What should I do about asthma?

Written by Yuan Qing
Pulmonology
Updated on December 06, 2024
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The full name of asthma is bronchial asthma, which is a chronic inflammatory disease of the lungs involving various inflammatory cells. The main symptoms of asthma include wheezing, shortness of breath, chest tightness, and coughing, which typically occur in the early morning and at night. These symptoms can subside on their own through medication treatment or even without medication. Thus, by diagnosing asthma, it is understood that asthma is a chronic inflammatory disease of the airways. After contracting this disease, the main treatment involves inhaling medications for asthma to control its symptoms. Additionally, if the asthma is caused by an allergic condition, such as an allergy to certain foods or airborne allergens like pollen and dust mites, it is advisable to first avoid these allergens to ensure a clean air environment, and then control or eliminate the symptoms with medication treatment. (Please use medication under the guidance of a professional doctor.)

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Written by Yan Xin Liang
Pediatrics
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Is asthma common in children?

Childhood asthma is a common pulmonary disease. It manifests as recurrent coughing, wheezing, and difficulty breathing, along with reversible, obstructive respiratory diseases with airway hyperreactivity. This disease poses a significant health risk to children and is a commonly seen chronic respiratory condition with a high incidence, often characterized by recurrent attacks over a chronic course. If the condition is severe, it can affect the child's learning, activities, daily life, and can also impact the child's growth and development. If the child's treatment is delayed or inappropriate, it can eventually develop into adult asthma, becoming chronic and intractable. Therefore, this disease must be diagnosed and treated promptly, as it is a relatively common condition.

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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 Wang Xiang Yu
Pulmonology
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Asthma belongs to what department?

When we talk about asthma, we generally refer to bronchial asthma, which is a respiratory system disease. Therefore, the primary department to consult is, of course, the Department of Respiratory Medicine. If an asthma patient's condition is relatively stable, they can see a respiratory specialist through outpatient services. In hospitals without a Department of Respiratory Medicine, such as community health service centers or township health clinics, they can choose to see a general practitioner, also known as an internist. If an asthma patient suffers an acute attack of bronchial asthma and the condition is critical, they must then visit the Department of Emergency Medicine. The emergency department will decide based on the patient’s condition whether they should be kept for observation in the emergency room, be admitted to the general respiratory department, or be sent to the ICU for further emergency treatment. Additionally, there is another type of asthma known as cardiac asthma, which is a cardiovascular disease. The first choice for these patients is to see a cardiologist, although in severe cases, they should visit the Department of Emergency Medicine.

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Written by Hu Bai Yu
Pulmonology
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How is asthma treated?

For the treatment of asthma, it is first necessary to determine the cause of the asthma. If it is due to some respiratory diseases, then in this case, it is necessary to take some anti-inflammatory and anti-infective drugs for treatment. Conditions like bronchitis, pneumonia, or lung abscess can all cause symptoms of asthma. It is recommended that everyone actively treats the symptoms; controlling the infection is key. Next is symptom management; if there is coughing or phlegm, it is necessary to take some cough suppressant and expectorant medications or combine with asthma-relieving medications to treat and alleviate symptoms. If it is caused by allergies, some anti-allergy medications should be taken, then combined with some cough and asthma-relieving medications for treatment. Drink more water to promote excretion, avoid spicy, greasy, cold, and stimulating foods, and also be sure to maintain a relaxed mood without too much stress. Follow the doctor's guidance actively, cooperate with the doctor in treatment, and refrain from smoking and drinking.

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Written by Yuan Qing
Pulmonology
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How to test for asthma?

Asthma is fully referred to as bronchial asthma. It is primarily due to the presence of inflammatory cells in the airways over a long period of time. These inflammatory cells render the trachea highly reactive. With this hyperreactivity, patients often experience wheezing, shortness of breath, chest tightness, and coughing, which typically occur in the early morning and at night. These symptoms can generally be alleviated with or without medication, and if a patient typically exhibits these symptoms, an asthma diagnosis can essentially be made. However, if the symptoms are atypical, such as having only coughing or wheezing, it may be necessary to perform some pulmonary function tests, chest X-rays, ultrasounds, or electrocardiograms on the patient to rule out other diseases that could cause wheezing and coughing. Therefore, doctors will arrange for these tests based on the patient's symptoms.