Thursday, November 16, 2017

Important FAQ on Bronchial asthma

This article answers many important FAQ on Bronchial asthma.

FAQ on Bronchial asthma: Quick answers to exciting questions

  • What is asthma ?

Answer:

Try to breathe through the paper, leaning against your mouth, and when the nose is closed! This is how millions of asthmatics describe their condition during exacerbation of symptoms or an asthma attack. Can you imagine how difficult it is at the same time to remain active, play sports, work effectively at work or at school? That is why an accurate diagnosis and effective treatment play an important role in maintaining a normal lifestyle. Management of asthma by avoiding contact with pathogens or causes of asthma and taking prescribed medications allows most asthmatics to lead an active lifestyle without the slightest symptoms of asthma symptoms - coughing, wheezing, or constriction in the chest.

More details you can read the article " What is asthma? ".


  • When I laugh, I get coughing and wheezing. Why does laughter cause an asthma attack?


Answer:

Strong emotions, for example, laughter or crying, are the causative agents of asthma. Even sex with some people can trigger an asthma attack. When you laugh or cry, you begin to inhale more air and this temporarily drains the airways in the lungs. This causes a temporary contraction of the muscle tissue that surrounds the airways. This compression is called bronchospasm, which can be stopped quickly by using an inhaler. There are many ways to improve control of asthma, so that minor substances do not provoke coughing, wheezing or shortness of breath. Discuss this with your doctor.

More details you can read in the article " Asthma attack ".


  • My husband is allergic, but I have asthma. What is the probability that our children will have asthma?


Answer :

If your husband has allergic rhinitis (hay fever), and you have allergic asthma, then the probability of developing asthma in children 50 \ 50. Allergies are most often transmitted from parents or grandparents. The cause of three out of five cases of asthma is heredity. Of course, this should not be the reason for abandoning children. Most people with allergic asthma have found ways to manage and control asthma.

More details can be found in the article " Asthma risk factors ".


  • Can heartburn cause an exacerbation of nocturnal asthma?


Answer:

Two of the three asthmatics suffer from frequent attacks of heartburn or gastroesophageal reflux disease (GERD). During GERD, stomach acid flows backwards or returns to the esophagus, causing heartburn or other symptoms such as chest pain, pain and discomfort when swallowing, or a chronic cough. There may be a bitter and sour taste in the larynx or in the mouth.

Sometimes, GERD is the causative agent of asthma or the cause of worsening control of the disease. If it seems to you that you have GERD, and it can cause asthma exacerbation, consult a doctor.

More details you can read in the article " Asthma and Heartburn ".


  • What are the main signs of an asthma attack?


Answer:

The most common signs of an asthma attack are:

  • Whistling on exhalation and inspiration
  • Cough that does not stop

  • Rapid breathing

  • Chest pain or feeling sdavlennosti

  • The tightening of the muscles of the neck and chest, called retraction

  • Difficult to breathe

  • It's hard to say

  • Feelings of anxiety or panic

  • Pale persistent sweating face
  • Blue lips or fingertips

  • Deterioration of symptoms, despite the correct administration of drugs

If there are any symptoms of an asthma attack and they do not go away after taking medication, contact your doctor immediately or call an ambulance.

More details you can read in the article " Symptoms of an asthma attack ."

  • If a cough did not pass within a few weeks. Is it asthma or is it something more serious?

diseases-similar-to-asthma



Answer:

Sometimes a cough is the only symptom of asthma. Cough-related asthma or "hidden asthma" is poorly diagnosed and, accordingly, a person does not receive proper treatment. The causative agents of cough asthma are the same as the pathogens of other types of asthma, including respiratory infections (common cold, flu and sinusitis) and physical exercises. If you are suffering from allergic rhinitis (hay fever) for many years, then a chronic cough (which lasts more than six weeks) can refer to postnatal aspiration or coughing asthma. If you smoke, chronic cough often refers to chronic bronchitis.

More details you can read in the article " Cough Asthma ".

  • Are there other types of asthma?


Answer:

Yes, the pathogens and symptoms of asthma can be different. Some manifest only a cough, others suffer from chest tightness or shortness of breath, while others - wheezing. There are such types of asthma:

  • Allergic asthma - caused by such allergens as pollen, mold and animal hair

  • Asthma tension - caused by physical exercise

  • Kashlevaya asthma - dry without phlegm cough, without wheezing

  • Occupational asthma - caused by asthma triggers that are in the workplace

  • Nocturnal asthma - symptoms appear in the the first hours after midnight

More details you can read in the article " Types of asthma ."


  • Asthma prevents me from sleeping and all the next day I fall asleep. What can be done?


