What Are Signs And Symptoms Of Adult Onset Asthma
Regardless of age, asthma symptoms can include:
;;;;;;;;;;; Dry cough, especially at night or in response to specific triggers
;;;;;;;;;;; Tightness or pressure in the chest
;;;;;;;;;;; Wheezing a whistling sound when exhaling
;;;;;;;;;;; Shortness of breath after exercise or physical exertion
;;;;;;;;;;; Difficulty breathing
;;;;;;;;;;; Colds that go to the chest or hang on for 10 days or more
What Is The Best Way To Live With Asthma
The key to good living with asthma is developing a strong partnership between patients, caregivers, and physicians. Practical steps include the following:
;; Make an asthma care management plan with your physician. An asthma management plan helps you understand what to do when specific situations arise. Each time you visit the physician, talk about your plan, and make any necessary changes.
;; Educate yourself. Stay informed about the latest developments in asthma and allergy care and treatment. Ask your physician about new medications or research findings that may relate to your care.
;; Get regular medical care. If you have asthma, you should see your physician at least once a year, even if your symptoms are under control. When you become sick, or if you have significant changes in your health, you should also talk with your physician about how your asthma could be affected.
;; Take your medicine. Your asthma medications will make you feel better and sometimes people think thats the time to stop. Its not! Use your medications as prescribed.
With good management, asthma symptoms can be controlled. Most people who develop adult onset asthma are able to lead normal lives. Expect success!
What Asthma Feels Like
We will try to demonstrate and explain what asthma feels like.
First, make a tight fist and press it firmly to your lips. Then try to breathe in and then out through your mouth.; You should find it very difficult to breathe. That is exactly what asthma is like.
Another way to describe it is to breathe through a strawyou should be able to breathe easily. Think of the straw as one of the airways to your lungs. Now pinch the straw, so that it becomes narrower. Try breathing in and out through the pinched straw. You will find breathing again much harder that, too is what asthma is like.
Everybodys asthma is unique; some people may have annual asthma attacks each year, when they have real difficulty breathing and have to go to Emergency. For others, who never have an attack, asthma is merely an inconvenience. ; ;
Up to 10% of North Americans will suffer from asthma symptoms in their lifetime. For some, it can be a chronic respiratory condition, an issue they have to deal with most of their lives. On the other hand, children with asthma often lose their symptoms as they grow older.
In spite of the number of sufferers, the increasing numbers of new cases and the constant threat of attacks, asthma is still one of the most misunderstood health issues of the day. False claims about asthma abound: people believe its contagious, or is caused by anxiety, bad parenting, etc. This book dispels these myths and provides you with a positive, controlling outlook on this condition.
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Asthma Vs Copd Over Time
- Asthma is usually considered a periodic disease. This means symptoms only occur sometimes. COPD is usually considered a persistent disease. This means that symptoms may appear to some degree all the time.
- Periods between asthma attacks may last days, weeks, months, or even years. In this way, asthma can seem to go into remission in some people. COPD flare-ups may also be periodic in this way. But, COPD does not go into remission.
- Asthma usually does not progress over time. COPD is generally considered a progressive disease. But, this progression may be slowed with a proper diagnosis and aggressive treatment.
- Speaking of diagnosis, both diseases may be confirmed with a test called a pulmonary function test . The test will show if triggers cause airflow limitation. It can also show if this airflow limitation is reversible or not reversible .
- Asthma medicines are used to prevent and control asthma symptoms. COPD medicines are used to allay symptoms and slow the progression of the disease.
Asthma Symptoms Can Mimic Other Illnesses Or Diseases Especially In Older Adults For Example:
- Hiatal hernia, stomach problems, heart failure, or rheumatic arthritis can create asthma-like symptoms.
- Chronic obstructive pulmonary disease has many of the same symptoms as asthma. COPD, which includes emphysema and chronic bronchitis, is very common in older adults especially those who are or have been smokers.
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What Are Common Ways To Diagnose Asthma
Personal and medical history.;Your doctor will ask you questions to understand your symptoms and their causes. Bring notes to help jog your memory. Be ready to answer questions about your family history, the medicines you take and your lifestyle. This includes any current physical problems. Shortness of breath, wheezing, coughing and tightness in your chest may show asthma. This also includes all previous medical conditions. A history of allergies or eczema increases your chance of asthma. A family history of asthma, allergies or eczema increases your chance of having asthma, too. Tell your doctor about any home or work exposure to environmental factors that can worsen asthma. For example, these might include pet dander, pollen, dust mites and tobacco smoke. The doctor may also ask if you get chest symptoms when you get a head cold.
Physical exam.;If your doctor thinks you have asthma, they will do a physical exam. They will look at;your ears, eyes, nose, throat, skin, chest and lungs. This exam may include a lung function test to detect how well you exhale air from your lungs. You may also need an X-ray of your lungs or sinuses.;A physical exam then allows your doctor to review your health.
