What Should I Know About Lam
- The most common symptoms are coughing, wheezing, chest tightness and shortness of breath. Other symptoms include blood in urine, enlarged lymph nodes and swelling on the body, usually in the abdomen or feet.
- LAM worsens over time, but its progression is usually slow. There is no cure, however medications are available to help improve lung function and make breathing easier.
- If the level of oxygen in the blood is low, doctors may suggest oxygen therapy given through nasal prongs or a mask. For those with advanced disease, a lung transplant may be considered but again, this is not a cure.
How Can I Stop My Asthma Getting Worse Over Time
The best way to stop your asthma getting worse over time is to stick to a good routine of taking your preventer medicines as prescribed.
And if you notice your symptoms are getting worse, see your GP or asthma nurse as soon as possible so they can review your treatment.
You can also cut your risk of frequent asthma attacks, and your asthma getting worse, by stopping smoking.
Having an asthma review at least once a year, gives you a chance to talk through any symptoms or new triggers. You can check youre on the right medicine and that youre using your inhaler in the right way to get the most benefits.
You can also talk to your GP or asthma nurse about whether you need a higher dose or an add-on treatment to help with symptoms.
Coping With An Asthma Attack
Know the danger signs of a serious asthma attack:
- Severe shortness of breath
- Inability to talk well
- Difficulty walking
- Lips or fingernails turning blue
If you experience these danger signs, you are having a major asthma attack. Go to the emergency room or call 911 immediately!
Signs of less severe asthma attacks:
- Coughing, sneezing, itchy throat
When you feel an attack coming, follow these three steps:
- Get away from the trigger that started your attack.
- Take your quick-relief medicine as soon as you notice symptoms and then follow your Asthma Action Plan, which may advise you to take your controller medicine as well.
- If you still have wheezing and shortness of breath, contact your health-care provider or get emergency help.
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Outlook For People With Severe Asthma
Because severe asthma is so unpredictable in the treatments it responds to, and the course it takes, the long-term outlook is different for everyone, says Dr Andy.
There are lots of treatments around for people with severe asthma and your team of healthcare professionals will work with you to find the right ones for you so you can have the best quality of life possible in the long term.
One of the possible long-term effects of severe asthma is something called airway remodelling.
This is where your airways become thicker over time, so the airway itself is narrower, making it harder to breathe.
Airway remodelling can happen if people have frequent asthma attacks. If you have severe asthma, your risk increases because youll probably have asthma attacks more often. Long-term exposure to pollutants including tobacco smoke can play a part too.
Whatever the reason, if youre continually having lots of symptoms over a long period of time then theres a risk your airways will become permanently narrowed, scarred and inflamed, which can mean your symptoms get worse.
For most people, changes to the structure of your airways can be avoided with good asthma management.
Airway remodelling can be treated with bronchial thermoplasty, but this treatment is not recommended for everyone with severe asthma.
COPD and Asthma-COPD overlap syndrome
Long term severe asthma can sometimes lead to a chronic lung condition called COPD or ACO .
Ipf Vs Copd Vs Asthma
Idiopathic pulmonary fibrosis is often misdiagnosed, as it shares some similarities with other lung diseases like chronic obstructive pulmonary disease and asthma. But the long-term effects and outlook for IPF are far different.
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What Is Asthma In Children
Asthma is a disease which primarily affects the bronchial tubes in the lungs, called the airways. Children affected by asthma typically experience breathing difficulties due to the inflammation of the airways.
Asthma can cause acute discomfort â such as an asthma attack â and can have a debilitating effect on the childâs overall health, including symptoms like tiredness, depleted strength and recurrent coughing.
The most common signs of asthma include:
- Shortness of breath
These symptoms may be present every day or only during an asthma attack.
Asthma affects around 6.2 million children in the U.S. If a child experiences recurrent coughing, wheezing, tightness or pain in their chest or shortness of breath, it is important to consult a doctor, as one or more of these symptoms may indicate childhood-onset asthma.
When the respiratory system is functioning normally, as in a healthy child, the airways allow oxygen to pass into the lungs, which supply it to the rest of the body via the bloodstream. The airways of an asthmatic child are hypersensitive and will react by becoming inflamed and swollen when certain physical and environmental triggers enter the airways. This swelling makes it difficult for sufficient air to pass through the airways to the lungs, causing the child to experience breathing difficulties.
Does Smoking Cause Lung Scarring
Smoking is considered to be one of the primary causes of pulmonary fibrosis or lung scarring. Not only people who are smoking at present but also ex-smokers develop pulmonary fibrosis. Researches have proved that both ex-smokers and mild smokers have a high tendency of developing pulmonary fibrosis.
Some of the complications of pulmonary fibrosis that can develop in smokers include high blood pressure in the lungs, right-sided heart failure, respiratory failure, lung cancer, blood clots in the lungs, collapsed lungs, etc. Besides, the way a person smokes, meaning the smoking pattern, changes the lung tissues appearance in a person affected by pulmonary fibrosis.