Answer :

Nocturnal asthma with symptoms such as chest tightness, shortness of breath, coughing or wheezing at night can interfere with sleep and all the following day you will be sleepy and fall asleep on the go. Symptoms of asthma at night are a sign that asthma is not controlled. This means a lack of monitoring medications taken during the day. However, there may be other causes of nocturnal asthma that can be avoided:

  • The stuffy nose (and respiration through the mouth, respectively)

  • Acid reflux or GERD

  • Allergy to dust mites

If a decrease in contact with these pathogens does not help, the attending physician should review the prescribed medications. This will help solve the problem with the symptoms of nocturnal asthma and normalize sleep.

More details you can read in the article " Night Asthma ".

  • How does the doctor find out that I have asthma, if at the time of the doctor's visit there are no symptoms?


Answer:

Symptoms of asthma begin and pass. Therefore, it often happens that at the time of the doctor's visit there are no obvious symptoms of asthma. You can have a strong cough and wheezing for a whole week, and at the doctor's appointment, all the symptoms may disappear. This greatly complicates the diagnosis of asthma - but you can help.

Daily keep a diary, recording all the symptoms. Also, write down all the factors or causes that these respiratory symptoms can cause. The attending physician will get acquainted with your records, ask several questions, conduct a small physical examination and, possibly, prescribe a test of pulmonary functions. Based on this information, the doctor will make an accurate diagnosis.

More details you can read in the article " We keep a diary ".

  • What can a doctor ask about my symptoms of asthma?

Answer:

The physician should be aware of the hereditary predisposition to allergies, the conditions of your workplace, the contact with any kind of smoke, the presence of hay fever and the factors that can exacerbate respiratory symptoms. The doctor can ask such questions:

  • Can you describe the symptoms?

  • When does the symptoms of asthma appear?

  • Is there a hereditary predisposition to allergy or asthma?

  • Do you often suffer from bronchitis?

  • Have you ever been diagnosed with asthma?

It is very important to tell as much as possible about the symptoms and possible causes of these symptoms - this will greatly help the doctor to make an accurate diagnosis.

More details you can read in the article " Diagnosis of asthma ."

  • What does the lung function test show?


Answer:

Tests to Diagnose Asthma


The doctor diagnoses based on the results of several tests, including a test of pulmonary functions. The pulmonary function test measures the maximum volume of exhaled air. These tests show how blocked the respiratory tract. For example, one such test is spirometry, a pulmonary function test, during which the maximum lung volume and expiratory air velocity are measured. This test is carried out before and after using the inhaler with the content of albuterol (bronchodilator). If the airways expand, improving the circulation of oxygen, then, most likely, the cause of respiratory symptoms is asthma.

More details you can read in the article " Test of pulmonary functions ".

  • Skin tests for allergy are done only before the start of immunotherapy?


Answer:

Nine out of ten children-asthmatics and half of adults-asthmatics suffer from allergies. Allergens that affect the nasal passages come from the outside. The source of the allergen can be grass, flowers or trees. In addition, dust mites, mold, cockroaches, dogs and cats are the source of allergens that affect the respiratory tract and thereby provoke asthma attacks.

Some allergy tests help the doctor identify the cause of allergic asthma and prescribe the most effective treatment. Although allergy tests alone are ineffective in determining an accurate diagnosis, but in combination with information on a hereditary predisposition to allergies, it can help a doctor to identify allergy symptoms and the causes of an allergic asthma exacerbation. Ask your doctor about the possibility of taking an immunotherapy course.

More details you can read in the article " Tests for allergy and asthma ."

  • I use an inhaler (bronchodilator), but it does not stop wheezing. Maybe I'm using it wrong ?

Answer:

Bronchodilators relax the smooth muscles in the lungs, opening the airways and improving oxygen circulation. The "rescue" inhaler brings rapid relief with asthma symptoms such as coughing, wheezing and chest tightness.

Here's how to use the inhaler:

  1. Make a slow exhalation.

  2. Tighten the tip of the inhaler between the teeth.

  3. Press on the inhaler, at the same time, slowly starting to inhale.

  4. Continue to inhale slowly (for 5 seconds).

  5. After that, hold your breath for at least 5 seconds.

Repeat these five points for the second dose. The result will be visible in five minutes after taking.

More details can be found in the article " Inhalers ".

  • The doctor prescribed inhaled steroids. Are they not dangerous?

Answer:

Surely, you do that they are illegal anabolic steroids, which are taken by athletes. But this is not so. For the treatment of asthma, inhaled steroids are most often prescribed, which reduce the inflammatory processes in the airways. The less inflammation, the less sensitivity of the respiratory tract to asthma triggers. This means more control over asthma - and your life.

More details can be found in the article " Aspirin and other medications provoking asthma attacks ".


  • What if my child has frequent seizures when he is at school?


