One must distinguish between the disease, asthma and acute asthma attack differ.
The complaints with asthma depend primarily on the severity of the disease. The following symptoms may occur: Shortness of breath and shortness of breath (often occurring as)
Whistling, hissing sound when breathing (wheezing) Coughing fits, especially during the night, with a tough-ejection glassy mucus These symptoms can occur individually or together. The frequency and intensity depend on the severity of the disease. If you always occurs cough or persistent cough for more than three weeks, you should be prescribed by doctors examined.
With an asthma attack are also shortness of breath, coughing and breathing whistling to the complaints but more intense. In addition, the following symptoms: Bluish colored skin and the respiratory snap Inflated chest with raised shoulders Exhaustion to the inability to talk
Anxiety Confusion and restlessness Heart Hunt Decreasing effect of the emergency sprays (which the doctor administered drugs but retain their effect) If the asthma attack is not treated, it can be in a so-called status asthmatikus go. This is a severe, life threatening asthma attack, over hours to days without interruption persists. A patient in status asthmaticus need immediately in a hospital intensive medical care.
Important for the diagnosis is accurate portrayal of your complaints:
What are the symptoms occur?
When will the complaints?
Are there things or situations that trigger or aggravate the symptoms?
Do you have allergies or hay fever?
Then the doctor will examine you and lung check. For interception of the lung is a whistling or hissing sound when breathing (wheezing and hum) to. The dynamics of breathing using spirometry or Bodyplethysmography measured and the gas content of the blood determined.
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With the help of a small device (peak-flow meter) is the highest velocity of breath during a forced exhalation measured. This unit is also responsible for self-measurement at home is important.
An X-ray examination of the lung is performed to exclude other diseases that also cause shortness of breath and cough.
Allergic asthma
In addition to these investigations will be tried here, the triggering substances (allergens) to identify them. This removes the doctor blood samples (study of immunoglobulins) and keeps skin tests (prick test) to verify a possible hypersensitivity to specific allergens through.
In unclear cases, the suspect standing irritant (allergen) in an inhalation provocation test inhaled. The doctor measures the lung, then the patient inhales the pure carrier solution, then a solution in low allergen dose. In the distance five to ten minutes, the doctor examined whether the lung function is deteriorating or whether the patient asthma symptoms (such as shortness of breath) shows. If after one hour no reaction occurred, the patient inhales a slightly higher concentration of the allergen. The doctor uses the test as long until a reaction occurs or until the patient has a certain amount of undiluted allergen solution is inhaled.
Even if the dose is only gradually increased, there may be circulatory problems or an asthma attack coming.
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