Bronchial Asthma Series V: Asthma FAQ

  1.Is the incidence of asthma high?  Asthma is a world-recognized medical problem, listed by the World Health Organization as one of the four persistent diseases, and nearly 20 million people in China suffer from asthma.  Studies show that more than 80% of patients fail to effectively control their disease, which means they are at risk for severe asthma attacks and long-term lung damage.  Most patients can enjoy a normal and good life with good control of their asthma through education, avoiding exposure to triggers and taking the right effective medications.  2. Will my asthma get worse?  Poorly controlled asthma is an accumulation of inflammation that can cause the appearance of “airway remodeling” , leading to permanent damage to the airways, which can seriously affect a patient’s lung function and later life.  Therefore, it is of utmost importance to control asthma inflammation, which requires daily use of medications that control asthma inflammation to curb asthma deterioration.  3.Why do asthma attacks often occur at night and how can they be avoided?  At night, our body’s hormone levels drop, inflammatory cell infiltration in the airways increases, and the production of inflammatory substances increases, leading to more pronounced asthma symptoms; in addition, exposure to allergic factors or poor asthma control can also make asthma symptoms worse at night.  Taking daily long-acting control medications to control asthma inflammation can prevent nighttime attacks.  4.Why do I have an asthma attack when I exercise?  There is a term called exercise-induced asthma, which refers to acute airway narrowing and increased airway resistance that occurs after strenuous exercise. Most people with asthma will experience exercise-induced asthma, especially adolescents. Does this mean that people with asthma should not participate in sports?  Of course not! If your ability to play sports is limited because of asthma, it is because your asthma is not well controlled. Please get your asthma under control with your doctor. If you have asthma, please seek your doctor’s advice before starting a new sport.  5. Is it safe to inhale hormones for a long time?  Inhaled glucocorticosteroids used to treat asthma are considered safe for long-term use by people with asthma.  With the advancement of technology, the inhaled glucocorticosteroids currently in use can be swallowed in small amounts and enter the digestive tract, and can be rapidly excreted from the body without causing side effects. Therefore, the newer the inhaled hormone chosen, the safer it is for the patient.  Even the lowest daily dose of hormones used in oral or intravenous hormone therapy for asthma is measured in milligrams, while the effective dosage of inhaled hormones is much lower than that of oral or intravenous use, which is usually measured in micrograms. In addition, inhaled hormones go directly into the airways to act on the airways, with less than 1/100th of the amount entering the bloodstream, and do not cause those hormonal side effects that we are concerned about.  The adverse effects of inhaled hormones are mild, mainly local effects such as hoarseness and Candida infection of the oropharynx. These side effects can be avoided by using a mist storage tank and rinsing the mouth after medication.  6. Can asthma medication be addictive?  No. Some people worry that the more medication they take, the longer they take, the more they will need. The truth is that asthma medications are not addictive. On the contrary, regular long-term use of controller medications allows asthma patients to achieve control sooner, faster and more often. When asthma control is achieved, the amount of asthma medication a patient needs may be reduced or tapered, and in some cases, the medication may be discontinued.  7. I am taking my medication as directed by my doctor, but my asthma symptoms persist, what should I do?  Tell your doctor about your symptoms and ask if there are other treatment options, perhaps one of them will work for you.  Should I still use asthma medication when I am pregnant?  It is very important to maintain a good level of asthma control during pregnancy for the health of your unborn baby. It is best to discuss your medications with your doctor and to refrain from smoking and avoid all possible exposure to asthma triggers.