Is asthma a disease explanation from all in one guidelines
Is asthma a disease? Make an appointment. If your symptoms are acute and need immediate attention, you should tell this to the receptionist. I always set aside time to see such patients. If your symptoms are not acute, a three- or four-week wait for your first appointment is not unreasonable. The first visit to the doctor who will be treating your asthma is extremely important. Since asthma often requires long-term care, initiate the patient/doctor relationship. So it can grow to be smooth, honest, productive, and helpful This first visit may also be somewhat anxiety producing if you don’t know what to expect. You can help to make the first meeting between doctor and patient more productive, if you are prepared. Let me describe a typical first visit.
Expect the doctor to gather relevant information on you background. While each doctor will differ, having a general idea of what kinds of questions you will be asked can be beneficial. It is sometimes difficult to think on the spot. Here, then, is a list of those questions that I usually ask when I take a case history.
- Background information
A. When did your symptoms begin?
1. Did your symptoms begin suddenly or gradually?
2. How long have you been symptomatic?
3. Has the severity of your symptoms been changing?
4. Is asthma a disease?
B. What are your symptoms?
1. Do you wheeze? Cough?
2. Do you cough up a great deal of mucus? What color What consistency? How often? How much?
3. How often are your attacks?
4. When was your first attack?
5. What are your attacks like?
6. What were your worst attacks like?
C. Have you ever been treated for these symptoms?
1. What type of treatment (allergy shots, medication) diets, environmental control, or psychoanalysis?
2. By whom?
3. When and for how long?
4. What were the results (successes and failures)?
D. Do any other family member(s) have similar symptoms?
E. Have you ever been hospitalized for asthma?
1. What caused the hospitalization?
3. How long?
4. What was done?
5. How effective was the treatment?
6. Is asthma a disease
F. Do you know the results of any previous laboratory tests (chest X-rays, sinus X-rays, pulmonary function study)? If you have them, bring them.
G. What are you now doing to deal with your symptoms?
H. How are the symptoms affecting your life?
- Possible triggers
A. Do you have any ideas about what makes your symptoms noticeably worse (for instance, dust, weather, food, stress, smoke, or infection)?
B. Are your symptoms worse at any particular times or are they on a constant basis?
C. What is your general environment like?
1. Do you have any pets?
2. Do you smoke? Does anyone in your home smoke?
3. What is your heating/air-conditioning system like?
4. Can you describe your furniture (for instance, mat-tress, pillows, or carpets)?
5. What kind of work do you do? Where? Describe the setting?
6. Are you worse at home or at work or anywhere else?
7. Is asthma a disease
D. Can you describe a typical week’s menus? What are your favorite foods? Do your symptoms worsen after meals? How long after?
E. Are your symptoms influenced by physical activity?
1. Do you become symptomatic during or after physical activity?
2. Which activities are most problematic? F Do your symptoms get worse with laughter, crying, or walking against the wind? General health
3. Is asthma a disease
A. Are there any other health problems that you have?
B. Are there any other health problems in your family (for instance, heart disease, diabetes, or cancer)?
If This list can go on and on. If there is relevant information about your particular situation, supply it, even if the doctor does ;lot ask about it. Again, I’m including these typical questions to Make you aware of the kind of information you will be asked to Some patients change their daily routines in order to cope with their asthma symptoms. At times, these people do not even realize how they have altered their life-styles to minimize their Symptoms. One situation comes to mind.
I was taking back ground information from an 18-year-old boy. I asked if he has any difficulty in keeping up with his friends. He said that he has no problems. From past experience, I decided to continue with further questioning. I asked whether he got short of breathing when he ran and he replied, “Oh, I never run.” When I pointed out that he had just told me that he had no trouble keeping us with his friends and that this seemed incongruous, he replied, “My friends and I play chess.” He had limited himself to the activities that did not make him short of breath and had become so accustomed to this life-style restriction, that he no longer realized it was a restriction. So answer for question ” is asthma a disease ” answer is ” Yes “.
Although the doctor is responsible for taking thorough questions, the patient is responsible for supplying answers. Patient should reflect upon their symptoms because sometimes they are too close to the situation to describe it objectively and completely. Think about the questions that you will be asked, give some thought to the real facts.
Examination for find is asthma a disease
After taking a case history, I usually examine my patient While the extent of my examination may vary depending on their background, With the following we can find is asthma a disease. I almost always do the following: I first take good look at the patient and get a general impression as to what shape he’s in then I take his pulse and blood pressure, note his skin color, and examine his ears, nose, throat, sinuses, heart lungs, and abdomen. In this way, I can determine the extent of the asthma symptoms, look for a possible allergic components assess the patient’s general health, gather information for a total medical evaluation and for the differential diagnosis of his respiratory problem and make certain that his wheezing and shortness of breath are really manifestations of asthma.
The information that I have gathered from the case history and from the physical examination usually leads me to some educated guesses regarding underlying causes. These need to be corroborated through further testing. Be prepared, then, few some laboratory tests to be done (or requested) during the fine visit to the doctor. I may request any of the following:
- Chest X Ray for find is asthma a disease This helps me determine whether or need you really have asthma. Other conditions often mine asthma. In children these include cystic fibrosis and foreign body ingestion. In adults, the main considerations are heart disease, malignancies of the chest (rare), and various forms of chronic lung disease, especially emphysema. A chest X-ray is crucial in the differential diagnosis of asthma. Its results also give me a baseline from which to evaluate later progress.
- Sinus X Ray helps to find is asthma a disease This is extremely important when I feel that there may be a chronic focus of infection in the patient’s sinuses. This may be important both for nasal disease and for chest disease. Sinuses very often can be a hidden focus for asthma. While this is not a routine test, it is very important if your asthma is relatively severe that this be done.
