Asthma

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Written by Wang Xiang Yu
Pulmonology
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Do people with asthma cough?

The asthma commonly referred to is bronchial asthma, which is primarily characterized by recurrent episodes of breathing difficulty. This difficulty in breathing is mainly manifested as chest tightness and shortness of breath. Additionally, asthma is often triggered by upper respiratory tract infections. Therefore, most asthma patients experience coughing and expectoration during acute attacks. There is also a special type of asthma known as cough variant asthma, which, as the name suggests, is primarily characterized by coughing. This type of cough is generally dry with little to no sputum, or it involves a small amount of mucous sputum. The coughing can occur during the day but is generally more pronounced at night.

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Written by Xia Bao Jun
Pulmonology
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Can asthma be cured?

Patients with bronchial asthma, if treated properly, can be cured. Although the pathogenesis of bronchial asthma is not very clear at present, it is currently believed that bronchial asthma is a chronic inflammatory disease of the airways involving multiple cells. This chronic inflammation leads to increased airway reactivity, manifesting as reversible airflow limitation. It is different from chronic bronchitis, which involves irreversible airflow limitation. Therefore, through proper treatment, the condition can be improved, controlled, and cured. Patients should regularly and properly use their medications, including inhaled corticosteroids such as budesonide, taken twice daily. It should be used for more than three months before any reduction in dosage can be considered. The medication can be stopped only if no asthma occurs for a year.

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Written by Hu Bai Yu
Pulmonology
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Can people with asthma run?

Patients with asthma are advised not to run, whether it is cardiac asthma or bronchial asthma, as running is considered a vigorous exercise. Running consumes a significant amount of body heat, which could potentially lower the patient's resistance to illness, leading to other symptoms and worsening the condition. Therefore, it is recommended to avoid running and instead engage in gentler aerobic exercises, such as Tai Chi, Tai Chi sword, or yoga. These exercises can help enhance physical fitness and improve resistance, aiding in disease recovery. Additionally, it is important to maintain a light diet, avoiding spicy, greasy, cold, and irritating foods, drink plenty of water to promote excretion, and avoid exposure to cold air to prevent asthma symptoms from worsening.

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Written by Hu Bai Yu
Pulmonology
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How is asthma treated?

Asthma generally requires long-term anti-inflammatory treatment, which primarily involves the use of corticosteroid medications to alleviate symptoms. Additionally, medications that dilate the bronchial tubes can be used to relieve symptoms. For allergic asthma, it is advisable for patients to identify and avoid allergens, while also taking anti-allergy medications to alleviate symptoms. Preventative medication to control attacks is also recommended. Attention should be paid to regulating indoor temperatures to prevent colds, ensuring warmth, and avoiding exposure to cold winds. Furthermore, indoor temperatures in winter should not be too high to avoid large temperature differences with the outside, which can lead to colds and decrease the chances of influenza infection. Additionally, if symptoms of coughing and asthma are severe, medications to stop coughing and relieve asthma should be taken to alleviate symptoms.

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Written by Li Jian Wu
Pulmonology
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Can people with asthma smoke?

Asthma patients should certainly not smoke. Additionally, attention should be paid to dietary and hygiene habits, avoiding foods such as seafood that may trigger allergies. Smoking and alcohol should be abstained from, and water intake should be increased. Exposure to irritating chemical gases should also be avoided. Asthma is directly related to genetic factors and an individual's allergic constitution. It is necessary to strengthen exercise, boost immune capabilities, and prevent colds, especially in the spring when it is advisable to avoid going out to prevent contact with pollen that could trigger an asthma attack.

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Written by Hu Bai Yu
Pulmonology
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What should I do for asthma cough?

If a patient has asthma accompanied by coughing, it is advisable to receive treatment under a doctor’s guidance through nebulizer inhalation to alleviate symptoms, or take some antitussive and asthma-relieving medications. In daily life, one should also ensure ample rest, avoid vigorous exercise and heavy physical work, and it is best to identify the cause of the illness under a doctor's guidance for symptomatic treatment. It is recommended to eat more fresh fruits and vegetables to supplement vitamins and improve one's immunity. Additionally, if the coughing is severe, drinking some Fritillaria and pear syrup, which also helps moisten the lungs and relieve cough and asthma, may be appropriate. Therefore, it is advised to maintain a relaxed mood, avoid excessive stress, and actively cooperate with treatment for symptom recovery.

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Written by Wang Xiang Yu
Pulmonology
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Asthma attack symptoms

The most common manifestation of an asthma attack is inspiratory difficulty breathing, occurring repeatedly. This respiratory difficulty can present as sitting up to breathe, dry cough, and may include white frothy sputum. Some patients, due to severe hypoxia, may develop cyanosis. Besides these typical symptoms, some patients may have cough-variant asthma or chest tightness-variant asthma. Cough-variant asthma can sometimes involve only coughing, which is mostly severe, dry, and more noticeable at night, unresponsive to antibiotic treatment. Additionally, there is a type of asthma characterized by chest tightness, primarily presenting as chest discomfort, and some patients may also experience nausea or other discomforts.

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Written by Li Jian Wu
Pulmonology
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Asthma is not contagious.

It should be correctly recognized that asthma is an autoimmune disease associated with allergic constitution and genetic factors. It is not caused by a substantial pathogenic bacterial infection and generally is not contagious. Therefore, asthma is not contagious. We should have a correct understanding of this disease. During an acute exacerbation, one could choose corticosteroid drugs, as well as antiallergic medications. Symptomatic treatments that relieve asthma symptoms and using oxygen to alleviate hypoxia are also options.

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Written by Yan Xin Liang
Pediatrics
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Principles for the Management of Childhood Asthma

Firstly, it is necessary to adhere to the principles of long-term, continuous, standardized, and individualized treatment. In the acute exacerbation phase, rapid relief of symptoms is required, primarily through anti-asthma treatment. During the remission phase, it is essential to maintain long-term control of symptoms, anti-inflammation, and reduce airway hyperresponsiveness, while also avoiding triggers and self-care. The treatment goal is to control and eliminate asthma symptoms as much as possible, reduce the number of asthma attacks, or even prevent them, maintain normal or near-normal lung function, allow participation in normal physical activities, including sports training, etc., minimize drug side effects, and prevent the development of irreversible airway obstruction.

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Written by Han Shun Li
Pulmonology
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Can people with asthma eat eggs?

Asthma is a common respiratory disease, and its incidence has been increasing in recent years. Eggs are one of the most popular foods among Chinese people. So, can people with asthma still eat eggs? The exact cause of asthma is not very clear yet, but it may be related to certain allergic factors. For instance, allergies to some foods can trigger asthma attacks. These foods include fish, shrimp, eggs, milk, etc. Therefore, if one is allergic to these foods, they should not eat them. Thus, if an asthma patient is allergic to eggs, they should avoid eating eggs, but if they are not allergic, they can eat them.