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Asthma Hospital in Jaipur

Bronchial Asthma

Asthma attacks all age groups but often starts in childhood.

It is a disease characterized by recurrent attacks of dry cough, breathlessness and wheezing and choking which vary in severity and frequency from person to person.t is more pronounced in the night I In an individual, they may occur from hour to hour and day to day.

This condition is due to inflammation of the air passages in the lungs and affects the sensitivity of the nerve endings in the airways so they become easily irritated. In an attack, the lining of the air passages swells because of mucus, bronchial muscle constriction causing the airways to narrow and reducing the flow of air in and out of the lungs.

Diagnosis

History- classical history of dry cough, breathlessness, choking and wheezing more so in the night.

Diagnostic Tests

  • SPIROMETERY-Lung function tests [Pulmonary function tests (PFTs)

Treatment

Asthma can be controlled most often by avoiding contact with triggers.
Inhalers: The medicine inside the inhaler opens the tubes that go to the lungs. The inhaler is usually used to prevent an asthma attack or to stop an attack that is already happening.

  • DPI-dry powder inhaler (rescue / controller)
  • MDI- meter dose inhaler (rescue / controller)

NEWER APPROACH IN ASTHMA  MANAGEMENT IS IDENTIFICATION OF ALLERGEN  IN IgE INDUCED ASTHMA

Allergen Diagnosis

  • SPT- skin prick test
  • Blood test-ELISA /RAST

Allergen Immunotherapy

Which gradually exposes people to larger and larger amounts of allergens over a definite period of time and a stage is reached when the body does not react to the said allergen.

Advantages

  • It alters the body response to other allergic disorders like allergic rhinitis, bronchial asthma, allergic dermatitis.
  • Alters the ALLERGY MARCH.
  • Reduces the co-morbidities of allergic disorders.
  • Reduces the severity of allergy manifestations.
  • For the same allergy manifestations, a higher dose of allergen is required.
  • Gives a permanent answer to allergy disorders.
  • A lesser requirement of anti-histamines.
  • Effects last much, much longer.