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Asthma Support Groups And Education
Look for local asthma support groups in your area or online support groups. You can also ask your health care-provider about support groups in your area. Your insurance provider may also have asthma educators who provide education and resources.
Do You Need an Asthma Specialist?
Use this checklist to find out.
Potential New Treatment For Lung Scarring Caused By Chronic Asthma
- Journal of Clinical Investigation
- Chronic asthma often results in scarring of the lung airways and this can cause airway obstruction. The soluble factor TGF-beta-1, produced by inflammatory cells known as eosinophils, drives the processes that cause airway fibrosis. New data, generated in rodents, has now led to the suggestion that targeting the protein PIN1 might provide a new approach to limiting airway fibrosis driven by the production of TGF-beta-1 by activated eosinophils in individuals with chronic asthma.
Chronic asthma often results in scarring of the lung airways and this can cause airway obstruction.
The soluble factor TGF-beta-1, produced by inflammatory cells known as eosinophils, has been shown to drive the processes that result in airway fibrosis, notably fibroblast proliferation and extracellular matrix deposition.
Now, James Malter and colleagues at the University of Wisconsin School of Medicine and Public Health, Madison, have generated new data in rodents that has led them to suggest that targeting the protein PIN1 might provide a new approach to limiting airway fibrosis driven by the production of TGF-beta-1 by activated eosinophils in individuals with chronic asthma.
Journal article: Pin1 regulates TGF-beta-1 production by activated human and murine eosinophils and contributes to allergic lung fibrosis. Journal of Clinical Investigation. January 10, 2008.
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How Do My Airways React To Triggers
If you have asthma you have sensitive airways that are inflamed and ready to react when they come into contact with something they don’t like.
If you come into contact with one of your asthma triggers it causes your airways to react in three ways:
These reactions in the airways make it difficult to breathe and lead to asthma symptoms, such as chest tightness, wheezing, or coughing. It can also lead to an asthma attack.
What To Look For
Currently, there is no evidence that patients with GERD need to be actively screened for asthma or other pulmonary disorders, according to Dr. Gerson. Instead, patients who are known to have GERj14 should be asked periodically about the development of symptoms, such as shortness of breath or chronic cough, that may indicate an associated pulmonary complication.
Internists should be on the lookout for other important red-flag situations, added Dr. Chait: Look for dysphagia, weight loss, anemia, severe abdominal pain and other symptoms which would be associated with concern of injury.
The American College of Gastroenterology, meanwhile, recommends that GERD be considered as a potential co-factor in patients with asthma and chronic cough but that other non-GERD causes should also be examined.
If GERD is suspected in patients with lung disease, management is similar to that used for GERD alone.
Lifestyle modification is recommended, using tactics such as elevating the head during sleep and avoiding late-night meals fried, fatty and spicy foods and medication that can affect the lower esophageal sphincter, according to Drs. Chait and Ryu.
Dr. Gerson added that if lifestyle modifications do not work, the next step is typically using a proton-pump inhibitor for 2 to 3 months to see if symptoms improve.
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Your Asthma Action Plan
An important part of your asthma management is a written Asthma Action Plan. Your health-care provider will work with you to create an Asthma Action Plan that tells you:
- What medicines to take and when to take them
- Things you should do to prevent symptoms and deal with flare-ups
Your Asthma Action Plan outlines treatment according to colored zones:
- Green Zone: Means you are doing well
- Yellow Zone: Means your asthma is getting worse
- Red Zone: Means you need immediate medical attention
Controlling your asthma may seem like a lot of work at first, but turning these steps into daily habits now can help you live a normal life. Remember to:
- Take action to control or avoid your individual asthma triggers.
- Keep a daily diary of your asthma symptoms to share with your health-care provider.
- Take your long-term control medicines daily or as prescribed.
- Always carry your quick-relief medicine with you.
Asthma Action Plan
Asthma And Other Diseases Can Have The Same Symptoms
When you have asthma, the lining of the airways in the lungs swells and the muscles around the airways get tight. Then the airways get narrow.
When you breathe, you have trouble moving air out of your lungs. As a result, you may cough, wheeze, feel short of breath, or have tightness in your chest. Exercise or cold air may make the symptoms worse.
However, those same symptoms can also be a sign of other lung problems, such as a common cold, bronchitis, or pneumonia. They can even be symptoms of heart disease and other diseases.
It is important to know the cause of your symptoms to make sure you get the right treatment. The treatment for asthma is very different from the treatment for pneumonia or heart disease.
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Why Do I Have A Bulge At The Top Of My Stomach
Most often, a lump in the abdomen is caused by a hernia. An abdominal hernia occurs when there is a weak spot in the abdominal wall. This allows the internal organs to bulge through the muscles of the abdomen. A hernia may appear after you strain, or lift something heavy, or after a long period of coughing.