Answer:

Millions of children around the world suffer from asthma. The majority of symptoms worsen when they are in school. Sports and other activities often cause bronchospasm. There are a lot of asthma triggers in the air of the classrooms. In addition, other children carry out viruses of respiratory diseases. That's why asthma attacks can happen just when the child is in school. And that's why it's very important to involve the school in caring for your child and managing asthma.

Even if the child exhibits minor asthma symptoms, you need to talk with the class teacher and other school teachers about the need to control the disease and treat even minor symptoms. It is also very important to help the child understand the symptoms of asthma, pathogens and treatment. The child should carry an inhaler and a pneumotachometer. Make sure that your child's teacher has copies of the treatment program.

More details you can read in the article "We Care for the Child ".

  • I read about the natural methods of asthma treatment. Are they really that effective?

Answer:

Although the shelves in pharmacies and online stores are filled with medicines, unfortunately, they are not able to cure asthma. Some natural therapies can help control asthma. For example, deep abdominal breathing, progressive muscle relaxation, patterning and reverse biofeedback help relieve stress and reduce the aggravation of minor asthma symptoms. But they can not cure asthma. They bring only temporary relief or reduce the need for traditional medicines - of course, if you have the time and money that are needed to use natural therapies.

More details can be found in the article " Natural methods of asthma treatment ".

  • My doctor gave me a pneumotachometer. Why is it needed?

Answer:

The parameters of the pneumotachometer help to notice in time the slightest changes in the lungs, which are signs of worsening asthma. During an asthma attack, the muscles surrounding the airways contract and cause their constriction. Decrease in the parameters of the pneumotachometer warns for several hours, or even days, of exacerbation of symptoms - shortness of breath or chest tightness.

The pneumotachometer can also be used to confirm that respiratory symptoms are caused precisely by bronchospasm. Ask your doctor to schedule a treatment program that includes using a pneumotachometer to determine the area of asthma at the moment (green, yellow or red areas). You can print the template of the treatment program and take it with you to the doctor's office so that it can fill it.

More details you can read in the article " How to use a pneumatic tachometer ".

  • Are there any specific nutritional recommendations to reduce the symptoms of asthma?


Answer:

It is not known exactly what a certain diet helps to reduce inflammatory processes in the airways. For example, it is unlikely that a reduction in dairy products will improve asthma control. However, such drinks as strong coffee can bring some relief for an hour or two, since caffeine is an easy bronchodilator. But in eliminating the symptoms of asthma, the inhaler is much more effective than coffee.

There is evidence that those people, whose diet is rich in vitamins C and E, beta-carotene, flavonoids, magnesium, selenium and omega-3 fatty acids, are less prone to asthma. Most of these substances are antioxidants that protect cells from damage. A 2007 study showed that children who grew up on Mediterranean food (nuts and fruits, such as grapes, apples, tomatoes) are less likely to develop asthma symptoms. On the other hand, omega-6 fats and trans fats found in oil and processed foods can trigger an exacerbation of asthma symptoms.

More details you can read in the article " Asthma and Nutrition: What You Need to Know".

  • After physical exertion, my wheezing begins.  How can this be prevented?

Answer:

Almost every asthmatic person after intensive physical exertion, especially if the exercises took place outdoors in the cold air, begins bronchospasm. Nevertheless, bronchospasm can be prevented in every asthmatic person, except in cases of severe exacerbation of the disease. Consult your doctor. The doctor should evaluate and find the right combination of drugs that would allow you to normalize breathing and exercise.

Sports that require short intermittent periods of physical stress, such as volleyball, gymnastics, baseball, wrestling, are well tolerated by asthmatics, especially if they correctly and regularly take asthma medications. Swimming is especially suitable for asthmatics, as classes take place in pools with moist and warm air. Consult your physician and together determine which exercises you can perform 4-5 times a week for 30 minutes.

More details can be found in the article " Physical exercises and asthma ".

  • I noticed that stress causes exacerbation of asthma. This is normal?

Answer:

Yes. Stress is a known cause of asthma. Stress can cause shortness of breath, anxiety and even panic. Add to this stress at work or at home, and your symptoms worsen even more and can cause a feeling of fear. When stress rises (whether due to large bills, problems at work or children), the symptoms of asthma become more severe. And if there is wheezing and coughing, this is another reason to worry about your health. Asthma, stress and anxiety are a vicious circle. Here are some simple tips for managing stress and, respectively, asthma symptoms:

  1. Think about something else - your body knows what you're thinking. Think of something good and positive.

  2. Try to avoid stress factors. Identify the main problems and try to solve them. If you need support, talk with your doctor.

  3. Avoid stressful situations.

  4. Do a daily sport that burns up the accumulated stress.

  5. Do not forget about a full sleep.
More details you can read in the article " Stress and Asthma ".

  • Can cigarette smoke exacerbate my daughter's asthma symptoms?

