Showing posts with label Atypical asthma symptoms. Show all posts
Showing posts with label Atypical asthma symptoms. Show all posts

Saturday, November 4, 2017

Complete Guide to Symptoms of asthma

This article explains symptoms of asthma in adults, symptoms of asthma in children, atypical asthma symptoms and much more.


Symptoms of asthma


 The cause of exacerbation of asthma symptoms is a severe constriction, inflammation, and blockage of the mucus of the airways. The traditional symptoms of asthma include:



  • Cough, especially at night



  • Wheezing



  • Lack of air, shortness of breath



  • Heaviness in the chest, pain and sore feeling



But the symptoms can be different even for the same person at different times. All symptoms may not immediately manifest, but at different times - different. Symptoms of asthma can differ significantly from each other. For example, once - a slight exacerbation of symptoms, the next - very serious, requiring hospitalization.


It happens that a person for a long time does not feel any signs of asthma, and only sometimes this calm breaks the aggravation of symptoms, which is called an asthma attack. Others have the same symptoms every day. In addition, there are people who have asthma attacks begin only during intense physical exertion or after suffering a viral illness such as influenza.


Moderate symptoms are most common. Usually, it takes several minutes to several hours to resolve them. But with more serious attacks, which are less frequent, you may need emergency medical help. It is very important to identify and begin treatment of symptoms at the earliest stage of their development. This will prevent further development of asthma and will enable to keep the disease under control.


Definition of symptoms at the initial stage of the disease


Early warning signs are changes that appear before or at the very beginning of an attack. These symptoms can begin before the traditional symptoms of an attack and are warning signs that the condition of the disease is deteriorating.


But these signs may not be so noticeable as to distract you from your daily activities. If you learn to recognize them, you can stop the attack or prevent its further development. Such signs include:




  • Frequent cough, especially at night.



  • Dyspnea.



  • Increased fatigue or weakness after exercise.



  • Sizzling breath or cough after physical exertion.



  • Fatigue, rapid change of mood: a person quickly becomes sad, becomes grouchy or sullen.



  • Reduction or changes in lung performance, as indicated by the pneumotachometer readings.



  • Signs of a cold or an exacerbation of allergies (sneezing, runny nose, stuffy nose, sore throat, headaches).



  • Problems with sleep.



If there are first signs of exacerbation of symptoms, you need to take medication, as the doctor appointed.



[caption id="attachment_278" align="aligncenter" width="586"]Symptoms of asthma Symptoms of asthma[/caption]

Definition of asthma symptoms in children


Asthma affects between 10% and 12% of children and is the leading cause of chronic diseases in children. For unknown reasons, the spread of asthma in children over the years only increases. Although asthma symptoms can occur at any age, but in children the symptoms begin to appear only after 5 years.


Asthma is inflammatory processes and increased the formation of thick mucus inside the bronchus. Not all asthmatics have such a symptom as wheezing. A chronic cough with asthma can be the only obvious symptom and asthma will continue to develop, remaining unrecognized unless the cough goes into relapsing bronchitis.


 


Determination of the symptoms of an impending asthma attack


An asthma attack is a phenomenon in which the muscle tissues surrounding the airways are greatly reduced. This reduction is called bronchospasm. During an attack, the airways swell or become inflamed, and the glands secrete more mucus than normal.


All these factors - bronchospasm, inflammatory processes, mucus formation - cause an exacerbation of such symptoms as shortness of breath, wheezing, coughing, shortness of breath, inability to perform daily activities. Other symptoms may also appear:




  • Loud wheezing with inspiration and exhalation



  • The incessant cough



  • Rapid breathing



  • Pain or a feeling of contraction in the chest



  • The contraction of the muscles of the neck and chest, called retraction



  • It's hard to say



  • A sudden feeling of anxiety or panic



  • Pallor and excessive sweating of the face



  • Blue lips or fingertips



An asthma attack can very quickly develop into a severe form, so it is very important to take immediate action when the slightest signs appear.


Without an emergency use of a medication, such as an inhaler or bronchodilator, breathing becomes even more difficult. If, at this time, the pneumotachometer is used, it will show a value of less than 50%.


Since the lungs continue to contract, after a while you will not be able to use a pneumotachometer. In the end, the lungs are so compressed that there will not be enough room for air circulation, and wheezing will disappear. This is what is called "silent breathing" and this is a terrible sign. In this case, you need immediate hospitalization.


Unfortunately, very often people believe that the disappearance of wheezing is a sign of improvement, and refuse medical help.


