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What is
Asthma? |
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Asthma is a chronic disease (one that cannot be cured). When you
have asthma, the air passages in your lungs are very sensitive and
can be inflamed and swollen. In addition, certain triggers can cause
the muscles of the air passages to squeeze, resulting in narrowed
air passages. This process is called bronchoconstriction. Triggers
can also cause the air passages to produce extra mucus, making it
harder to breathe.
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Asthma symptoms
can be triggered by particles known as allergens. For many
people, allergens—such as pollen, dust, or mold—are usually
harmless. For many people with asthma, however, it’s a different
story. The body mistakes these particles for dangerous invaders
and works to fight them off. Symptoms can worsen, resulting in
an asthma attack.
Ultrasensitive air passages can be more easily irritated by
things other than allergens. Exposure to irritants such as
cigarette smoke, perfume, and air pollution can sometimes
trigger asthma attacks. In addition, a cold, the flu, or a virus
can cause asthma flare-ups—as can exercise, weather changes,
very cold air, and even stress.
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ASTHMA SYMPTOMS |
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The most common symptoms of an asthma attack are:
Chest tightness
Coughing
Shortness of breath
Wheezing
Sometimes coughing is the only symptom. Asthma symptoms often occur
at night or during exercise, but they can occur at any time. (Note:
Other conditions, such as respiratory infections, may also cause
wheezing, especially in children. Talk to your doctor if you’re
concerned.)
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WHAT CAUSES ASTHMA |
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No one is sure what causes asthma, and,
so far, there’s no cure for it. However, we know that asthma is a
chronic inflammatory lung disorder that can be controlled. With
asthma, substances or conditions called triggers cause air passages
in the lungs to become inflamed and swollen. The air passages then
become overly sensitive.
Any further irritation of these ultrasensitive air passages can lead
to an asthma attack. This is when you feel symptoms such as
coughing, wheezing, and chest tightness. Not all people with asthma
wheeze. For some, coughing may be the only symptom of asthma. Asthma
symptoms often occur at night and/or after exercise.
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ASTHMA ATTACK |
What actually happens during an asthma attack?
Exposure to a trigger causes the body to produce increased amounts
of a number of substances that occur naturally in everyone’s lungs.
Increased amounts of these substances contribute to the swelling and
the narrowing of the air passages. One type of these substances is
called leukotrienes.
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LIVING WITH ASTHMA |
Although there is no known cure for asthma, there are steps you can
take to minimize the severity and the frequency of symptoms. You can
do this in 2 ways:
Limit your exposure to asthma triggers.
Take asthma medicine as prescribed by your doctor.
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TRIGGERS |
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Common asthma triggers and tips for avoiding them
The following is a list of many common asthma triggers. Talk to your
doctor if you’re concerned about how any of these triggers may
affect you or your child.
Pollen
If you’re sensitive to pollen, stay indoors and keep windows closed
on days when pollen counts are high. Don’t hang clothes or bedding
outside because a light coating of pollen can stick to your laundry
and end up back inside with you.
Dust mites
These microscopic creatures are some of the most common asthma
triggers. They live in bedding, carpeting, and stuffed furniture. To
reduce your exposure to them, cover your mattress and pillows with
vinyl dust-proof cases.
Mold
If you react to mold, clean shower stalls and sinks regularly, and
check for dampness in your basement. Try not to keep too many indoor
plants because mold grows in moist soil.
Animals
Animal dander (skin particles) triggers asthma in many people. If
you have asthma, it may be best not to have a pet. If you do have a
pet, try to keep it outside the house, or at least away from where
you sleep.
Cockroaches
For people who have asthma and live in the city, exposure to
cockroaches may be a problem. Because many insecticides can also
irritate asthma.
Colds and viruses
Colds, viruses, and sinus infections can trigger asthma or make it
worse, especially in young children. Talk to your doctor about
treating cold symptoms, and ask about getting a flu shot.
Emotions
Of course, emotions themselves don’t cause asthma. Crying and
laughing, however, can change the way you breathe, which may
actually trigger an attack.
Exercise and physical activity
Some people get asthma symptoms only when they exercise or do
something physical, especially in cold, dry air. For many people
with asthma, however, exercise may be only 1 of several triggers. If
your asthma symptoms worsen when you exercise or are active, talk to
your doctor. Also, be sure you understand how to take your medicine
to reduce the risk of an attack or to treat an attack should one
occur.
Medications
Some medicines can trigger an attack in some people. Ask your doctor
if there are any medicines you should avoid.
Smoke
Tobacco smoke is a major cause of asthma symptoms in children and
adults. Secondhand smoke is especially irritating to people with
asthma. Don’t be afraid to ask people not to smoke around you; most
will understand. Fortunately, many restaurants, offices, and public
places are now smoke free.
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CONTROLLING ASHTMA |
Avoiding asthma triggers isn’t always
practical or possible. That’s why, in addition to avoiding asthma
triggers, many people may need medicine to help treat their asthma.
Shown below is a list of medicines commonly used in the treatment of
asthma. The medicines may be in the form of pills or inhalers. Some
may contain steroids. Check with your doctor for specific
information or if you have any questions. The good news about all of
these options is that they give you and your doctor the ability to
choose medications that are appropriate for your health condition
and make the most sense for your needs.The medications* listed below
are available by prescription only.
Rescue medications
These work to quickly “rescue” you while you are experiencing asthma
symptoms.
Short-acting beta agonists
Albuterol
Alupent
Maxair
Proventil s
Ventolin
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Controller medications
These work to help control and reduce symptoms before they
occur.
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Leukotriene receptor antagonists
SINGULAIR
Accolate
Inhaled corticosteroids (steroids)
Aerobid
Azmacort
Flovent
Pulmicort
Qvar
Vanceril
Oral corticosteroids (steroids)
Medrol
Pediapred
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Prednisone
Prelone
Long-acting beta agonists
Foradil
Serevent
Combination corticosteroid and long-acting beta agonist
Advair
Theophyllines
Slo-bid
Theo-Dur
Uni-Dur
Cromolyn or nedocromil
Intal
Tilade |
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TALKING TO YOUR DOCTOR? |
If your asthma is under control, you can reduce the symptoms that
can cause you problems and reduce the risks of asthma attacks.
When you talk to your doctor, be sure to discuss the following:
Any asthma or allergy
symptoms you may have
Any relevant details about
your lifestyle, job, or hobbies that might affect your asthma
Any treatments you’ve used
in the past and what you’ve liked or disliked about them
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