Answer:

Of course! With asthma, the most important changes should touch the lifestyle. Quit smoking is number one in this list. Smoking is not only harmful to someone who smokes, but for everyone who is nearby. Passive smoking is a strong stimulant of asthma for those who live near a smoker, especially for children. When a child inhales tobacco smoke, irritants are located along the entire length of the airways. And the inflammation of the airways provokes an asthma attack in the child and can last from several days to several weeks. Passive smoking also causes sinusitis and inflammation of the middle ear.

The inhalation of tobacco smoke damages tiny hairs in the airways, which are called cilia. Under normal conditions, the cilia retain dust and mucus in the airways. Tobacco smoke harms cilia, disturbs their work and dust and mucus freely circulates through the respiratory tract. Studies have shown that secondhand smoke is as dangerous as smoking. This is because at the end of the cigarette smoke contains more harmful substances (tar, carbon monoxide, nicotine and others). Talk with your doctor about the possibility of developing a treatment program for your child to protect him from tobacco smoke.

More details you can read in the article " Quit smoking: why and how to do it."

  • I have asthma and both my children. Are there support groups for asthmatics on the Internet?


Answer:

Support groups provide an excellent experience. Support groups for parents offer communication with other people and the opportunity to learn new ways to manage asthma in your family. Many already have a lot of experience in managing asthma and taking medications and they, for sure, will be happy to share their knowledge. You yourself can tell about the ways that you have discovered, taking care of yourself or about children-asthmatics. In addition, support groups will give strength and confidence that you are not alone and there will always be people who will help you.

  • When do I need to call an ambulance?


Answer:

A severe asthma attack can be potentially dangerous. Symptoms of asthma continue to worsen, despite the use of "rescue" inhalers and other medications. A severe asthma attack or anaphylactic attack can begin with a minor symptom and then quickly develop into asphyxia. Symptoms may include the following lack of breathing, restlessness, wheezing in exhalation and inspiration, it is difficult to speak with long sentences. When such symptoms or symptoms appear, do not hesitate to call for an ambulance. The ambulance team will immediately provide an oxygen mask and aerosol bronchodilators. In addition, the doctor will measure the level of oxygen in the blood (using a pulse oximeter) and heart rate (using an electrocardiogram). During the trip to the hospital, the team can contact your doctor to find out what to do next.

More details can be found in the article " Asthmatic status ".

  • I am in the second month of pregnancy and I have asthma. Can asthma worsen during pregnancy? What medications should I avoid?


Answer:

If you are pregnant and you have asthma, the most important thing is to continue to maintain control of asthma. In some women, asthma may worsen during pregnancy. Others remain at the same level. Still others, on the contrary, feel better. The best thing that can be done is to regularly visit the doctors (allergist, obstetrician, therapist) during the entire pregnancy. It is also very important to avoid asthma triggers, including all sources of smoke, and follow the treatment program. Do not forget about the program of treatment during childbirth and lactation. Most drugs are safe for the body, but still you first need to consult your doctor.

More details you can read in the article " Pregnancy and Asthma ".

  • Why do the symptoms of asthma become more acute when I come to work?

Answer:

Perhaps you have asthma associated with work. This occurs when certain substances at work (irritants or allergens) cause asthma attacks or exacerbate symptoms. It was found hundreds of substances in the workplace, which exacerbate asthma. The occupations that are most susceptible to asthma include medical workers, those associated with cleaning products, chemical industry workers, builders, welders, paint specialists, those associated with polyurethane foam and animal care professionals.

Tell us about your symptoms to your doctor. Once you have determined what exactly causes the exacerbation of asthma in your workplace, talk with your doctor about how best to change the working conditions to reduce contact with the asthma-causing substances.

More details can be found in the article " Occupational asthma ".

Wednesday, November 15, 2017

Complete Guide to Asthma in children

Asthma in children: an overview


Here you will learn about the characteristics of asthma in adolescents and adults. If you are looking for information on asthma in children aged 12 years or less, read the article "Asthma in adolescents and adults."

What is asthma?


Asthma causes breathing problems. Asthma provokes swelling and inflammation in the airways that lead to the lungs. During the exacerbation of the disease, the airways contract and contract severely. This prevents oxygen from circulating normally through the respiratory tract and, accordingly, makes breathing difficult for the child. Such exacerbations of the disease are called asthma attacks.

With asthma, the airways through which air enters the lungs (bronchial tubes) become inflamed. This causes a narrowing of the airways, which in turn causes shortness of breath and shortness of breath.

Asthma can affect the child's body in many ways. Some children have asthma attacks only in the allergy season, after walking in cold air or after intense physical exertion. In others, however, seizures are more frequent and require constant monitoring by a doctor.

Even if the child's asthma attacks are unstable, the illness can not be left without proper supervision and treatment. If the edema and inflammatory processes are left without observation, asthma can greatly affect the child's life, limit physical activity and increase the need for regular visits to the doctor.

