Consequences of worsening bronchial asthma

Written by Xia Bao Jun
Pulmonology
Updated on September 03, 2024
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The consequences of exacerbated bronchial asthma can cause the patient to feel short of breath even at rest, exhibit orthopnea, and be able to speak only in single words or syllables. The patient may experience anxiety or irritability, sometimes accompanied by profuse sweating, and an increased respiratory rate which, if severe, can exceed 30 breaths per minute. There may also be activity of the respiratory muscles and signs of tracheal tugging, an increased heart rate exceeding 100 beats per minute, which in severe cases can surpass 120 beats. Additionally, there is a decrease in blood oxygen saturation, which can drop below 60%.

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Written by Wang Xiang Yu
Pulmonology
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Can bronchial asthma be inherited?

The etiology of asthma is still very unclear, but genetics may indeed be related to bronchial asthma to some extent. Currently, a lot of research data indicates that the incidence rate of bronchial asthma is higher among the relatives of patients than in the general population, and the closer the familial relationship, the higher the incidence rate and potentially more severe the condition could be. In layman's terms, this means that if our parents have bronchial asthma, then the likelihood of their children having bronchial asthma is higher than in the general population. However, this is not absolute; it does not mean that if a parent has bronchial asthma, their children will definitely have it. The relationship is not very certain, and the genes related to bronchial asthma are also not very clear at present. Bronchial asthma is also related to many other factors.

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Written by Zeng Xiang Bo
Respiratory and Critical Care Medicine
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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.

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Written by Han Shun Li
Pulmonology
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Bronchial asthma auscultation characteristics

During a recurrence of bronchial asthma, symptoms such as wheezing, shortness of breath, chest tightness, and coughing occur. During an attack, the patient's chest often appears hyperinflated. Upon auscultation, scattered or diffuse wheezing sounds can be heard, primarily during expiration, and the expiration phase is also prolonged. However, in some severe asthma cases, wheezing sounds may not be present, a condition referred to as "silent chest," which should be noted. If an asthma attack cannot be relieved, it is important to seek medical attention promptly for management by a doctor.

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Written by An Yong Peng
Pulmonology
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Can people with bronchial asthma eat persimmons?

Patients with bronchial asthma can generally eat persimmons, as bronchial asthma is not a contraindication to eating persimmons. However, it should also be noted that some patients with bronchial asthma may have a highly sensitive constitution and may be allergic to various foods and fruits. For instance, in rare cases, some patients with bronchial asthma may be allergic to persimmons, and eating them can lead to rashes, itchy skin, or even worsen symptoms such as chest tightness. If a patient with bronchial asthma has a confirmed allergy to persimmons, then they should avoid eating them. Additionally, patients with bronchial asthma need to be observant of their condition when eating certain foods, including persimmons. It is important to observe whether the patient develops rashes, itchy skin, chest tightness, or other related symptoms. If such symptoms occur, it suggests an allergic reaction to persimmons, and the patient should stop eating them.

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Written by Li Jian Wu
Pulmonology
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Bronchial asthma needs attention

In clinical settings, bronchial asthma is mostly allergic asthma. Therefore, in terms of diet, attention should be paid to avoiding foods like fish, shrimp, chili peppers, and other foods that are likely to trigger allergies. Instead, consume more bland, soft, and easily digestible foods. Regular physical exercise should also be performed, especially outdoor aerobic and endurance exercises, to enhance the body's immune capabilities. Furthermore, during the flu season or the pollen-heavy spring season, going outdoors should be avoided to prevent triggering asthma attacks. It is advisable to check for allergies to specific substances and avoid contact with them thereafter.