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by P.K. Raghuprasad, M.D.

   

Life After Asthma

Everyone knows that asthma is a complicated disease and that its severity can vary from an occasional, mild, self-limiting attack to one that is debilitating and even life threatening.  Few know that in most patients asthma can be treated so well that one can lead a near normal life.   School children should be able to participate in all activities and attend school without losing any days.  Adults should be able to hold any job and lead a full and active life.  In general, a comprehensive management of asthma could mean freedom from emergency room visits, visits to the doctor or even taking multiple medicines.

A comprehensive allergy evaluation may identify avoidable allergens in the environment or diet.  If aeroallergens are identified, allergy immunotherapy may be the appropriate course of action.  Another major component of asthma management is the use of preventive medications that control the inflammation in the airway membranes.  Inhaled steroids, cromolyn and nedocromil are extremely useful for such prevention.  Also, there are newer medication which block the effects of chemicals such as slow reacting substances.  Accolate, and Singulair are two promising drugs in this group.

When such treatment is done properly, even "severe" asthma may be tamed and controlled completely.  Then, you may not need the bronchodilator rescue inhaler but once in a while.