Even if asthma lasts a lifetime, treatment will help improve control of the disease and support the health of the child. Most children-asmatics fully play games and live a full and active life.

What is the cause of asthma?


Experts do not know the exact causes of asthma. But we know for sure that:

  • Asthma is transmitted by genes.

  • Very often, the allergy provokes the development of asthma. But not always those with an allergy suffer from asthma. And, in addition, not all asthmatics suffer from allergies.

  • Air pollution causes an asthma attack or worsens her condition.

What are the symptoms of asthma?


Symptoms of asthma may be minor or severe. If a child has asthma, the following symptoms may occur:

  • A whistle, a loud or soft sound on inhaling and exhaling.

  • Persistent cough.

  • Sense of tightness in the thorax.

  • Dyspnea.

  • Sleep problems due to persistent cough or shortness of breath.

  • Rapid fatigue during exercise.

In most children, asthma symptoms can worsen at night, during sleep.

How is asthma diagnosed?


In addition to physical examination and questions about the general state of health, the doctor can offer the following tests:

  • Spirometry This test is necessary for the diagnosis and observation of asthma in children aged 5 years and older. During the test, it is measured how quickly the child can inhale and exhale, as well as the volume of the lungs. Newborns and children under 5 years of age do not pass this test. In these cases, the doctor listens to the lungs to detect wheezing and asks questions about whether the child has wheezing or coughing.

  • The maximum volumetric expiratory flow rate (MOSV). It shows, with what maximum speed the child can exhale.

  • Radiography of the chest (necessary to confirm that the symptoms are caused by asthma, and not by any other disease).

  • Tests to check for an allergic reaction (if the doctor suspected that the cause of asthma symptoms in allergies).

To control asthma and determine effective treatment, you should regularly take your child to see a doctor.

How is asthma treated?


The treatment of asthma is divided into two parts. The goals of treatment are as follows:

  • Control of asthma for a long period. To do this, follow the treatment program on a daily basis. This is a plan in writing, which describes how to take the medicine. The program also helps to monitor the symptoms of the child and evaluate the effectiveness of the prescribed treatment. Most children take medications daily (most often an inhaled corticosteroid). Daily intake of medications reduces swelling of the airways and prevents seizures.
  • Stopping asthma attacks. Follow the instructions of the treatment program, which will tell you what to do in case of an attack of asthma. It helps identify pathogens that cause asthma attacks in a child. During an asthma attack, you need to take a quick-acting medicine, for example, albuterol.

treatment of asthma


The inhaler with the separator is the best way to inject the medicine into the baby's lungs. But, in order for the child's condition to be stable, he must use the inhaler correctly. If you are not sure that you know exactly how to use the inhaler correctly, consult your doctor.

If a child needs a quick-action inhaler more often than usual, talk with your doctor. This is a sign that the child's asthma is out of control, and serious complications can arise.

Asthma attacks are potentially life-threatening, but they can be prevented with a treatment program. The attending physician will teach you and show you everything you need so that you can use the treatment program and follow its instructions.

What else can you do to help your child?


You can prevent asthma attacks in a child, avoiding substances that provoke seizures. They are called pathogens. These include:

  • Substances in the air, for example, tobacco smoke and other air pollution. Try to avoid places where people smoke.

  • Substances on which the child has an allergy, for example, animal hair, the products of life of dust mites and cockroaches, pollen. Get rid of allergies will help special medications.

  • Physical exercises. Ask your doctor about the possibility of using the inhaler before starting physical exercises.
  • Other. For example, dry and cold air, infections, other medicines, such as aspirin. Do not let a child practice outside when it's cold and dry. Ask your child's doctor about the possibility of getting a flu shot to prevent the infection, and ask what medications should be avoided.

Of course, it is very scary when a child has an attack, a feeling of helplessness arises. But daily adherence to the treatment program will help in time to recognize the impending asthma attack. The attack can be severe enough to immediately call an ambulance. But basically, a strong exacerbation can be avoided if you follow the instructions of the treatment program even at home.

Separator for metered-dose inhaler


A separator is a tube that is attached to a metered-dose inhaler. The separator tube has a valve that holds the medicine in the tube until it is inhaled. Thanks to this, you can inhale the medicine for one or more breaths (depending on your ability). Separator:

  • Helps prevent the development of fungal infection in the mouth (candidiasis) or hoarseness of the voice (dysphonia).

  • Increases the amount of medication that gets directly into the lungs, even if you find it difficult to use an inhaler.

  • Reduces the likelihood of swallowing the drug, and therefore reduces side effects.

The separator is recommended for use with an inhaler, especially with those containing corticosteroids. Separators are also recommended for children who may have difficulty in correctly using a metered-dose inhaler. With a dry inhaler, the separator is not used.

