“Asthma is a very common complaint.
It is a chronic inflammatory disorder of the respiratory
passage. This allergic lung disorder characterized
by periodic attacks of wheezing alternating with periods
of relatively normal breathing. Asthma is a very common
ailment and affects invariably all age groups. All
varieties of wheeze are not asthma as it needs differential
diagnosis from other inflammatory disorders of the
lung and heart”.
| What are the causes
People with asthma have inflamed breathing system,
which are supersensitive to certain substances, which
do not bother other people. These substances are called
" Allergic triggers." Like Allergic Rhinitis,
asthma triggers varies from person to person.
Most commonly, Asthma attacks are triggered
by the Airborne allergens. Rainy weather, sudden change
of climate, exposure to spores and dust often predisposes
the attack. Early morning attacks are very common
as the pollens and dust have a special effect with
Other than the normal allergens
such as dust mites, pollens, molds, pet dander
and cockroach, the irritants in the air including
smoke from cigarettes, wood fires or charcoal
grills, cement dust, metal dust shall also
provoke an attack. Strong fumes or odours
like household sprays, paint, gasoline, perfume
and scented soaps do the same provocation.
With respiratory infections
such as colds, flu, sore throats, and sinusitis,
the children could develop breathlessness,
which mostly resembles Asthma. Exercise and
other activities that makes you breathe harder
The basic cause is familial predisposition for most
of the victims.
The genetic disposition may be in the form of any
allergic skin disease and respiratory disorder. Allergic
diathesis tends to appear in multifaceted ailments
such as Urticaria, Eczema, Allergic Rhinitis and Asthma.
This peculiar disease producing power lives as brothers
and sisters on the affected victims
Normally, the patient starts
with shortbreath, tightness of the chest following
few bouts of coughing. Wheezing usually begins
suddenly composed of a sequence of attacks,
may be worse at night or early morning. Wheezing,
a high-pitched whistling sound when breathing
out, rales starts and spits mucous phlegm.
The symptoms aggravated by exposure to cold
air and exercise. After sometime resolves
Sometimes the victim may feel
extreme difficulty in breathing, sweating
and palpitation. Face looks anxious and pale.
People can observe the abnormal breathing
pattern; exhalation takes more than twice
as long as inhalation.
During normal breathing, the passage to the lungs
are fully open, allowing air to move in and out freely.
But people with asthma have inflamed, hypersensitive
airways. Their triggers cause the following airpassage
to contract, which in turn cause asthma symptoms
The lining truncus membrane of the
airpassages swell and become more inflamed. Many cells
and cellular elements play a role, in particular mast
cells, eosinophils, T- lymphocytes, macrophages, neutrophils
and epithelial cells. The cells swell and mucus clogs
the airways, and the muscles around the airpassage
tighten and produces bronchospasm. These changes narrow
the airpassage and thus breathing becomes difficult
and stressful, like trying to breathe through a straw
stuffed with cotton.
|How to diagnose?
Asthma can be diagnosed with clear episodic
attacks and clinical history. However, X-ray is needed
to differentiate the other lung disorders. General
blood study may reveal the eosinophil count, Immunoglobulins
is also studied for Research interest.
Prevention is very difficult. However, we can identify
and minimise contact with Allergic triggers as we
do for an allergic rhinitis patient. Diet and Nutrition
is essential for asthma patients since the allergens
shall invade in the form of food.
Avoid the Allergic foods. Normally the eggs, fish,
pulse like nuts and peanuts give immediate sensitive
reactions. Delayed sensitivity reactions are caused
by milk, chocolate, wheat, citrus and food colourings,
infact any and all foods can cause or add to the allergic
burden. Patients are very particular in knowing about
the diet in detailed manner and prepare for skin sensitivity
tests. It is very difficult to find the allergens
because it varies from person to person. Egg which
produces an allergic reaction to an asthma patient
may have no effect on another patient..
Go for a food allergy test, to see what foods you
may be intolerant to. No skin sensitivity tests are
needed! This can also be done by doing an "elimination
diet" where you will avoid foods that you feel
you may be allergic to, you crave constantly or eat
repeatedly. Start with some common reactive ones!
Any food you eat more than three times a week, eliminate
them completely for two weeks. Don't compromise!
This could be difficult. If you eat the food you are
testing and find that you get your stomach bloated,
tired, headaches, depressed, sweats, joint pains or
itching then you are probably allergic to that food.
If nothing happens try another large helping! If you
have no immediate reactions that day stop eating that
food for four days and then go on with the second
food. Now you may actually feel better from a food
as you are going through withdrawals and find that
it makes you feel better!
Avoid Stress and Emotions
As stress is part of your life, find simple ways to
diffuse it. Take a walk free in natural atmosphere,
meditate, help someone with their problems, work in
garden or just take some deep breaths. You must explore
and find what works for you. The idea is to turn down
the inner tension that we all hangover, take a step
back and enjoy the life
. If you are in a situation that seems unsolvable,
then you might want to get counselling. Very often
we stay in relationships, jobs, homes or any number
of scenarios that are toxic to us. It's easier to
say than to do, to change things but start with small
Life is movement. Think about it. Anything in nature
that does not move is usually inanimate. If we are
to keep our life force vital we must keep active.
This does not mean that we have to work-out 14 hours
a day, it means we have to have a regimen of exercises
that will keep us flexible with good stamina. For
most of us that means 20-30 minutes of some kind of
aerobic exercise a day. Depending on the current health
status, your ability to adapt anything can vary greatly.
You are the best judge of what you are capable of
doing. If you are unable to get out of the house or
even out of bed, find ways to stretch, low impact
exercises, yoga or even a weekly massage can help.
“ Is there any cure for asthma?
I have tried with all sorts of medicines and consulted
the most popular physicians, No relief!
I am living with steroids and bronchodilators!
The latest inhaler gives me temporary relief!”
suffering of an asthma patient
Patients should understand about their
illness thoroughly. The causative factors lie within
or may be an inborn or hereditary factor. These are
the tendencies which makes allergic to the allergens.
We cannot be very careful to each and every allergen!
We cannot treat with timely medications all the time,
which treat the symptoms, not the disease. If anybody
says that "I had beome alright from asthma,"
he would have applied similar principles of homoeopathy.
is the reason why modern medical practitioners are
trying to desensitise their patients with same Allergens
in the name of anti-allergic therapy to find a permanent
treats the allergic diathesis and eradicates the tendency
from the body! Is it so? How it is done? This is possible
only by studying the individuality of the patient
as the Allergic triggers are also not similar to every
patient. When a suitable medicine is administered
it gradually removes the disease force in layers
had attacks every day! Now I have weekly once, that
too with reduced intensity! Now I am able to manage
without medicines! I am perfectly alright!".
common statement from the patients denotes that the
disease is being removed in layers, which makes the
patient free towards the permanent restoration of
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