Clinical Features of ASTHMA

1. patient with mild intermittent asthma usually asymptomatic between

exacerbation.

2. Patient with persistent asthma shows breathlessness and wheeze but variability is
usually present with symptoms fluctuating over the course of one day.

3. Asthma characteristically displays a diurnal pattern , with symptoms and lung

function being worse in the early morning. Particularly when poorly controlled ,
symptoms such as cough and wheeze disturb sleep called ‘Nocturnal Asthma’.

4. Cough may be dominant symptom in some patients , lack of wheeze or

breathlessness may be led to a delay reaching the diagnosis of so called ‘cough
variant asthma’

5. Some patient experience Rhinosinusitis and nasla polyps those are sensitive to
aspirin. The symptoms are more frequent in women.
(Reid & Innes, 2010, p.664)

COMMON SYMPTOM

You may have infrequent asthma attacks or have symptoms only at certain times —
such as when exercising — or Asthma signs and symptoms include:

 Shortness of breath
 Chest tightness or pain
 Trouble sleeping caused by shortness of breath, coughing or wheezing
 A whistling or wheezing sound when exhaling (wheezing is a common sign of
asthma in children)
 Coughing or wheezing attacks that are worsened by a respiratory virus, such
as a cold or the flu
Signs that your asthma is probably worsening include:

 Asthma signs and symptoms that are more frequent and bothersome
 Increasing difficulty breathing (measurable with a peak flow meter, a device
used to check how well your lungs are working)
 The need to use a quick-relief inhaler more often
For some people, asthma signs and symptoms flare up in certain situations:

 Exercise-induced asthma, which may be worse when the air is cold and dry
have symptoms all the time.

 Occupational asthma, triggered by workplace irritants such as chemical

fumes, gases or dust
 Allergy-induced asthma, triggered by airborne substances, such as pollen,
mold spores, cockroach waste or particles of skin and dried saliva shed by pets
(pet dander)

References

1) https://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc
-20369653

2) ttps://ginasthma.org/archived-reports/

3) Reid & Innes (2010) Obstructive pulmonary disease oxford:ELSEVIER