How to use a dosed inhaler and mask

Medications that are used to treat asthma are injected into the body with a metered-dose inhaler. With a metered inhaler, a special mask is often used, which:

  • Helps the child to take the exact dose of the medicine.

  • Helps to inject the exact dose of the medication directly into the baby's lungs.

  • Helps to keep asthma symptoms under control and to prevent damage to the lungs as much as possible.

  • Prevents or reduces the degree of side effects of the drug.

  • Allows you to take a smaller dose of a medicine that has the same effect as tablets.

  • The medicine taken in this way starts to act much faster than the medicine in tablets.

What is a metered-dose inhaler? What is a mask with a separator?


A metered-dose inhaler is a small device that injects a certain amount of medicine directly into the lungs.

Separator and metered-dose inhaler - the most convenient and effective way of treatment for a child. The separator functions as a "catcher" of the medicine. The medicine is in the separator until the child fully inhales it. The separator improves the introduction of the drug into the body and helps the child take the medicine, as it may be difficult to press the button on the inhaler at the same time and inhale the medicine. The separator is mandatory for inhaled corticosteroids. This reduces side effects.

A mask with a separator is a separator with a mask on the end that is worn over the face. The mask closes the nose and mouth of the child. It is often used for young children who can not use a separator with a tip on their own. The mask is usually needed for newborns and children up to 5 years. However, most children 2 years and older do not like using the mask, so you should encourage and teach your child to use an inhaler with a traditional separator if he wants to. If older children and adults have difficulty using a metered dose inhaler with a separator, they can also use a mask.

Test your knowledge

Dosage inhaler with a separator mask greatly facilitates the administration of the drug.

  • Yes - Correct answer

  • No - Wrong answer
Dosage inhaler with a separator mask greatly facilitates the introduction of the drug directly into the lungs.

Why should a child use a metered-dose inhaler with a mask?


A metered dose inhaler with a mask can be useful, because:

  • It ensures the reception of a precisely measured dose of the drug.

  • It helps maintain asthma symptoms under control and stay active.

  • With the correct use of a metered-dose inhaler with a mask, the medicine enters directly into the baby's lungs and does not enter the blood and other organs of the body. This prevents or significantly reduces side effects.
  • It allows you to take a smaller dose of the medicine, which has the same effect as the drugs in the tablets.

  • The medicine taken in this way starts to act much faster than the tablet.

dosed inhaler and mask



Test your knowledge

A metered dose inhaler with a mask helps to avoid side effects of the medication.

  • Yes - Correct answer

  • No - Wrong answer
A dosage inhaler with a mask maximally protects the child from side effects of the medication, as the medicine enters directly into the lungs and does not enter the blood and other organs of the body.

How to help a child use a metered-dose inhaler with a mask?


Before you start using a metered-dose inhaler with a mask:

  1. Consult your doctor about how to properly use a metered-dose inhaler with a mask. You should be sure that the child uses the inhaler strictly according to the doctor's prescription.

  2. Depending on the age of the child, try to teach the child to determine the medicine that is needed at the moment. If the child uses several inhalers, paste on each label with the time of reception. Use pencils or stickers of different colors to make it easier for a child to distinguish between drugs.

  3. Carefully read the label on the inhaler to check how much medicine is left. If you or a child monitors how many times the inhaler has been used, it will allow you to purchase a new inhaler on time. Learn to check the inhaler for the presence of a medicine in it. Your doctor or pharmacist can help with this.

Test your knowledge

After getting the medicine into the separator, the child should inhale it at a time.

  • Yes - Wrong answer

  • No - Correct answer
After getting the medicine into the separator, the child can normally inhale the medicine within 20 seconds. Nevertheless, breathing in a breath for one breath is preferable for older children, adolescents, and adults.

Where further?

Now that you've gotten acquainted with this information, you can help the child use a metered-dose inhaler with a mask.

Talk to your doctor

If you have any questions about this information, ask them at the next appointment with a doctor.

How to use a metered inhaler with a mask?


  • Shake the inhaler and remove the cap: Step 1

Shake the inhaler and remove the cap. Carefully read the instructions to the inhaler and check whether you need to fill it with a medicine before use. If necessary, do so and follow the instructions.

  • Hold the inhaler vertically: Step 2

Hold the inhaler vertically at the bottom and insert the inhaler into the mask.

  • Dress the mask: Step 3

Gently dress the mask on the mouth and nose of the baby. The mask should fit snugly to the face.

  • Press on the inhaler: Step 4

When the mask is dressed, click on the inhaler to allow the medication to enter the separator.

  • Inhale: Step 5

Hold the mask while the child inhales the medicine. He can take a few breaths and exhalations for 20 seconds. This is the time it will take to fully inhale the medicine.