If you do not get the right and timely medical help, then after a while you will not be able to speak and blue spots may appear around your lips. If the color of the spots changes, what is called cyanosis, then this indicates a constant decrease in the flow of oxygen into the blood. Without aggressive medical intervention, you will soon lose consciousness and, in the end, die.



[caption id="attachment_282" align="aligncenter" width="306"]asthma medical help asthma medical help[/caption]

If an asthma attack begins, follow the instructions of your asthma treatment program and seek medical help immediately.


What you need to know about atypical asthma symptoms


Not everyone has the traditional symptoms of asthma, such as coughing, wheezing, shortness of breath. Sometimes people develop non-standard symptoms that are not associated with asthma at all. Here are a few "unusual" symptoms:




  • Frequent breathing.



  • Sighing.



  • Fatigue.



  • Inability to exercise normally (such asthma is called stress asthma).



  • Problems with sleep (or nighttime asthma).



  • Anxiety.



  • Inability to concentrate.



  • Chronic cough without wheezing.



Also the symptoms of asthma may seem like symptoms of other diseases such as bronchitis, vocal cord dysfunction, even cardiovascular diseases.


It is very important to understand and be able to listen to your body. Talk to your doctor and other asthmatics. One must realize that every person can have their own symptoms.


Why do infectious diseases affect asthma exacerbation?


Sometimes a viral or bacterial infection can become a causative agent of asthma. For example, the cause of exacerbation of asthma at the moment was a cold disease. Or an asthma attack triggered a bacterial infection of the nasal sinuses. Asthmatics often have sinusitis.


It is very important to know the signs and symptoms of respiratory infections and immediately consult a doctor when they appear so that the doctor can diagnose and prescribe the treatment on time. For example, along with a bacterial infection, symptoms such as shortness of breath, shortness of breath, wheezing, can be exacerbated. In people who do not suffer from asthma, bronchial infections do not cause such symptoms. Listen to your body and warnings of an impending infection. Take timely medication prescribed by your doctor to get rid of the infection and resume control of asthma and good health.

Guide to Atypical Asthma symptoms

Diseases with symptoms similar to asthma symptoms are explained here which sometimes called Atypical asthma symptoms.


Atypical asthma symptoms


In addition to the symptom "wheezing", which many consider the main symptom of asthma, there are other, atypical symptoms. For example, a prolonged dry cough may signal an exacerbation of asthma. Compression in the chest and shortness of breath in the morning can also be symptoms of asthma. Moreover, a symptom may be a constant sigh.


Atypical symptoms of bronchial asthma include:




  • Frequent breathing



  • Sighs



  • Fatigue, inability to exercise normally



  • Problems with sleep



  • Anxiety, inability to concentrate



  • A chronic cough without wheezing (variant of asthma followed by cough)



In addition to the above, the symptoms of asthma are not constant and can vary from person to person from time to time. For example, at first, you had symptoms more at night (nocturnal asthma) than in the daytime. Symptoms of asthma can also be provoked by various factors, for example, allergens, dust, smoke, cold air, physical exertion, infectious diseases, medications, and heartburn. Finally, other illnesses such as a heart attack, bronchitis, vocal cord dysfunction can cause symptoms similar to asthma symptoms, but which in fact are not symptoms of asthma. For these reasons, setting the right diagnosis and prescribing an effective asthma treatment is a difficult task for you and your doctor.


Can a cough be the only symptom of asthma?


A chronic cough or a cough that lasts more than three weeks can be caused by the following reasons:




  • Asthma



  • Pneumonia



  • Bronchitis



  • Cigarette smoke



  • Heartburn



  • Cardiovascular diseases



  • Such drugs - such as ACE inhibitors, which are used to treat high blood pressure



  • Lungs' cancer



Chronic coughing can be an atypical symptom of asthma. Cough may first appear after a cold or other upper respiratory tract disease. Cough can begin as a slight tickling of the larynx. For some asthmatics, loud laughter or physical exertion can cause a cough. Some people have coughing starts at night, others - at any time of the day for no apparent reason.



[caption id="attachment_269" align="aligncenter" width="586"]Atypical Asthma symptoms Atypical Asthma symptoms[/caption]

Cough caused by asthma usually does not respond to treatment with conventional cough suppressants, antibiotics or drops of cough, but only for treatment with asthma medications. Therefore, setting the right diagnosis (by testing lung performance) is very important. The doctor should carefully examine any cough that does not go away on his own for 3-6 weeks.


