They tend to react strongly to certain inhaled substances.When the airways react, the muscles around them tighten. This narrows the airways, causing less air to flow into the lungs. The swelling also can worsen, making the airways even narrower. Cells in the airways might make more mucus than usual. Mucus is a sticky, thick liquid that can further narrow the airways.
This chain reaction can result in asthma symptoms. Symptoms can happen each time the airways are inflamed.
Asthma
Figure A shows the location of the lungs and airways in the body. Figure B shows a cross-section of a normal airway. Figure C shows a cross-section of an airway during asthma symptoms.
Figure A shows the location of the lungs and airways in the body. Figure B shows a cross-section of a normal airway. Figure C shows a cross-section of an airway during asthma symptoms.
Sometimes asthma symptoms are mild and go away on their own or after minimal treatment with asthma medicine. Other times, symptoms continue to get worse.
When symptoms get more intense and/or more symptoms occur, you're having an asthma attack. Asthma attacks also are called flareups or exacerbations (eg-zas-er-BA-shuns).
Treating symptoms when you first notice them is important. This will help prevent the symptoms from worsening and causing a severe asthma attack. Severe asthma attacks may require emergency care, and they can be fatal.
Asthma Symptoms:
What Are the Signs and Symptoms of Asthma?Common signs and symptoms of asthma include:
Asthma-Coughing.
Coughing from asthma often is worse at night or early in the morning, making it hard to sleep.
Asthma-Wheezing.
Wheezing is a whistling or squeaky sound that occurs when you breathe.
Asthma-Chest tightness.
This may feel like something is squeezing or sitting on your chest.
Asthma-Shortness of breath.
Some people who have asthma say they can't catch their breath or they feel out of breath. You may feel like you can't get air out of your lungs.
Not all people who have asthma have these symptoms. Likewise, having these symptoms doesn't always mean that you have asthma. The best way doctors have to diagnose asthma is to use a lung function test, ask about medical history (including type and frequency of symptoms), and do a physical exam.
The type of asthma symptoms you have, how often they occur, and how severe they are may vary over time. Sometimes your symptoms may just annoy you. Other times, they may be troublesome enough to limit your daily routine.
Severe symptoms can be fatal. Thus, treating symptoms when you first notice them is important, so they don’t become severe.
With proper treatment, most people who have asthma can expect to have few, if any, symptoms either during the day or at night.
Asthma Causes:
What Causes Asthma Symptoms To Occur?
Many things can trigger or worsen asthma symptoms. Your doctor will help you find out which things (called triggers) may cause your asthma to flare up if you come in contact with them.Triggers can include:
* Allergens from dust, animal fur, cockroaches, mold, and pollens from trees, grasses, and flowers
Irritants such as cigarette smoke, air pollution, chemicals or dust in the workplace, compounds in home décor products, and sprays (such as hairspray)
* Medicines such as aspirin or other nonsteroidal anti-inflammatory drugs and nonselective beta-blockers
Sulfites in foods and drinks
Viral upper respiratory infections, such as colds
Physical activity, including exercise
Other health conditions can make asthma harder to manage. Examples of these conditions include a runny nose, sinus infections, reflux disease, psychological stress, and sleep apnea. These conditions should be treated as part of an overall asthma care plan.
Asthma is different for each person. Some of the triggers listed above may not affect you. Other triggers that do affect you might not be on the list. Talk with your doctor about the things that seem to make your asthma worse.
Asthma Attack
What is an Asthma Episode / Attack?An asthma episode, or an asthma attack, is when symptoms are worse than usual. They can come on suddenly and can be mild, moderate or severe.
What happens during an asthma attack?
* The muscles around your airways tighten up, narrowing the airway.
* Less air is able to flow through the airway.
* Inflammation of the airways increases, further narrowing the airway.
* More mucus is produced in the airways, undermining the flow of air even more.
Asthma Treatment:
Exercise Induced Asthma-Treatment
The first step is to develop a treatment plan with your physician. EIB associated with more generalized asthma is prevented with controller medications taken regularly (such as mast cell stabilizers, inhaled steroids and leukotriene modifiers) or by using medicines before you exercise (short-acting beta-agonists such as albuterol). When EIB symptoms occur, they can be treated with short-acting beta-agonists.
In addition to medications, warm-ups and cool-downs may prevent or lessen EIB symptoms. You may want to limit exercise when you have a viral infection, temperatures are low, or pollen and air pollution levels are high.
Recommended Activities-Asthma
The goal of an asthma treatment plan is to keep your symptoms under control so that you can enjoy exercising or sports activities. However, there are some activities that are better for people with EIB. For instance, swimmers are exposed to warm, moist air as they exercise, which does not tend to trigger asthma symptoms. Swimming also helps strengthen upper body muscles.
Walking, leisure biking and hiking are also good sporting activities for people with EIB. Team sports that require short bursts of energy, such as baseball, football and short-term track and field are less likely to cause symptoms than sports that have a lot of ongoing activity such as soccer, basketball, field hockey or long-distance running.
Cold weather activities such as cross-country skiing and ice hockey are more likely to make symptoms worse, but with proper diagnosis and treatment, many people with EIB can participate and excel in almost any sport or activity.
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