How to check for bronchial asthma?

Written by Yuan Qing
Pulmonology
Updated on February 14, 2025
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Bronchial asthma is a chronic inflammatory airway disease. Patients primarily exhibit symptoms of episodic wheezing, shortness of breath, chest tightness, and coughing, which usually can be relieved with or without medication. Typically, during an attack, there is wheezing and audible stridor. A diagnosis can usually be made based on symptoms and medical history, as well as physical examination. However, for atypical patients, further tests may be necessary. Generally, the main tests for asthma patients are pulmonary function tests, which include provocation tests and relaxation tests, as well as the 24-hour peak expiratory flow variability. These tests are helpful for the definitive diagnosis of bronchial asthma.

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Written by Yuan Qing
Pulmonology
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How to check for bronchial asthma?

Bronchial asthma is a chronic inflammatory airway disease. Patients primarily exhibit symptoms of episodic wheezing, shortness of breath, chest tightness, and coughing, which usually can be relieved with or without medication. Typically, during an attack, there is wheezing and audible stridor. A diagnosis can usually be made based on symptoms and medical history, as well as physical examination. However, for atypical patients, further tests may be necessary. Generally, the main tests for asthma patients are pulmonary function tests, which include provocation tests and relaxation tests, as well as the 24-hour peak expiratory flow variability. These tests are helpful for the definitive diagnosis of bronchial 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.

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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 Wei Shi Liang
Intensive Care Unit
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Can bronchial asthma be treated with nebulization?

Patients with bronchial asthma can undergo nebulization, especially pediatric asthma patients who are more suited for nebulizer therapy. Nebulization inhalation is currently a safe and effective method for treating childhood asthma and is listed by the World Health Organization as the first choice for global asthma prevention and treatment. For severe asthma during acute exacerbations and attack periods, nebulization therapy is not recommended. When using nebulization therapy, it is important to regularly disinfect the nebulizer and replace it periodically. During severe bronchospasm, it is important to avoid using excessive doses of receptor agonists, and care should be taken to avoid too low drug concentrations during nebulization, as it is not conducive to the effectiveness of the treatment.

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Written by Han Shun Li
Pulmonology
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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.