Night Asthma


Nighttime asthma is a common form of asthma. Over 90% of asthmatics at night begin coughing or wheezing. Symptoms usually occur between 12 and 8 o'clock at night and are common causes of insomnia and lack of sleep. In fact, lack of sleep in asthmatics means insufficient control of the symptoms of asthma. In this case, you need to contact your doctor before he reconsiders the treatment program.


The lung capacity of people with asthma can be reduced to 50% during an attack of nocturnal asthma. The reasons for this are not yet known, but scientists explain it this way:




  • Close contact with allergens at night, for example, with dust mites or animal hair.



  • Changes in the level of hormones such as cortisol, histamine, and epinephrine, at night, which causes reactivity of the respiratory tract.



  • Prolonged contact with asthma triggers in the bedroom or bed.



  • The entry of gastric acid into the esophagus (GERD), due to the adoption of a horizontal position (heartburn and asthma).



  • A belated reaction to the pathogens of asthma, contact with which occurred in the daytime.



  • Subcooling of the respiratory tract, which causes a spasm of the main airways.



  • Sinusitis.



  • Night asphyxia (temporary respiratory arrest).



There is a way to test nighttime asthma by measuring the flow of air coming out of the lungs during exhalation (maximum air outlet) in the evening and in the morning just after they woke up. This testing is carried out with the help of a special device - a pneumotachometer, a small, compact instrument that measures air flows. (An asthma specialist can demonstrate how to properly use this device and take readings.) The difference between evening and morning rates of more than 20% indicates the presence of nocturnal asthma.


Diseases with symptoms similar to asthma symptoms


Symptoms of some diseases can be similar to asthma symptoms, which makes it difficult to establish the correct diagnosis.




  • Cardiac asthma




Cardiac asthma usually occurs in the elderly, who, because of cardiovascular disease, begin coughing and wheezing. When the heart muscle is too weak to effectively expel blood, fluid begins to collect in the lungs and this causes shortness of breath and wheezing.


The lung X-ray can help determine heart failure - the heart is enlarged (usually the first sign of cardiovascular disease) and fluid in the lung tissue. Treatment for cardiovascular diseases involves using diuretics (a diuretic) to get rid of excessive amounts of fluid in the lungs, and medications that help the heart work more efficiently. When cardiovascular diseases are controlled, wheezing stops. Some people may suffer from asthma and heart failure at the same time. Such patients need simultaneous treatment of both diseases to restore a normal lifestyle.




  • Other allergic reactions




Inhalation of spores of mold or particles of fluff and feathers of birds (eg parrots) can cause an allergic reaction in the airways and lungs. For example, when fungi from the genus Aspergillus cause an allergic reaction in the respiratory tract, this is called allergic bronchopulmonary aspergillosis. Usually, such people are asthmatics. The treatment takes a long time and includes the expansion of the airways with the help of bronchodilators and the reduction of inflammatory processes with the help of steroids. When pulmonary tissues react with an allergic reaction to inhaled bacteria, fungi or particles of the products of the vital activity of birds, this is called hypersensitivity pneumonitis. This condition differs from acute asthma by the absence of wheezing, elevated temperature and X-ray results, which shows signs of pneumonia.


Stress Asthma


Exercise is a common cause of asthma and can cause symptoms such as a contraction in the chest, shortness of breath and cough in 80% -90% of asthmatics. Symptoms of asthma usually manifest 10 minutes after the start of exercise or 5-10 minutes after their completion, although some symptoms can manifest only after 4-8 hours after physical exertion. Asthma stress affects people at any age but is more common in children with childhood asthma and in adolescents. All athletes, from amateurs to professional and Olympic champions, may suffer from stress asthma.


In most cases, stress asthma is treated and prevented, which allows children and adults to lead a normal physically active lifestyle. Regular exercise is useful for the heart and cardiovascular system, muscle tissue (including pulmonary muscles) and psychological health. However, regular exercise is not a method of treating asthma.


Asthma stress is diagnosed by monitoring symptoms induced by physical exertion. When the diagnosis is unclear, additional tests are carried out in the doctor's office: the removal of lung performance during rest and after physical exertion.


 


Diseases that exacerbate asthma symptoms




  • Gastroesophageal reflux disease (GERD)




GERB is a common disease caused by regurgitation (reflux) or reverse gastric acid from the stomach into the esophagus. Returning to the esophagus, gastric acid can get into the lungs. GERB is usually, but not always associated with burning under the rib cage, which is called heartburn, which most often happens after a meal or when a person takes a horizontal position. In some patients, the symptom of gastric acid reflux is not heartburn. Instead, they experience symptoms such as coughing, wheezing, dysphonia (hoarseness), or sore throat.


