Lot of new research is being done to control this old malady, but the time tested principals still are the gold standard.
First of all the persistent nasobronchial symptoms particularly cough and definitely recurrent wheezing , breathlessness on speaking long sentences , laughing etc should be investigated for bronchial asthma.
Next most important step is to accept the diagnosis and inhalers.
It is often seen that patients or parents do not want inhalers for the fear of addiction.
They keep children on unnecessary nebulisation , antibiotics , oral bronchdilators and even oral steroids which are certainly undesired , unscientific and dangerous modes of treatment .
cornerstone of Asthma treatment is inhaled steroids.
Patients must be demonstrated the method of inhalation so the desired salts enter the airways in desired amount.
Patients must also understand that preventive doses of inhaler is essential in fixed doses even if patient feels fine because basically it is for controlling inflammation.
Patients should also know the use of emergency inhaler salbutamol.
In difficult cases and most children Allergy triggers must be investigated which can be done by simple allergy skin tests.
Based upon the test results , Food allergy as a factor can be removed . Food allergy is a significant factor in bronchial asthma.
Allergy tests also help deal occupational and environmental factors too..
Thus inspite of advances in Asthma management , majority of patients would need basic effective tretment which can be made effective with health education.
.
First of all the persistent nasobronchial symptoms particularly cough and definitely recurrent wheezing , breathlessness on speaking long sentences , laughing etc should be investigated for bronchial asthma.
Next most important step is to accept the diagnosis and inhalers.
It is often seen that patients or parents do not want inhalers for the fear of addiction.
They keep children on unnecessary nebulisation , antibiotics , oral bronchdilators and even oral steroids which are certainly undesired , unscientific and dangerous modes of treatment .
cornerstone of Asthma treatment is inhaled steroids.
Patients must be demonstrated the method of inhalation so the desired salts enter the airways in desired amount.
Patients must also understand that preventive doses of inhaler is essential in fixed doses even if patient feels fine because basically it is for controlling inflammation.
Patients should also know the use of emergency inhaler salbutamol.
In difficult cases and most children Allergy triggers must be investigated which can be done by simple allergy skin tests.
Based upon the test results , Food allergy as a factor can be removed . Food allergy is a significant factor in bronchial asthma.
Allergy tests also help deal occupational and environmental factors too..
Thus inspite of advances in Asthma management , majority of patients would need basic effective tretment which can be made effective with health education.
.
