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 Wei Shi Liang
Intensive Care Unit
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Prevention and Treatment of Bronchial Asthma

The prevention and treatment of bronchial asthma mainly involve the following aspects: First, eliminating the causes and triggers of the disease; second, preventing diseases and pests such as allergic rhinitis and gastroesophageal reflux disease; third, immunomodulation; fourth, routinely checking if inhaled medications are used correctly; fifth, education and management of asthma patients, mainly allowing them through long-term, appropriate, and sufficient treatment to fully and effectively control asthma attacks. Additionally, understanding individual differences in asthma triggers to avoid occurrences, learning patient self-monitoring of disease progression, mastering the use of inhalers and peak flow meters, and educating patients on simple self-help methods are essential. It's important for patients and doctors to jointly develop a plan to prevent asthma attacks and maintain long-term stability. These are the basic elements of the prevention and treatment of bronchial asthma.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Bronchial Asthma Massage Method

In clinical situations of acute exacerbations of bronchial asthma, or even normally, we can alleviate clinical symptoms through certain massage techniques. These methods mainly involve massaging specific acupoints to relieve asthma attacks and reduce their frequency. We can massage points along the lung meridian, such as Chize, Taiyuan, and Kongzui. Additionally, we can massage an extra-meridian acupoint called Dingchuan, as well as Lung Shu, Zhongfu, Tiantu, and Danzhong. Beyond these basic points, we also need to select acupoints based on the patient's condition. For example, if the patient's bronchial asthma is caused by exposure to cold wind, we can massage Fengmen. If the patient has excessive heat phlegm causing asthma, we can add Quze and Taibai to clear heat and transform phlegm.

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Written by Hao Ze Rui
Pulmonology
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Symptoms of bronchial asthma

The most common symptoms of bronchial asthma are episodic difficulty in breathing, which can also manifest as episodic chest tightness and coughing. During an asthma attack, there will be accompanying wheezing sounds. If the patient is more severe, they may be forced to sit up to breathe during episodes of breathing difficulties, exhibiting orthopneic breathing. Some patients may experience a dry cough or cough up a large amount of white foamy sputum. In severe cases, symptoms of hypoxia such as cyanosis of the lips and nail discoloration can occur. Asthma attacks are generally acute, with symptoms appearing within minutes, but they can also begin more slowly, worsening over several hours or days. Asthma generally relieves itself, or even after relieving, it may recur, typically worsening during the night.

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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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Clinical symptoms of bronchial asthma

The incidence of bronchial asthma is increasing year by year and is attracting more and more attention. What are the clinical symptoms of bronchial asthma? The typical symptoms of bronchial asthma are episodic dyspnea, wheezing, chest tightness, coughing, etc., and a typical asthma attack often comes with wheezing sounds. Some patients have atypical symptoms, which may primarily present as just one symptom, such as cough or chest tightness alone, known as atypical asthma. However, whether it is typical or atypical asthma, the principles of treatment are the same. It is essential to cooperate with the doctor to control the disease, improve symptoms, and enhance the quality of life.