The presence of gastric acid in the esophagus, or acid penetration into the lungs (aspiration) can cause the compression of the bronchus (bronchospasm), which causes wheezing and coughing, which do not respond to medications. Bronchospasm, caused by reflux of stomach acid, usually occurs at night, as a result of the horizontal position of the body. It is noteworthy that GERB very often affects asthmatics. Some doctors believe that asthma alone or ways of treating asthma in some way increase the predisposition to reflux. For example, theophylline, an oral asthma medicine (bronchodilator), which is often used in the treatment of asthma, can provoke reflux by relaxing certain muscles of the esophagus that are normally compressed and prevent regurgitation of stomach acid.


In patients with nocturnal or difficult-to-control asthma, reflux treatment can alleviate the symptoms of coughing and wheezing. The treatment of GERD also includes raising the head of the bed, supporting normal weight, refraining from spicy food, caffeine, alcohol, and cigarettes. Proton pump inhibitors such as Prilosec, Protonix, Aciphex, Prevacid, and Nexium are a potential inhibitor of gastric acid production in the stomach and an effective remedy in the fight against asthma caused by reflux. Very rarely, only in very severe cases, when GERB does not respond to traditional methods of treatment, surgical methods are used to prevent reflux.




  • Allergic rhinitis and asthma





[caption id="attachment_273" align="alignleft" width="336"]Allergic rhinitis and asthma Allergic rhinitis and asthma[/caption]

There is an obvious relationship between allergic rhinitis (hay fever) and asthma. The question that may arise - allergic rhinitis or asthma - is not so easy to answer. Allergic rhinitis is considered a risk factor in the development of asthma: up to 78% of asthmatics suffer from allergic rhinitis.


In many patients, the development of asthma and nasal symptoms (sneezing, stuffy nose, runny nose, intranasal pruritus) occurs approximately at the same time. In others, asthma begins to develop after or until the appearance of allergic rhinitis. We know for sure that almost all asthmatics suffer from allergic rhinitis. Allergic asthma is one of the most common forms of asthma. In addition, one-third of people suffering from allergic rhinitis develop asthma. Patients with allergic rhinitis and asthma may suffer from more severe asthma attacks and may require stronger medicationsto prevent asthma symptoms. Sometimes allergy tests are performed to separate asthma triggers and allergies and immunotherapy is used to reduce the severity of asthma symptoms. In addition, the presence of asthma is easily determined using a lung function test.


Here are the possible reasons why allergic rhinitis and asthma are so related:




  • Nasal and bronchial membranes consist of almost the same type of tissue.



  • The nerves of the upper (nasal cavity) and lower respiratory tract (bronchus) are connected. Both the upper and lower respiratory tract come into contact with the environment during breathing. When allergens enter the nasal cavity, irritation of the nerve endings of the cavity occurs. This irritation causes reflex neural impulses that are sent to both the nasal cavity and the lower respiratory tract, which leads to spasm of the bronchi.



  • If the nose is laid, usually a person begins to breathe with his mouth. With this breath, the inhaled air does not pass through the nasal cavity. As a result, air is not filtered from allergens and irritating particles, it is not heated or humidified. This substandard air most often causes a bronchial hypersensitivity and leads to an exacerbation of asthma symptoms.



  •  Mucus from the nasal cavity can flow behind the back wall of the nose into the bronchial tubes, especially during sleep. This mucus increases the inflammation of the bronchi and causes asthma attacks at night.



Sinusitis and asthma


Doctors noticed a connection between asthma and sinusitis. In fact, 15% of patients suffering from sinusitis also suffer from asthma (as opposed to 5% of healthy populations). And the most striking thing is that 75% of asthmatics have sinusitis. In addition, asthmatics report a worsening of asthma symptoms when sinusitis becomes aggravated. Accordingly, treat sinusitis, to be treated and asthma.


The causes of the relationship between asthma and sinusitis are similar to the causes of the relationship between asthma and allergic rhinitis.




  • Mucus, which carries infections from the sinuses of the nose, can flow into the bronchial tubes, thereby causing bronchitis (sinobronchitis). Inflammatory processes provoked by mucus may exacerbate asthma symptoms.



  • The most obvious proof is the idea of reflex neural impulses along the entire length of the nose, sinuses and respiratory tracts. Sinusitis can cause a "sinobronchial reflex" and, accordingly, worsen the course of asthma.



A deeper study of these two diseases will allow us to find a better method of monitoring and, possibly, even new methods of treatment.

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