What are the complications of bronchial asthma?

Written by Zeng Xiang Bo
Respiratory and Critical Care Medicine
Updated on November 25, 2024
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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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Written by Wang Li Bing
Intensive Care Medicine Department
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What causes bronchial asthma?

Bronchial asthma is very common in clinical settings, mainly characterized by a reversible airflow limitation that can cause recurrent attacks of wheezing, chest tightness, and shortness of breath in patients. These attacks generally occur at night or in the early morning and can gradually ease after treatment. Bronchial asthma is mainly related to several factors, the first being environmental factors. Exposure to pollen and animal dander can trigger asthma attacks. Additionally, infections, diet, and medications are among the various factors that can provoke asthma attacks.

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Written by Yuan Qing
Pulmonology
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What to do about chest tightness in bronchial asthma?

Bronchial asthma is a disease characterized by breathlessness, chest tightness, rapid breathing, and coughing, caused by the infiltration of various inflammatory cells in the airways, resulting in the narrowing of the bronchial lumen and the production of a large amount of mucus. When patients with bronchial asthma experience chest tightness, we can treat them with some nebulized inhalation medications. These medications are usually short-acting bronchodilators that can take effect within 3-5 minutes, quickly alleviating the symptoms of chest tightness. Additionally, patients should avoid exposure to allergens that may trigger asthma attacks, such as animal fur, viruses, and dust, to prevent recurrence of the symptoms.

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Written by Zeng Xiang Bo
Respiratory and Critical Care Medicine
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What foods are good to eat for bronchial asthma?

What food bronchial asthma patients eat is a question with much consideration. Foods that bronchial asthma patients should avoid mainly fall into two categories: First is allergens. If a patient has previously had an allergy to certain foods, is suspected to be allergic, or has family members who are allergic to a particular food, then they should avoid eating it. Also, common allergens like small fish, shrimp, and seafood should be avoided, especially during asthma attacks. The second category is spicy and irritating foods, which should also be avoided. Therefore, the primary focus should be on eating light, easily digestible foods, and sticking to foods that are commonly eaten, avoiding those that have not been tried before. Moreover, if a food is known to potentially cause allergies after medication, it should not be consumed. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Han Shun Li
Pulmonology
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Does bronchial asthma cause coughing?

Bronchial asthma is a common clinical disease, with main symptoms including paroxysmal wheezing, chest tightness, and difficulty breathing, etc. So, does bronchial asthma also present with coughing symptoms? Indeed, bronchial asthma can also manifest with coughing symptoms, especially the atypical cough variant asthma which is primarily characterized by chronic cough. Moreover, the symptoms of cough often occur at night or early morning, and the coughing can be quite significant, severely affecting the patient's sleep quality. If cough variant asthma is suspected, it is important to visit a hospital in a timely manner for relevant examinations and the treatment principles are the same as for typical asthma.

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Written by Zeng Xiang Bo
Respiratory and Critical Care Medicine
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Treatment for mild bronchial asthma

For the treatment of mild bronchial asthma, the purpose of treatment is to prevent the repeated exacerbation of the condition and to prevent deterioration, as well as to control current symptoms. Regardless of whether the symptoms are present or absent, mild or severe, standardized treatment is needed for these asthma patients. The main treatments are inhaled corticosteroids and long-acting bronchodilators to control the progression of the disease and prevent acute asthma attacks. Of course, we will have an assessment of the condition, whether controlled or not, and based on the grading of the condition, different levels will require different medications for treatment.