Inhaled Medication Delivery Devices
Inhaled asthma medications come in a variety forms including pressurized metered-dose inhalers and dry powder inhalers . Not all medications are available in the same delivery devices. Also, some devices have dose counters included and others, such as pMDIs, do not. The most important factor in selecting a medication delivery device is to ensure that the patient uses it properly.
In children, it is recommended that pMDIs always be used with a spacer device since they are as effective as nebulizers; a pMDI with spacer is also preferred over nebulizers . A spacer with face mask is recommended for children 24;years of age, while a spacer with mouthpiece is recommended for children 46;years of age. To transition to a spacer with mouthpiece, children must be able to form a seal around the mouthpiece and breathe through their mouths. For children 6;years of age or over, a pMDI plus spacer with mouthpiece or DPI is recommended. Since children must have sufficient inspiratory force to use a DPI, these devices are generally not recommended for children under 6;years of age.
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How To Know If You Have Asthma
This article was co-authored by Shaun Berger, MD. Dr. Shaun Berger is a board certified Pediatrician based in the San Diego, California metro area. Dr. Berger provides comprehensive primary care for newborns, children, and adolescents, focusing on preventive medicine. Dr. Berger earned a BA in Psychology from the University of California, San Diego and an MD from the University of Illinois at Chicago. Dr. Berger then completed a residency at the UCSF/Fresno Community Medical Centers/Valley Childrens Hospital where he was elected Chief Resident. He has been awarded the UCSF Foundation Award and is a Fellow of the American Academy of Pediatrics.There are 32 references cited in this article, which can be found at the bottom of the page. This article has been viewed 54,640 times.
Asthma is a treatable disease that works like an allergic reaction: environmental triggers cause inflammation in the airways. This leads to trouble breathing until the inflammation is treated and reduced. The disease is very common and affects about 334 million people worldwide, including 25 million in the US alone.XTrustworthy SourceNational Heart, Lung, and Blood InstituteResearch and education center within the National Institutes of HealthGo to source If you suspect you might have asthma, there are signs and symptoms, risk factors, and diagnostic tests that can help you know for sure.
Video: How Is Asthma Diagnosed
Transcript for ‘How is asthma diagnosed?’
0:00 If you or your GP suspect that you may have asthma, they will start off by making sure they’ve got an accurate
0:07 history of your symptoms, your lifestyle, any past medical history, and also family history – to see if asthma is a
0:16 possibility. To help with diagnosing asthma, it’s important to do some tests, to find out exactly how well your lungs are working, and to be able to identify
0:27 whether they’re inflamed, which is a key aspect of asthma. One of the tests you’ll be asked to do is to blow into a peak flow meter. This is a child’s version.
0:37 It’s very difficult to diagnose asthma in children, but once they’re about 5 to 6 years of age they may be able to blow into one of these. Blowing into one of
0:47 these will give us a reading of how fast you can blow your air out. You may be asked to take this home with you and to record peak flow readings over several
0:59 times a day to get a variation, and that will help the doctor actually diagnose whether you’ve got asthma or not. You’ll also be asked to do a spirometry test.
1:09 This measures lung function; how much your lungs actually can hold, and how quick you can blow your air out. Now this takes a little bit more time, and you would have to attend the surgery to have
1:37 inhaler, through the spacer, and after 20 minutes you’ll be expected to do the test again. And these results will show us, compared with your age and your
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What Is The Difference Between Asthma And Exercise
In exercise-induced bronchoconstriction , people experience airway constriction only when they exercise. In contrast, asthma is a chronic condition. An allergist can help you determine whether the symptoms you experience during physical activity are related to allergies , irritants in the air , EIB, or underlying asthma.
Some People Experience Unusual Asthma Attack Symptoms
Response from Lorene Alba, AE-C
ItÃ¢s important to pay attention to your body for these often-subtle warning signs. My chin itches before I have an asthma episode, usually a day or two before. Other warning signs can be restless sleep, feeling tired or moody, having a stuffy nose, or clearing your throat. A drop in your peak flow meter reading is also a warning sign; peak flow meters often show your asthma worsening before you begin to feel symptoms.
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Signs And Symptoms Of An Asthma Attack
The difference between having asthma and having an asthma attack is the severity of the symptoms. Otherwise, the symptoms, themselves, are mostly the same.;
So, if you have asthma, you will likely have had most of the symptoms of an asthma attack already, just in a milder form, says Troy Madsen, MD, a professor of emergency medicine at the University of Utah.
Some of the most common symptoms of an asthma attack include:
- Extreme shortness of breath
- Tightness in your chest
Gaps In Knowledge And Future Directions
Other testing approaches may be part of future algorithms. Measurement of inflammatory markers such as sputum eosinophils or exhaled nitric oxide is already being used in some settings to evaluate asthma control and formulate management decisions. However, although such tests show clinical promise, they have not yet been rigorously investigated for use in the diagnosis of asthma and are currently limited to tertiary care centres and research facilities.
