Patients with nocturnal or difficult-to-control asthma, treating acid re-flux may help relieve coughing and wheezing. Treatment of GERD involves elevating the head of bed, losing weight, avoiding spicy food, caffeine, alcohol, and cigarettes.
Allergic rhinitis asthma connection: There is a clear association between allergic rhinitis (hay fever) and asthma. Many patients recall developing asthma and nasal symptoms at or about same time. Others developed their asthma either before or after onset of their allergic rhinitis, it means involvement of allergic rhinitis. Patients with both conditions can expect to suffer more severe asthmatic attacks and require stronger medications to treat their asthma. The presence of asthma can easily be determined with pulmonary function tests.
Following are possible reasons why allergic rhinitis and asthma are related: nasal and bronchial membranes are made up of almost same type of tissue. The nerves of upper airway (nasal cavity) and lower airway (bronchial tubes) are connected. Both upper and lower airways are exposed to same external environment during breathing. When allergens reach nasal cavity, there is stimulation of nerve endings in nasal cavity. This stimulation causes reflex neural signals to be sent to tissues of both nasal cavity and lower airways. In nasal cavity, these signals cause accumulation of fluid and formation of mucus, while in bronchial tubes they cause bronchial constriction and possibly acute asthma. This is sometimes referred to as naso-bronchial reflex. Nasal congestion causes mouth breathing. During mouth breathing, air bypasses the nose. It is not filtered for allergens and irritating particles, and it is not warmed or humidified. This non-conditioned air is more likely to cause bronchial hyper reactivity and produce asthma symptoms. Mucus from nasal cavity may drip from back of nose into bronchial tubes, especially during sleep. This dripping mucus increases bronchial inflammation and causes episodes of asthma at night.
Sinusitis and asthma: An astounding 75% of severely asthmatic patients also has sinusitis. Additionally, asthmatic patients often report that their symptoms worsen when they develop sinusitis. Conversely, when sinusitis is treated, asthma improves. The reasons behind association of asthma and sinusitis are similar to those suggested for association between asthma and allergic rhinitis. The infected mucus from sinuses may drain into bronchial tubes, thereby causing bronchitis (sin bronchitis). The inflammation caused by mucus may worsen asthma. Greater insight into how these two conditions are related may allow better control or even cure of these common conditions.
Air pollution: Poor air quality is known to worsen asthma symptoms and increase exacerbation. Patients with asthma are at increased risk for symptoms when smog, soot, or ozone levels are significantly elevated. Indoor air pollution may also be a contributing factor. Research studies suggest that maintaining adequate ventilation and modifying household (removing carpets and drapes, using hypoallergenic mattress covers) may be enough. Some air-filtration systems may reduce some secondhand tobacco smoke, but no system can remove all harmful components from this smoke.
In effort to diagnose of bronchial asthma on following syndromes: Complete asthma characterized by severe respiratory dyspnea; asphyxia noted for sonorous distant role alterations in remission unavailable.
- Wind and coldness penetrate into lungs
- Hotness and sputum in lungs
- Energy imbalance in liver
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