Of 10 to 12 million Americans with asthma, 5,000 die each year…
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Environmental interventions are a must for all people with asthma as they may result in massive and impressive reductions in symptoms and medication use/requirement. The first step in achieving long-term control of asthma is avoiding triggers.
I would like to stress on the fact that More than two thousand irritants are indoors, where we spend as much as 900 % of our time. To optimally protect yourself from getting exposed to indoor and outdoor irritants, you should keep your home clean, reduce pet dander, decontaminate decor, attach a filter to vacuums, use air conditioners, maintain adequate humidity, ensure clean air and do not wear contacts during pollen season.
Most cases of asthma are the result of a combination of allergic and/or nonallergic mechanisms and known Triggers include allergens-house dust mites, pollen, molds and dander from animals, especially cats.
Air pollutants and irritants like burning coal, gasoline and wood release nitrogen and sulfur dioxide into the air and can directly result in airway hypersensitivity leading to provocation of asthma symptoms. Even strong odors, such as household cleaners and cleansers, personal care products, perfumes, fabric softeners, laundry detergents and cooking fumes can trigger attacks in sensitive people.
Offcourse we all know that smoking irritates the airways. Children whose parents smoke have a documented increased risk and asthmatics can have attacks by breathing in second-hand tobacco smoke (passive smoking).
People may be unaware of this but, respiratory infections in asthmatics, where the airways are overly sensitive to viral infections such as a cold and especially if the illness progresses to infected airways or sinuses, will more than likely result in an asthma attack.
Also, exertion and cold weather, coughing, wheezing, shortness of breath and chest discomfort may develop during and after exercise and these symptomes can occur even if the asthmatic is receiving proper medication doses and frequency wise.
It is also important to note that medications such as aspirin and nonsteroidal anti-inflammatory drugs as well as medications for high blood pressure, glaucoma, migraine or heart, thyroid or liver conditions also can aggravate mild asthma. Beta-blockers used for cardiovascular diseases and high blood pressure may cause airway spasm and asthmatics are warned about these drugs. Also, sulfites which are added to some foods can cause hives, allergies and shortness of breath in people with asthma.
Finally, emotional stress like anxiety, depression, PTSD may aggravate asthma symptoms and although psychological factors alone do not seem to provoke attacks, therapy may be needed to adequately control the symptoms.
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Ref:(ASTHMA AND ITS PHARMACOLOGIC DRUGS IN TREATMENT)