If it is necessary to repeat the procedure, wait 30-60 seconds and repeat steps 4 and 5.

How to use a dosed inhaler with a separator (for children)

How to use a dosed inhaler with a separator (for children)


Shake the inhaler and equip the separator: Step 1


dosed inhaler with a separator


Shake the inhaler, remove the cap and insert the inhaler tip into the separator.

Remove the cap from the separator: Step 2

dosed inhaler with a separator



Remove the cap from the separator.

Hold the inhaler vertically: Step 3

dosed inhaler with a separator



Hold the inhaler vertically behind the bottom.

Make a slow and maximum exhalation: Step 4

dosed inhaler with a separator



Tilt the head slightly back and make a slow and maximum (as much as possible) exhalation.

Insert the tip into your mouth: Step 5

dosed inhaler with a separator



Insert the tip of the separator in the mouth.

Click on the inhaler and inhale: Step 6

dosed inhaler with a separator



Click on the inhaler that the medicine has entered the separator, then slowly inhale (first press, then inhale). After that, hold your breath for 10 seconds, so that the medicine spreads to the lungs as much as possible.

If the procedure needs to be repeated, wait 30-60 seconds

See alsoHow to use a metered dose inhaler without a separator

How to use a metered dose inhaler without a separator

This article explains how to use a metered dose inhaler without a separator.

How to use a metered dose inhaler without a separator


Shake the inhaler and remove the cap: Step 1

metered dose inhaler without a separator



Shake the inhaler as indicated in the instructions, and remove the cap. Carefully read the instructions to the inhaler and check whether it should be filled with his medication or not before use. If necessary, do so and follow the instructions.

Hold the inhaler vertically: Step 2

metered dose inhaler without a separator



Take the inhaler by the bottom and keep it upright.

Tilt your head and exhale: Step 3

metered dose inhaler without a separator



Slightly tilt your head and exhale slowly, but exhale.

Place the inhaler: Step 4

metered dose inhaler without a separator



There are two ways to arrange the inhaler when it is used without a separator. You can keep the inhaler 2.5-5 cm in front of your open mouth, without touching it with your lips. For some people, this method presents some difficulties. Or you can insert the inhaler into your mouth. This is the least effective way to use the inhaler.

Start inhaling and click on the inhaler: Step 5

metered dose inhaler without a separator



Start making a slow, steady and deep breath; click on the inhaler once (first, start inhaling, then press) and continue to inhale slowly.

Hold your breath: Step 6

metered dose inhaler without a separator



Hold your breath for 10 seconds. Thus, the medicine spreads to the lungs as much as possible.

If you want to repeat the procedure, wait 30-60 seconds first.

See alsoHow to use a dosed inhaler with a separator (with images)

How to use a dosed inhaler with a separator (with images)

How to use a dosed inhaler with a separator (for adults)



  •  Shake the inhaler and remove the cap: Step 1
dosed inhaler with a separator
dosed inhaler with a separator


Shake the inhaler and remove the cap. Carefully read the instructions to the inhaler and check whether it is necessary to fill it with a medicine before use. If necessary, do so and follow the instructions.


  • Insert the tip into the separator: Step 2
dosed-inhaler-2.jpg



Insert the inhaler tip into the separator.


  • Remove the cap from the separator: Step 3


dosed inhaler with a separator


Remove the cap from the separator.


  • Hold the inhaler vertically: Step 4


dosed inhaler with a separator


Hold the inhaler vertically behind the bottom.


  • Make a slow and maximum exhalation: Step 5
dosed inhaler with a separator




Tilt the head slightly back and make a slow and maximum (as much as possible) exhalation.


  • Insert the tip into your mouth: Step 6
dosed inhaler with a separator



Insert the tip of the separator in the mouth.


  • Click on the inhaler and inhale: Step 7
dosed-inhaler-7.jpg



Click on the inhaler to take the medicine into the separator, then slowly inhale (first press, then inhale).


  • Wait 10 seconds: Step 8
dosed-inhaler-8.jpg



Wait 10 seconds to give the medicine the most spread out over the lungs.

If you need to repeat the procedure, wait 30-60 seconds.

See also: Treating Asthma with Immunotherapy

Asthma and smoking

Asthma and smoking


Surely this is not the first time you hear that asthma and smoking are not the best combinations. But you may not realize that quitting smoking is the most important step that you can take to protect the lungs and prevent asthma symptoms.

Why should I quit smoking?


You probably heard and you know that smoking is very dangerous for asthmatics and for the health of the body as a whole - as well as for the health of people around you. If you stop smoking, then:

  • You will extend your life.

  • Improve your health. Smoking increases the risk of lung cancer, throat cancer, lung disease, which is called emphysema, cardiovascular disease, high blood pressure, ulcers and worsens asthma overall.

