Why do we still have bronchial Asthma related morbidity and mortality?

Bronchial Asthma is an age old disease being treated by all systems of medicines . There is tremendous progress in diagnosis as well as treatment modalities which are easy and affordable yet Bronchial Asthma remains a major challenge especially in our country . Diagnosis is very obvious when patients present . However in childhood all that wheezes is not Asthma but at the same time Cough variant Asthma is not diagnosed early and children are put onfrequest unnecessary antibiotics cough syrups etc wheras what they need is sinple and specific treatment for asthma by inhaled stetoids . recurrant Coryza sore throat runny nose etc are symptons for allergic rhinitis which often progresses to Adthma if left untreated as its the one airway disease . In diagnosis especially in children extrinsic adthma is more common therfor Allergy tests especially the food allergens like milk egg fish etc if diagnosed early can help in better control . The allergy tests are sinole and very usefuk provided performed by an expert by Skin tests which is a gold standard . once diagnosed inhaler therapy is the conrnerstone of treatment . There are state of art molecukes of steroids inhalers which are prevebtive inhalers and are meant for regular long tern use . They are safe and essential , are tge surest methid for drug delivery into the inflamed airways which are causing reversible obstruction resukting ibto asthma . The second group of inhakers are bronchodialators which are necessary in emergenvy and for long term management too but never helpful without steroid inhalers . Inspite of affordable inhalers people often worry a lot and reject the inhaler use due to many myths associated with the word stetoid . People are not willing to accept the diagnosis of Asthma as thiugh its a tabboo ! inspite of very goid tests to test food allergy people often stop mamy food like rice curd babana etc nutritious food just due to myths of not givibg ehite food ! Due to myths chikdren are nutrionaly deprived and also life becomes complx . Why stop food on presumptikns when allergy tests are easy .Just a word of cautionthat allergy tests must not be done simply by sending blood samole to lab who know nothing about the patient . The Allergy tests are best performed by the doctir after detailed history and examinatikn of patient to decide what to test . Thus is Brinchial Adthma Health education at every step is most important for acceptance of disgnosis , fot acceptance of inhalers , for not getting scared with name steroid inhaler , for understanding the technique , for recognising allergy diagnosis early rather than indiscriminate use of amyibiotics , mot stoping food based on myths , if test is needed not to fall pray to remote testing by labs without allergy specialist deciding what to test . Patienmts must follow the treatment diligently ratger than stopping it as soon as there is relief in that particular attack . Lets attack Asthma by all means and let everyone breath lung full !