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Asthma Information

     Asthma can be life threatening! Always take your symptoms seriously and listen to your doctor!!

Symptoms

        The main symptoms of asthma are:
                Long lasting cough
                --especially at night or after exercise.
                Shortness of breath
                Tightness in the chest
                Wheezing
        Some people may have only one or two of these symptoms while others may have all of them.
        Treatment can and does reverse the symptoms. Even mild symptoms should be treated so that lung damage does not occur and/or the symptoms get worse.

Causes of Attacks (Episodes)
        Even though it is more commonly called "asthma", "reactive airway disease" is an appropriate name. When you have it your airways react to things in your environment. They do so by forming mucus plugs and swelling. The muscles around them also react and tighten causing the airway to be squeezed. Different people may react to different triggers.
        Some of the common triggers are:

  • Infections of the upper respiratory system (including colds, the flu, and sinus infections)
  • Exercise--some people need to take medication before, during or after exercising
  • Smoke -- can include cigarette and wood smoke
  • Strong odors --paint, cooking smells, cleaning products, hair spray, cosmetics, perfumes, etc...
  • Dust mites -- Yikes! Dust with a cloth which is damp or has been sprayed so the dust is not stirred up
  • Pollen, molds, and mildew -- basically allergies to these
  • Dander from warm blooded animals -- flakes from their skin, fur or feathers
  • Strong feelings --- stress, crying, laughing, fear, etc...
  • Weather changes
  • Cockroaches ---Yuck Yuck Yuck! --If you have a roach problem you are trying to control, check and make sure rodents are not nesting in or around your home as they hoard food and no matter how clean you are the roaches will stay because of the food hidden there.

        Some of these can be avoided. Some can't. You can learn what triggers start or increase your symptoms and have a plan of action for avoiding them if and when possible. Work with your doctor to find a medication plan that is right for you and what to do when symptoms worsen. Know your body and if your medications are not working as well as you believe they should, consult your doctor before an emergency arises.

Treatments
         You will probably be given a "peak flow meter" to help you keep track of how well your lungs are functioning and how much the medication is actually helping relieve symptoms. Sometimes medication is used on a daily basis but many times it is only prescribed for an "as needed" treatment.
         There are two main types of medications used in treating asthma. There are different ways of administering them though.

  • Anti-inflammatories --- Theses reduce and sometimes prevent the swelling that causes symptoms. These are prescribed for use every day. Corticosteroids and cromolyn sodium are included here.
  • Bronchodilators --- These relax the muscles that tighten around the airways. These may be prescribed for use only when symptoms are increased or for every day use.

        Asthma medications are safe when taken as directed. They are non addictive. As with any medication you must pay attention to your doctor or pharmacists instructions regarding their use and interactions with other products. They rarely become ineffectual and if they do your doctor can help you find a more suitable medication. Corticosteroids are different from the anabolic steroids taken illegally by some people to help build muscle mass, and in the meanwhile damaging their brain.

Managing an Attack (Episode)
  • Know your warning signs! Treatment needs to be started before you are in a danger zone.
  • Take the correct amount of medication. Follow your plan to help prevent attacks.
  • If you know what is triggering it, get away if possible! Medication works better when you are not close to your trigger.
  • Keep calm! Everyone else needs to as well.
    Anxiety/Fear=Stress=Increased symptoms.
  • Rest
  • Watch yourself and pay attention to your body signs to help see if treatment is working
  • Watch for these emergency signs:
  • Your symptoms get worse or do not improve after the medications should be working. Your doctor can tell you how long you should wait.
  • Your peak flow meter numbers go down or do not improve within the same time frame.
  • Your peak flow numbers go below 50% of your personal best. Or what ever number your doctor tells you is a danger zone.
  • Your breathing gets difficult. Your chest and neck get pulled in with each breath, you are hunching over, or you are struggling to breathe.
  • Your lips or fingernails turn gray or blue ---- THIS IS AN EMERGENCY!!! GO TO THE CLOSEST ER OR DIAL 911!!!!!!!!
  • Keep your information handy for seeking emergency help --phone #s, insurance card, medication schedule, etc...
  • Call someone to help if needed --- A family member, neighbor, friend, clinic, doctor, hospital, etc...
DO NOT ---
  • Drink a lot of water--drink normal amounts.
  • Breathe warm moist air from the shower.
  • Re breathe air that has been exhaled into a paper bag.
  • Use other over the counter medications without consulting your doctor.


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