  • You will feel healthier. Smoking provokes cough, sore throat (laryngitis) and inability to exercise normally.
  • You'll look better. Smoking can cause wrinkles, yellow teeth and sagging and flabby skin.

  • Improve the sense of taste and smell.

  • Save money.

How can I quit smoking?


One way to quit smoking, which works for everyone and everyone, no. Special programs can help you. Ask about these programs from your doctor.

Before you stop smoking at once, it's better to make a plan:

  • Pick a date when you stop smoking, and start preparing.

  • Write down when and why you smoke. So you will find out what motivates you to smoke.

  • Write down what you usually do when you smoke. Try to smoke at other times and other places to break the connection between smoking and certain activities.

  • List the reasons why you should quit smoking. Be ready, do something when you want to smoke.

  • Ask your doctor about nicotine gums and bandages. To some people, these methods are very helpful. Also ask the doctor to prescribe medications that help you get rid of this addiction.

We quit smoking: Day One


The first day, when you decided to stop smoking, start without a cigarette. And now follow these tips:

  • Do not focus on what is not. Think about the end result.

  • Tell yourself that you can quit. Remind yourself about it when pulling on a cigarette.

  • If you really want to smoke, take a deep breath. Hold your breath for 10 seconds and exhale slowly.

  • Take care of your hands. Write, play sports, tie or work on the computer.

  • Change activities that previously involved smoking. Take a walk or read a book instead of a cigarette.

  • Do not carry a cigarette lighter, matches or cigarettes.
  • Visit places where you are not allowed to smoke, for example, museums and libraries.

  • Eat a low-calorie, healthy food when you particularly want to smoke. Carrots, greens, fresh fruit and low-fat snacks are great for this.

  • Drink plenty of fluids. Limit the consumption of caffeine and alcohol, as they can cause you to smoke. Stop your choice on water, herbal teas, decaffeinated drinks and juices.

  • Physical exercises. Regular exercise will help you relax and distract.

  • Do not communicate with smokers.

  • Support. Tell others about your achievements, which you are proud of.

How soon will the results be noticeable after I quit smoking?


After 20 minutes of non-smoking:

  • The blood pressure drops and the pulse normalizes

  • The temperature drops in the hands and feet

After 8 hours:

  • The level of carbon monoxide in the blood comes back to normal

  • Increases the level of oxygen in the blood

After 24 hours:

  • The risk of a heart attack decreases

After 48 hours:

  • Nerve endings adjust to the absence of nicotine

  • A sense of taste and smell begins to return.

After 72 hours:

  • Relieve bronchial tubes, which improves asthma

From two weeks to 3 months:

  • Improves circulation

  • Improves the tolerance of exercise

After 1-9 months:

  • Reduces coughing, stuffy nasal sinuses, fatigue and dyspnea

  • New cilia grow in the airways, thereby increasing the ability of the lungs to retain mucus, clear the lungs and reduce the likelihood of infection (i.e., improving the state of asthma)

  • Forces and energy in general are multiplied.

In a year:

  • The risk of dying from cardiovascular diseases is reduced by half (than that of a smoker)

In five years:

  • The risk of dying from lung cancer is almost halved (than that of a smoker)

After ten years:

  • The risk of dying from lung cancer is virtually reduced to zero (as well as non-smokers)

  • There is also a risk of developing another cancer, for example, cancer of the mouth, larynx, esophagus, kidneys, diaphragm and pancreas

Asthma and smoking
Asthma and smoking

How will I feel when I quit smoking?


Once you quit smoking, you may have to abstain and will:

  • I really want to smoke a cigarette.

  • Feel strong hunger.

  • Often cough.

  • Headache.

  • It is impossible to concentrate.

  • Constipation (stagnation of the stomach).

  • Feeling very tired.

  • Sore throat.
  • Problems with sleep.

Although these symptoms, if you quit smoking for the first time, will be very strong, but they will quickly pass and completely disappear after a few weeks.

I quit smoking several times and did not work. What if it does not work out now?


To quit smoking, you must be emotionally and psychologically prepared for this. It may take several times to finally achieve success. Some people are more prepared than others. Take a look at the five steps that a person is on the road to a successful quitting.

  • Stage one: preparation for the goal. You do not want to quit, but you can try to quit, because you feel it is necessary.

  • Step two: the goal. You can quit smoking someday. You have not taken any steps for this, but you want to stop smoking.
  • Stage three: preparation. You have already taken small steps: less smoking or switched to cigarettes of a lighter brand.

  • Step Four: Action. You stop smoking. You change your actions and surroundings to cope with the desire to smoke and do not smoke for six months.

  • Step five: support. You do not smoke for a year.

Remember: Return to smoking is very common. In fact, 75% of all who quit smoking return to this habit again. A lot of smokers quit smoking 3-4 times, until it is crowned with success. So do not give up!