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Zeng Xiang Bo
Respiratory and Critical Care Medicine
About me
Associate Chief Physician of the Department of Respiration and Critical Care Medicine at the Second People's Hospital of Hunan Province. Master of Medicine, visiting scholar in the United States, member of the Hunan Province Internal Medicine Specialty Committee. Engaged in the diagnosis and treatment of respiratory diseases and the rescue of internal medicine difficult cases for a long time. Proficient in the diagnosis and treatment of chronic cough, handling of pulmonary nodules, rescue of severe infectious diseases, and experience in respiratory endoscopy intervention.
Proficient in diseases
Specializing in the diagnosis and treatment of chronic cough, chronic obstructive pulmonary disease, bronchial asthma, and pulmonary nodules, with expertise in the management of complex cases in internal medicine critical care, respiratory interventions, mechanical ventilation, and other related fields.
Voices
Which antibody will increase in bronchial asthma?
Bronchial asthma is a type of chronic allergic inflammation of the airway, commonly referred to as allergic inflammation. Therefore, in laboratory tests, there will be an increase in some antibodies, among which the two main types are the first category being IgE antibodies, which usually exceed 200 IU/ml. The elevation of IgE antibodies indicates that the body is in an allergic state; the other type of antibody is specific antibodies, for example, if I am allergic to fungi, then my fungal antibody levels will be elevated, and if I am allergic to peanuts, then testing for specific peanut antibodies will show an increase. Thus, it is a type of specific antibody that indicates an allergy to certain substances.
Treatment for mild bronchial asthma
For the treatment of mild bronchial asthma, the purpose of treatment is to prevent the repeated exacerbation of the condition and to prevent deterioration, as well as to control current symptoms. Regardless of whether the symptoms are present or absent, mild or severe, standardized treatment is needed for these asthma patients. The main treatments are inhaled corticosteroids and long-acting bronchodilators to control the progression of the disease and prevent acute asthma attacks. Of course, we will have an assessment of the condition, whether controlled or not, and based on the grading of the condition, different levels will require different medications for treatment.
What position should be adopted for bronchial asthma?
The postures of patients with bronchial asthma vary depending on the severity and extent of the attack. For patients with mild symptoms, they can assume any posture they prefer without any impact; they can sleep however they wish. However, during severe asthma attacks, patients are forced to adopt a semi-sitting or upright sitting position to breathe. This isn't a choice, but a necessity when the disease reaches a severe stage, where such positions might slightly ease breathing. Many asthmatic patients cannot lie down at all during serious attacks, as lying down would intensify their chest tightness and breathing difficulties.
How to check for bronchial asthma?
If there is a suspicion of having bronchial asthma, a series of tests will be carried out at the hospital, mainly including: First, complete blood count, especially focusing on whether there is an increase in eosinophils, to determine the presence of eosinophilic allergic inflammation. Second, imaging of the lungs, including chest X-ray or CT to determine whether there are any specific lesions in the lungs. Third, pulmonary ventilation function and bronchodilation tests, or bronchial provocation tests. Pulmonary function is a gold standard for diagnosing bronchial asthma, often indicating the presence of obstructive ventilation dysfunction. A positive bronchodilation test or provocation test can help in confirming bronchial asthma.
How to use diet to supplement for bronchial asthma
Generally speaking, for bronchial asthma, especially milder cases or those with rare occurrences and short duration, there is no need to deliberately seek dietary supplements. Moreover, since bronchial asthma is a type of allergic disease, caution should be taken with dietary supplements to ensure there are no allergies to certain foods or herbal remedies. For chronic, recurrent asthma, traditional Chinese medicine often attributes it to kidney deficiency or a deficiency in both the lung and kidney qi, where the organs fail to properly grasp the qi. In such cases, dietary supplements that originate from both food and medicine can be helpful. Examples include cordyceps duck soup, walnut kernels, cordyceps, and mulberry seeds. These substances can support kidney function and help manage asthma to some extent. (Note: The use of these substances should be guided by a professional doctor.)
What foods are good to eat for bronchial asthma?
What food bronchial asthma patients eat is a question with much consideration. Foods that bronchial asthma patients should avoid mainly fall into two categories: First is allergens. If a patient has previously had an allergy to certain foods, is suspected to be allergic, or has family members who are allergic to a particular food, then they should avoid eating it. Also, common allergens like small fish, shrimp, and seafood should be avoided, especially during asthma attacks. The second category is spicy and irritating foods, which should also be avoided. Therefore, the primary focus should be on eating light, easily digestible foods, and sticking to foods that are commonly eaten, avoiding those that have not been tried before. Moreover, if a food is known to potentially cause allergies after medication, it should not be consumed. (Please use medication under the guidance of a professional physician, and do not self-medicate.)
What are the complications of bronchial asthma?
The complications of bronchial asthma are divided into acute and chronic complications. Acute complications, which occur during a severe asthma attack, mainly include pneumothorax, mediastinal emphysema, severe hypoxia, respiratory failure, leading to severe arrhythmias, electrolyte disturbances, and in severe cases, coma and death. Chronic complications are mainly due to chronic changes in bronchial asthma leading to airway remodeling, chronic airway inflammation, and chronic narrowing. The complications at this stage mainly include chronic respiratory failure and pulmonary heart disease.
Is bronchial asthma serious?
The symptoms of bronchial asthma vary from person to person, as does its severity. Some patients may have very mild symptoms, only showing slight chest tightness and mild coughing. Other patients may experience very severe symptoms such as respiratory failure, loss of consciousness, cardiac arrest, and sudden death. The clinical presentations are completely different. Therefore, bronchial asthma can be considered a suppressive disease, meaning everyone's symptoms are different, and one cannot generalize; most patients are relatively mild.
What foods should not be eaten with bronchial asthma?
Bronchial asthma is a type of chronic, variable inflammation, which is also an allergic inflammation. In clinical cases of bronchial asthma, the majority are allergic asthma. If there is an allergy, allergens exist, therefore, it is crucial for asthma patients to strictly avoid contact with allergens. If it is food allergy, contact with the allergenic food must be strictly prohibited. Additionally, many patients do not know what they are allergic to, so they need to be cautious of common foods that can cause allergies, such as seafood, small fish, and small shrimp. For instance, if people around them or family members experience discomfort or develop a rash after consuming certain medications or foods, or if they experience chest tightness or abdominal pain after eating, such foods should be avoided as much as possible.