When Living With Asthma Demand The Best Treatment
If you’re suffering from asthma now, understand that you can feel better. Doctors have treatments that will help.
Of course, many things can get in the way of good treatment. One of them is the price. Experts agree that the costs of many asthma medications have become very high in recent years. According to the 2005 Health Costs Survey sponsored by the Kaiser Family Foundation, the Harvard School of Public Health, and USA Today, 43% of all people with asthma said that, in the past year, they could not afford their treatment.
If the price is a problem for you, talk honestly with your doctor. See if you can get some free samples. Ask about assistance programs offered by pharmaceutical companies or by your state.
Whatever you do, don’t put off getting treatment. Delaying might make your asthma worse.
So you need to take charge of your health care and fight for the best treatment you can get. Don’t settle for a life restricted by symptoms. Don’t settle for treatment that isn’t helping.
“Demand that you get aggressive treatment of your asthma,” says Edelman. “There is no reason for you to be suffering. You have the right to feel well.”
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What Is It Like To Have Severe Asthma
Severe asthma is an unpredictable condition and its different for everyone. So, its hard to describe exactly what its like to have severe asthma.
But people with severe asthma have more asthma attacks than people with mild or moderate asthma, they are more likely to have to stay in hospital and they are more likely to be on long term steroid tablets.
The symptoms, triggers, responses to medicines, energy levels and impact on daily life are unique to each individual, plus they can change over time.
Having severe asthma can be tough. But with the right support and treatment you can hopefully feel more confident about managing your symptoms and getting on with your life.
Links To Lung Diseases
The two more recognized aspiration diseases associated with GERD are aspiration pneumonitis and aspiration pneumonia.
Aspiration pneumonitis occurs when a large amount of regurgitated gastric contents and acids are aspirated into the lungs, causing chemical injury. The term aspiration pneumonia refers to a pneumonia infection that occurs in patients at risk for aspirating, such as patients who are debilitated and may aspirate food or oropharyngeal secretions into their lungs.
What we are recognizing now is that there are more subtle forms of lung injury that occur from lung aspiration, said Dr. Ryu. Sometimes GERD and aspiration may not be associated with obvious symptoms, where patients may not be aware that they are aspirating and getting foreign matter into their lungs.
Two pulmonary diseases associated with GERD are asthma and chronic cough. Aspiration due to GERD may cause these disorders in one of two ways, through direct aspiration or reflux injury, according to Maxwell Chait, MD, FACP, a gastroenterologist from ColumbiaDoctors Medical Group in Hartsdale, N.Y., and assistant professor of medicine at Columbia University College of Physicians and Surgeons.
Acid reflux can also cause reflex arc through the nervous system for that area and cause the airways to go into reflex bronchospasm, leading to asthma or chronic cough, Dr. Chait said.
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What Are The Long
In the long term, chronic inflammation and bronchospasms from asthma can make structural changes in the airway causing it to become permanently narrowed. The airway tubes become scarred and thickened, and the bronchial muscles get enlarged, leading to reduced lung function and breathing difficulties.
Asthma increases the risk for bronchial infections. Asthma can also affect sleep quality and lead to sleep deprivation. It can affect the ability to take part in exercise and sports, which can in turn, potentially lead to conditions such as diabetes, obesity and high blood pressure.
Can Asthma Be Cured
Asthma is chronic and incurable, but can be controlled well with medications and lifestyle changes to avoid asthma triggers. With appropriate treatment, it is possible to reduce inflammation, relieve bronchospasms and prevent permanent damage to the airways and lungs.
Treatment can reduce the intensity and frequency of asthma attacks sufficiently for most people to live a normal and fulfilling life, including elite athletes who undertake intense physical activity.
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What Are The Complications Of Asthma
Poorly-controlled asthma can have a negative effect on your quality of life. Complications may include:
- being less productive at work or while studying
- an inability to exercise and be physically active
- reduced lung function
- poor mental health
Taking your medications exactly as prescribed is important. If you feel that your asthma is affecting your quality of life, contact your doctor for a medicines review.
The Importance Of Early Asthma Treatment
Doctors used to have a more relaxed attitude to treating asthma, but experts now agree that it’s crucial to get treatment as soon as possible.
“I think just about anyone who treats asthma will tell you that aggressive treatment is the way to go,” says Edelman. “It really works.”
There are two basic types of medicines. Quick-relief medications, usually in the form of inhalers, swiftly reduce the muscle tightness around the airways, allowing you to breathe easier. You would use a quick-relief medicine during an asthma attack.
Long-term control medicines either calm inflammation or help prevent the airways from closing. They are used daily – not just when you have an asthma attack — because they work slowly. They prevent rather than treat symptoms, so they’re not much help once you are already having an attack.
Inhaled long-term control medicines are usually preferred, but some long-term medicines are also available as pills.
The other important treatment hinges on your own behavior: You need to stay away from the allergens or irritants that trigger your asthma.
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