Does a nebulizer work for bronchial asthma?

Written by Hao Ze Rui
Pulmonology
Updated on February 11, 2025
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For patients with bronchial asthma, nebulization treatment is useful during an asthma attack. During an attack, symptoms such as wheezing and difficulty breathing tend to occur. Typically, nebulizing corticosteroids or bronchodilators can have anti-inflammatory, antispasmodic, and asthma-relieving effects, thus improving symptoms like breathing difficulties in asthma patients. Moreover, the method of nebulized inhalation can take effect quickly, swiftly alleviating the patient's symptoms.

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Written by An Yong Peng
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Can bronchial asthma cure itself?

Bronchial asthma generally cannot heal on its own. Bronchial asthma is a chronic, recurrent disease, which is usually incurable. Even with standard treatment, a complete cure is often unachievable. However, during an acute attack of bronchial asthma, spontaneous remission is possible. Some mild acute attacks of bronchial asthma may simply require removing the allergen and hazardous factors, which can lead to spontaneous alleviation of the asthma symptoms. For bronchial asthma, long-term standard treatment is usually required, such as the inhalation of corticosteroids and the use of bronchodilators. Additionally, it is important to avoid allergens and prevent respiratory infections.

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Written by Zeng Xiang Bo
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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.

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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.

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Does bronchial asthma have wheezing sounds?

During an acute attack of bronchial asthma, patients often have wheezing sounds in their lungs, but it's important to note that some patients may not exhibit wheezing, such as those with chest tightness or cough variant asthma, who only show symptoms of chest tightness and typically do not have wheezing on auscultation. However, administering inhaled corticosteroids and bronchodilators can relieve their condition. Additionally, during a severe acute attack of bronchial asthma, severe airway spasms can occur, leading to a situation where the patient might not have any wheezing sounds, a condition referred to as "silent lung." In such cases, patients often experience difficulty breathing or even respiratory distress, which is usually quite serious and requires active intervention.

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What position should be taken for bronchial asthma?

The choice of lying position for bronchial asthma depends on the specific condition of the disease. During the remission phase of asthma, a free lying position is suitable. If it is a mild attack phase, a flat lying position can be taken. If symptoms such as chest tightness become prominent during an attack, a semi-sitting position is advisable. For asthma patients experiencing significant chest tightness and breathing difficulties during an attack, or if they are in a persistent state of asthma, then a sitting position is often required. Patients may experience severe sweating, be unable to speak, and even suffer from hypoxia during such times, which can be extremely distressing.