A 10% or more fall in FEV1 from baseline is considered an abnormal response following hyperventilation with dry air, as is a fall of 15% from baseline following challenge with hypertonic aerosols. For adenosine monophosphate, a 20% or greater fall in FEV1 at a concentration of less than 400 mg/mL is considered abnormal. Furthermore, a positive response to bronchial provocation by eucapnic voluntary hyperventilation is considered acceptable confirmation of exercise-induced asthma; it is in fact the current standard of the International Olympic Committee, although it is not often used in other settings.
In the future, genetic testing may allow individually targeted diagnostics and therapeutic decisions.,
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If Your Asthma Symptoms Are Caused By Allergies Take Steps To Control Knownor Potential Triggers In Your Environment
Allergy-proof your house for dust, mold, cockroaches, and other common indoor allergens to which you are allergic.
;Reduce your outdoor activities when the pollen count or ozone level is high.
;Choose foods that dont contribute to your asthma or allergy symptoms.
;Evaluate your workplace for possible allergens and take the necessary steps to reduce your exposure to them.
In order to determine relevant triggers, you may want to seek consultation with an allergist who can further define these triggers.
In addition, anyone with asthma should consider getting an annual flu shot. Older adults also should talk with their internist about getting a pneumonia vaccination.
Question 8: Are Your Symptoms Worse When You Are At Work
You answered yes.
You answered no.
- Someone who works in an environment where they are exposed to dust, fumes, certain chemicals or animals, and finds their symptoms flare up at work, may have what is known as occupational asthma, which affects around one in ten people who first develop asthma in adulthood.
- Bakers, vets, nurses, hairdressers, engineers and woodworkers are just some of the jobs that can lead to occupational asthma.
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Question 1: Do You Make A Wheezing Sound When You Breathe Out
You answered no.
- Asthma is caused by an irritation of the airways, medically known as the bronchi.
- When they become inflamed, the walls of the bronchi swell and tighten, causing them to narrow.
- They may become coated with mucus, obstructing them further.
- This causes a whistling sound when trying to expel the used air.
Bronchodilation And Bronchoprovocation Tests
These tests gauge how well the lungs respond to either a quick-relief asthma medication or an intentional disturbance to normal airflow. They usually are done if spirometry is normal in spite of asthma symptoms.
- Bronchodilator responsiveness testing: A bronchodilator is a fast-acting medication that provides quick relief of asthma symptoms. This test involves administering a bronchodilater and, 10 to 15 minutes later, repeating an initial spirometry test and comparing the results. If the medication brings about an increase in airflow of 12%, it is an indication that asthma is the cause of symptoms.
- Bronchoprovocation challenge testing: This test involves inhaling either aerosolized chemicals or cold air, or performing exercises, to see if it induces;asthma symptoms. By measuring lung function after exposure to these;triggers, a doctor may be able to diagnose asthma.
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How Is It Treated
There are two parts to treating asthma, which are outlined in your asthma action plan. The goals are to:
- Control asthma over the long term. Your asthma action plan tells you which medicine to take. It also helps you track your symptoms and know how well the treatment is working. Many people take controller medicineâusually an inhaled corticosteroidâevery day. Taking it every day helps to reduce the swelling of the airways and prevent attacks. Your doctor will show you how to use your inhaler correctly. This is very important so you get the right amount of medicine to help you breathe better.
- Treat asthma attacks when they occur. Your asthma action plan tells you what to do when you have an asthma attack. It helps you identify triggers that can cause your attacks. You use quick-relief medicine, such as albuterol, during an attack.
If you need to use the quick-relief inhaler more often than usual, talk to your doctor. This may be a sign that your asthma is not controlled and can cause problems.
Asthma attacks can be life-threatening, but you may be able to prevent them if you follow a plan. Your doctor can teach you the skills you need to use your asthma action plan.
What Are Pulmonary Function Tests
Pulmonary function tests include numerous procedures to diagnose lung problems. The two most common lung function tests used to diagnose asthma are spirometry, exhaled nitric oxide and challenge tests.
Spirometry This is a simple breathing test that measures how much and how fast you can blow air out of your lungs. It is often used to determine the amount of airway obstruction you have. Spirometry can be done before and after you inhale a short-acting medication called a bronchodilator, such as albuterol. The bronchodilator causes your airways to expand, allowing for air to pass through freely. This test might also be done at future doctor visits to monitor your progress and help your doctor determine if and how to adjust your treatment plan.
Exhaled nitric oxide Nitric oxide is a gas that is produced in the lungs and has been found to be an indicator of inflammation. Because asthma is an inflammatory process, this test has become helpful in the diagnosis and management of asthma. The test is performed by having you breathe into a small, handheld machine for about 10 seconds at a steady pace. It then calculates the amount of nitric oxide in the air you breathe out.
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