- Blood Test will help to find is asthma a disease This is administered to evaluate your general state of health and includes a complete blood count and the determination of a minimum blood sugar measure to make certain that you do not have diabetes. Diabetes interferes with certain medication that I might prescribe. In addition, a blood test called a multi phasic blood scan is done that evaluates your general health. It is very important for me to have your entire health picture clearly in mind when I prescribe a treatment course for you.
- Immunoglobin Test helps to know is asthma a disease This test is given to determine your general ability to fight infection.
- Sweat Test is also helps to find is asthma a disease This test is usually given in children younger than ten years of age who have significant asthma. It differentiates between asthma and cystic fibrosis.
- EKG. An electrocardiogram will help me evaluate your heart. Sometimes heart failure will mimic asthma. So this test helps to find is asthma a disease In addition, some asthma drugs can irritate the heart and should be avoided when the EKG is not normal. An EKG is usually done in patients forty years or older.
- Pulmonary Function Test is very useful test to find is asthma a disease. This test is used to evaluate the dynamics of breathing and is usually performed in a doctor’s office and measures two major functions; the total amount of air that you can move out of your lungs and the speed at which you can do it. In addition, we measure these two factors before and after a broncho-dilator (a drug that relaxes bronchial muscles resulting in expansion of the bronchial air passages) is administered to see if there is any improvement. This is called reversibility. The hallmark of asthma is that it reverses or improves with medication. Both the degree of impairment and the degree of reversibility help guide me in my choice of medication for my patients.
The amount and speed of forceful exhalation is crucial in evaluating is asthma a disease. Several different measurement are used to evaluate this maneuver. One measurement that you should know is called 1 second forced expiatory volume (FEV). It is the greatest amount of air that you can force out of your lungs in one second. It is matched to your age and height. You should be able to exhale approximately 82 percent of all of the exhalable air in your lung in one second. This is measured by spirometry, whereby you are instructed, usually wearing nose clips; to fill your lungs completely and blow out into the spirometer (an instrument for measuring the air entering and leaving the lungs) as hard and as fast as possible until the lungs are empty. This test is performed three times and the best curve is the one that is used. If you cannot do this, you have some degree of bronchospasm.
The lower the percentage, the greater the degree of bronchospasm.
Another measure of how fast you can expel air is called the peak flow. This measures the maximum velocity of going out of your lungs in one tenth of a second. It measured by a little tube like device called a peaflowmeter. You breathe into the mouthpiece of the tube as hard and as fast as you can. An indicator dial on the scale measures the velocity of your expiration. This is very simple device and can be kept at home. It can be very useful in predicting asthma attacks. Your peak flow level very often will drop before you begin to feel ill. I use this device in my office when a patient is having an attack and it is used in emergency rooms to closely monitoring patient. There are other devices such as peak flow whistle that will also measure your peak flow. My main experience is the peak flowmeter.
Phethysmography, or the body box, is a test in which you actually enter a box and are closed off from the outside air. Phethysmography utilizes very sophisticate equipment to evaluate severe asthmatics. It can measure many other factors about your lungs aside from the spects with which you can exhale. This is not a routine Skin Test. This test is utilized to determine what you an allergic to and the degree of severity of your allergy. There are many types of skin tests and they have been around since the nineteenth century. There are three types of skin tests. These following three types of skin tests help to find is asthma a disease.
a. A scratch test in which multiple 3/8 inch (1 centimeter) superficial scratches are made (that do not draw blood) on the surface of the skin. The extract of the material in question is then rubbed in and the results are read in 20 minutes. If a wheal (an itchy red swelling of the skin that looks like a mosquito bite) of greater than 5 millimeters (1/2-inch) appears it means that you have reacted to that material. It does not always mean that you are allergic to it.
b. A puncture test; this is very similar to the scratch test except here the test material is placed on the skin and a needle punctures through it, So little bit it helps to know is asthma a disease not deep enough to draw blood. The same criteria of reactions are used.
c. An intradermal test in which the solution to be tested is injected directly into the skin producing a small 1A-inch wheal. If the test is positive, the wheal will grow in size to equal or exceed 7 millimeters (1/3 of an inch). This test also just valuable to get result of is asthma a disease.
If any of these tests are positive, this means that you have reacted to that substance; it does not necessarily mean that you are allergic to this substance at the present time nor does it mean that this substance is necessarily causing your asthma. It requires a great deal of judgment on the part of the doctor to determine which of these substances, if any, should be used in your treatment program.
9. In Vitro Test is best test among in all asthma tests to find is asthma a disease
This test represents a recent advance in the diagnosis of allergies. Until recently, it has been impossible to make a diagnostic test of the blood in order to determine allergic reaction to a specific substance because the quantities involved were too small. With the recent advent of radio labeling (a space age bonus), it has become possible to do this. One such test that has become increasingly popular is the RAST (Radio allergosorbent test is provides some details to find is asthma a disease). This is a sophisticated blood test that measures the quantity of IgE in specific allergens. One blood sample can be substituted for numerous skin tests. The RAST is more convenient and comfortable for the patient than skin tests and there are no adverse reactions.However, the RAST is slightly less sensitive than skin tests. Then for, in some cases, after the PAST, a few skin tests more still be necessary. When the BAST results are entire positive, no further testing will be necessary.
10. Paper Radioimmunosorbent Test (PRIST ) for find is asthma a disease
This test measures the total IgE in your serum. Patients who have high levels tend to be allergic whereas those who have low levels are usually non allergic. This can be a very use guide as to whether or not your physician should purse an extensive allergic evaluation in your case.
These laboratory tests are very important. They help me make a diagnosis, determine specific triggers, determine to effects of your problem on your respiratory system, plan appropriate treatment program and arrive at a baseline again which to measure and compare progress.