Asthma/Asthma attack - Medtick

Asthma/Asthma attack

What is it?

Common reversible respiratory (breathing) condition causing tightening and swelling of airways (bronchial smooth muscle).

  • It can occur at any age and is common in children.
  • The symptoms can be controlled (unless severe asthma) and is not usually progressive, however it is unpredictable and can get severe with little warning.
  • Asthma can exist with long term lung conditions: Chronic obstructive pulmonary disease (COPD)
  • (The main mediators involved are eosinphils, in an attack both eosniphils and neutrophils involved)

Exercise Induced Asthma (EIA)

It normally occurs after 5-8 minutes of severe aerobic exercise or within 15 minutes from starting the exercise. Other symptoms of EIA include:

  • Chest tightness or pain
  • Cough
  • Fatigue
  • Prolonged recovery time
  • Shortness of breath
  • Wheezing
  • Underperformance or poor performance on the field of play
  • Rare condition called Exercise-induced urticaria (In this condition, an early stage of exercise-related fatigue and itchiness is followed by early onset of urticaria and angioedema (swelling) which are initially mild. However, if progression occurs, it may be serious or even life-threatening).

Medscape


Diagnosis test

Peak flow meter

The Pharmaceutical Journal, PJ October 2020, Vol 305, No 7942;305(7942):DOI:10.1211/PJ.2020.20208431

verywellhealth

Cause

An attack is can be caused by many factors, examples include:

  • Allergy
    • Dust mite
    • Cockroaches (insects)
    • Food allergy
    • Pet allergy (animal dander)
    • Pollen
    • Moulds and spores
    • Allergic rhinitis (runny nose)
  • Anxiety
  • Emotion (laughing too much or endlessly)
  • Atopic Eczema
  • Chemicals, flumes, perfumes, irritants, aerosol spray
  • Exercise induced
  • Hormonal conditions i.e Menopause
  • Respiratory viral infections
  • Nocturnal asthma (symptoms occur at night)
  • Seasonal changes i.e. hay fever season or cold weathers
  • Smoking
  • Obesity
  • Airway hyperreactivity (an exaggerated airway responsiveness to various stimuli)

Syndromes

Medication i.e.

Vitamins, herbals and minerals

Symptoms

(Symptoms are variable, and occur at any time particularly if exposed to an allergen)

  • Shortness of breath (gasp for breath)?
  • Tight chest?
  • Wheezing, a high pitched whistling sound when breathing?
  • Coughing at mornings and especially at night?
  • Breathing difficulties when exercising?
  • Increased night-time waking with wheeze cough causing a lack of sleep?
  • Inability to speak in full sentences?

Complications /Information to beware of/General tips:

Do not wait, phone for an ambulance if have or develop:


This condition can be associated with:


This condition can have similar symptoms to:


Inhaler breathing technique issues:

  • Please let your medical prescriber know the following when undertaking using an inhaler:
    • How often do you use your blue inhaler (more one uses, more poor control)?
    • Do you taste your medication (press your MDI inhaler to early)?
    • Do you feel a hit at the back of your throat (inhaling in too sharply/strongly)?
    • Mouth coated in powder (not inhaling strong enough)?
    • Spacer makes a whistling noise  (inhaling too strongly)?

This condition can lead to:


Exercise Induced Asthma measures

  • Athletes can minimize the likelihood of bronchospasms by warming up for 15-30 minutes, followed by a 15-minute rest period, allowing the competition to coincide with a refractory phase.
    • The refractory period of EIA occurs 1-3 hours from the start of the exercise.
    • It is unpredictable and intermittent, and the results could be one half the degree of bronchospasm in the first episode.
  • Other nonpharmacologic measures can also be taken in the treatment of EIA, such as nasal breathing (not mouth breathing), which can result in less bronchospasm because the inhaled air is warmer and humidified.

Medscape

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Asthma/Asthma attack in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

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  • Medscape

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  • Pharmaceutical Journal

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  • Cleveland Clinic

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  • Drugs.com

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  • National Organisation of Rare Diseases

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  • Verywell Health

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