How can I prevent asthma triggers effectively?

Question

Hello doctor,

I am a 47-year-old woman, and I am concerned about my health. I have been experiencing recurrent asthma symptoms despite using inhalers. Could you guide me on the correct way to use an inhaler? How can I tell when the inhaler is empty?

Should I take any additional medications alongside the inhaler? Occasionally, I feel breathless; what should I do in those moments?

I would also like advice on preventing the repeated occurrence of asthma symptoms and recovering from this condition. I am feeling overwhelmed with the constant reliance on inhalers and medications. Please help and provide guidance.

Please guide.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for posting your query.

As you mentioned, you are suffering from bronchial asthma. The cornerstone of asthma treatment is the regular use of inhaled medications. To achieve adequate asthma control, it is crucial to use the appropriate inhalers at the correct dosage with the proper technique, and they should be used consistently.

Recommended Investigations for newly diagnosed or uncontrolled bronchial asthma:

Complete blood count (CBC).
Serum total IgE.
Chest X-ray.
Pulmonary Function Test (Spirometry (a pulmonary function test that measures lung capacity and airflow to assess respiratory health): pre- and post-bronchodilator).

Possible causes of repeated asthma exacerbations:

Comorbid conditions such as allergic rhinitis, GERD(gastroesophageal reflux disease), or obesity.
Incorrect inhaler technique or irregular use of inhalers.
Use of inappropriate inhaled medications.

Recommendations for managing bronchial asthma:

Regular Use of Inhalers: Start using inhalers consistently (for example., MDI Budetrol (200/6), 2 puffs twice daily with a spacer, followed by a mouth rinse). Inhalers must be used daily without interruptions for at least six months unless advised otherwise by a pulmonologist.
Use of Spacer: Attach a spacer to the inhaler; instructions for usage can be found in online resources.
Regular Consultations: Consult a pulmonologist (physically or virtually) at least once a month.
Vaccinations: Ensure age-appropriate vaccinations are up to date if not already taken.
Control Comorbid Conditions: Address conditions such as allergic rhinitis or GERD (gastroesophageal reflux disease), as they can exacerbate asthma and lead to poor control.
Asthma Action Plan: Maintain a written asthma action plan outlining how to manage symptoms and respond to emergencies for better control and preparedness.
Avoid Triggers: Identify and avoid asthma triggers such as smoke, pollution, pet dander, or specific allergens.
Pulmonary Rehabilitation: Consider programs that offer education and exercises to improve lung function and overall fitness.
Lifestyle Modifications: Incorporate regular exercise (as tolerated), maintain a healthy diet, and manage stress to support better asthma management.
Monitoring Tools: Use a peak flow meter to monitor lung function and detect early signs of worsening asthma. Smartphone applications can also help track symptoms and medication use.
Emergency Preparedness: Have an emergency plan in place, including access to rescue medications and knowing when to seek urgent care.

Follow-up: Get all the recommended investigations completed and follow up within a week to evaluate whether your asthma is under control. Reach out sooner if you have further questions or concerns.

Take care and ensure consistent follow-up to manage your condition effectively.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.