Published on April 23, 2021

The Importance of Asthma Care

Many of us have heard of asthma before and know a little bit about what it is. May is Asthma Awareness Month, so let’s dive deep into what this disease is and share important information you should know.Dr. Krishna Rangarajan

Dr. Krishna Rangarajan, a pulmonologist with Lawrence Pulmonary Specialists, said the National Asthma Education and Prevention Program defines asthma as a “common chronic disorder of the airways that is complex and characterized by variable and recurring symptoms, airflow obstruction, bronchial hyper-responsiveness and an underlying inflammation.”

“So, to break it down, asthma is a lung disease that can cause shortness of breath, coughing and wheezing due to a variety of causes,” he said. “Patients with asthma have lungs that react strongly to stimuli that other people may not notice. The reaction results in shortness of breath, coughing and/or wheezing due to the inflammation.”

You may be asking yourself how you can avoid this. Dr. Rangarajan said there is no one cause of asthma, rather, there are multiple risk factors.

“Some risk factors can include environmental exposures, genetics/family history, nutrition and also second hand smoke exposure,” he said. “Though there is no real cause, if you have asthma there are ways it can be monitored and treated.”

How can I monitor my asthma?

Dr. Rangarajan said the simplest way to monitor your asthma is to self-monitor and see how you are able to go about your daily life, how often you have to use your rescue inhaler, what your peak flow numbers are and how often you have more intense difficulty that requires oral steroids.

“Knowing what your triggers are can help you to avoid an asthma flare,” he said. “Understanding those triggers is important because they vary from person to person. For some, it can be seasonal with certain allergens, or a response to certain smells, perfumes, mold and cigarette smoke. One of the most important things you can do is quit smoking if you do smoke.”

One big misconception about asthma is that there is one test to diagnose it. It often takes some testing and a lot of information from the patient about what is going on to help build a story.

“Asthma is often combined with COPD, but they are different diseases. We also see that there can be overlap between the two diseases,” Dr. Rangarajan said. “For some people, asthma can get better over time. Some children will ‘grow out of it’ and never have a problem as an adult. Sometimes it will not be a problem in high school and through your 20s and 30s but will show up again later. But with asthma therapy, our goal is to get it under good control so people can continue doing what they need and want to do.”

Asthma therapy

Asthma therapy? What’s that? Asthma therapy, Dr. Rangarajan said, are types of treatment used to control the inflammation in a patient’s lungs. The treatments are different for each person, based on their severity of their asthma.

“The mainstay of treatment is an inhaled corticosteroid to help control the inflammation,” he said. “There is also medication to help dilate the airway and is used as a rescue medication when someone is having more symptoms. If someone is still having significant symptoms despite inhalers, then we have newer injectable medications available as well. This area has been growing quite a bit over the last several years and, for the right patient, can make a huge difference in their therapy and livelihood.”

Dr. Rangarajan affirmed that though asthma is not fun to deal with, there are ways to control it. He said the goal for his patients is for them to have the right amount of medication to control their symptoms, while working to reduce the levels of medications to decrease any side effects.

“It is much safer to have good asthma control on medications than poor control without,” Dr. Rangarajan said. ”The recommended doses are adjusted based on symptoms, the frequency of exacerbations, peak flows, how much someone is needing their rescue inhaler and sometimes lung function testing. Do not hesitate to seek medical attention when it is needed and reach out to your pulmonologist. The team at Lawrence Pulmonary Specialists is ready to help you when you need it most.”

Ready to schedule your appointment?

The team at Lawrence Pulmonary Specialists is accepting new patients. To learn more about our four pulmonologists and the practice, visit www.lmh.org/pulmonology today.

The Importance of Asthma Care

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