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Bronchial Asthma PDF

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Chapter 1

Asthma

Ever get woken up by a child or old parents gasping for breath and wheezing away.
Many cases of asthma have their attacks of asthma worse at night.
Some may even call you for a house call.

The asthmatic patient is wheezing away, restless, his chest moving in and out and unable to lie down and assumes a hunched-over sitting position with the hands supporting the torso.

Asthma is a medical condition that affects the life of many patients.

In fact some doctors especially pediatricians (children doctor) classified prolonged cough above 2 weeks as asthma and often give bronchodilators to open the narrowed air tubes.

The treatment for asthma after doing an X-ray of the chest to exclude other conditions such as tuberculosis was typically to give an intravenous injection of aminophylline which work very well and fast for acute asthmatic attack.

Intravenous injection delivers the drug within 2 minutes and the asthma subsides rapidly.

I have a patient who chain smoked every day.
I have to purchase for him 10 ventolin inhalers every month even though I have advised him to stop smoking or at least reduce it.
He finally stopped smoking after he had an operation to stop bleeding from a brain arterial aneurysm.

A lot of patients with asthma have been known to have higher IQ
There are many champion swimmers who have asthma or still having asthma.
I know of a medical doctor who cured himself of asthma by hypnosis and obtained a M.D degree for his work.

What is asthma?

Asthma is a common long-lasting (chronic) inflammatory medical disorder of the lungs and airways (bronchi) that affects 5 % adults and 20% children.

Asthma is a disease that induces the airways of the lungs to swell and narrow.

It results in wheezing, shortness of breath, chest tightness, and coughing.

The severity of these symptoms ranges from person to person.

Asthma can be well regulated in most people most of the time, even though some people may have more continuous problems.

Sometimes, asthma symptoms can get slowly or suddenly worse.

This is known as an asthma attack, even though doctors sometimes use the term “exacerbation”.

Severe asthma attacks may need hospital treatment and can be life threatening, even though this is not usual.

What happens during an asthma attack?

When the lung is stimulated by trigger factors, an inflammation of the airway can result.

The breathing tubes become narrowed and blocked with mucus making breathing difficult.

Inflammation may persist even though there is minimal or no symptom of asthma.

What are Asthma attacks?

Asthma is typically featured by attacks of breathlessness, tight chest, wheezing and coughing which are induced by the airways becoming narrowed and inflamed.

Some people may present these symptoms all of the time and others may be normal between attacks.

Asthma attacks

When asthma symptoms get significantly worse, it is known as an asthma attack or acute asthma exacerbation.

The asthma attack often develops slowly, occasionally taking a couple of days or more to become severe, even though some people with asthma are prone to sudden, unexpected severe attacks.

It is important to recognize attacks early and take suitable action.

When an asthma attack occurred, the symptoms may get worse and if the patient is already on treatment, the inhaler medicine may not work as well as it normally does.

The patient might be monitoring the asthma using a device called a peak flow meter, and there may be a drop in the peak expiratory flow

What causes asthma attacks?

Asthma is induced by inflammation of the small tubes, called bronchi, which carry air in and out of the lungs.

When the patient has asthma, the bronchi will be inflamed and more sensitive than normal.

TABLE OF CONTENT
Introduction

Chapter 1 Bronchial Asthma

Chapter 2 Causes

Chapter 3 Symptoms

Chapter 4 Diagnosis

Chapter 5 Treatm

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