Dr. V.V.R.

NARSIMHA REDDY PULMONOLOGIST, KAMINENI HOSPITAL, LBNAGAR HYDERABAD

 What Is Asthma?  What Are The Causes of Asthma?

 Who is At Risk For Asthma?
 What Are The Signs And Symptoms of Asthma?

 How Is Asthma Diagnosed?
 How is Asthma Treated?  Can Asthma Be Prevented?  Living With Asthma

coughing. If you have asthma.  When the airways react. This causes symptoms like wheezing (a whistling sound when you breathe). especially at night and in the early morning. and trouble breathing. but most people with asthma can control it so that they have few and infrequent symptoms and can live active lives. and they tend to react strongly to things that you are allergic to or find irritating.  Asthma cannot be cured. . the inside walls of your airways are inflamed (swollen). they get narrower. and less air flows through to your lung tissue. chest tightness.What Is Asthma?  Asthma is a chronic disease that affects your airways. The airways are the tubes that carry air in and out of your lungs.  The inflammation makes the airways very sensitive.

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What Are The Causes of Asthma? Genetic Predisposition .

Triggers and Irritants 6 Copyright 2004. 3M Pharmaceuticals .

but in adulthood. Children with a family history of allergy and asthma are more likely to have asthma  Although asthma affects people of all ages. more women have asthma than men . but not all. it most often starts in childhood. More boys have asthma than girls.Who is At Risk For Asthma?  Asthma is closely linked to allergies. people with asthma have allergies. Most.

Chest tightness : This can feel like something is squeezing or sitting on your chest. Shortness of breath : Some people say they can't catch their breath. or they feel breathless or out of breath. Wheezing : Wheezing is a whistling or squeaky sound when you breathe. Faster breathing or noisy breathing . You may feel like you can't get enough air in or out of your lungs. making it hard to sleep.What Are the Signs and Symptoms of Asthma?  Coughing : Coughing from asthma is often worse at     night or early in the morning.

How Is Asthma Diagnosed?  History  Spirometry  Serial PEFR  Allergy Skin Testing  Challenge Testing .

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Based on symptoms there are four levels of asthma severity  Mild intermittent  Mild persistent asthma  Moderate persistent asthma  Severe persistent asthma .

Exercise Induced Asthma 12 .

What is exercise induced asthma (EIA)?  Symptoms begin due to aerobic activity that increases the heart and respiratory rate  A narrowing of the airways caused by acute tightening of the muscles around the airways (bronchospasm)  Distinct from allergic asthma in that it does not produce long-term increase in airway activity  Can be avoided by taking pre-exercise medications and by warming up/cooling down 13 .

wheezing.What happens?  Symptoms include coughing. chest tightness. shortness of breath and fatigue  Symptoms may begin during exercise and or up to 30 minutes after exercise  EIA can spontaneously resolve 20 to 30 minutes after starting  Symptoms can range from mild impairment to severe bronchospasm 14 .EIA .

How Is Asthma Treated? .

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Controller medications  Keeps swelling and mucus from developing in the airways  Must be taken EVERY day even when not having symptoms  Inhaled corticosteroids (ICS’s) are the most common and effective way to control asthma  Help prevent asthma exacerbations from developing! 17 .

Rescue / reliever medications  Rescue inhalers are typically Albuterol and Xopenex (levalbuterol) products  Are taken when asthma symptoms are appearing (asthma episode)  Work by relaxing the muscles surrounding the airways  Are taken 10-15 minutes before strenuous exercise/activity by people with EIA  Do NOT reduce or prevent swelling from developing in the lungs  May be carried in school by a student only if approved by the doctor. school nurse and parent 18 .

Typical Spacers/Holding Chambers 19 .

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 You should be able to do normal activities without having symptoms .  You should need to use quick-relief medicines less often.  You should have fewer attacks.How to know if treatment is proper  You should be free of asthma symptoms.