Why do we use steroids in asthma?

* Inflammation of the airways is the underlying problem in asthma

* Steroids like Prednisone and Decadron are taken by mouth

* Steroids like betamethasone and fluticasone are inhaled like albuterol.

* Steroids shut down inflammation in asthma

* Lung inflammation in moderate asthma can be controlled but not cured.

The basic problem in asthma lungs is inflammation.

Inflammation means swelling, oozing, and fragility of the lining of breathing tubes.

This inflammation leads to extra mucus production and this mucus, along with swelling in the walls of these tubes, creates a extra resistance to air flow.  

When these breathing tubes are inflamed with swelling and mucus, the effort to move air, especially out of the lungs, can be exhausting.

My goal is to help you keep a lid on this inflammation.  In asthma, there will always be a tendency for it to get out of control.

But, with the right controller medication and avoidance of triggers, you can stay out of the ER, get restful sleep, and be as active as an Olympic athlete!

Now, when the inflammation is out of control, we have only one choice.

SHUT IT DOWN.

The most potent and fast acting medicine we have for this is corticosteroids.  

We say steroids for short.  

This isn’t the type of steroids injected by weight lifters to make big muscles – those are called anabolic steroids..  

Corticosteroids work inside the walls of breathing tubes to block the inflammation process.

They work, but their action is not immediate.

Prednisone and Dexamethasone are the most common forms used in non-hospitalized asthma patients.

These steroids are taken by mouth, or if your breathing is really bad, they are given intravenously.

Either medicine must be taken for 3-5 days straight for the full effect.

After these medicines shut down the inflammation process in the breathing tubes, we are in a position to launch a new asthma action plan that includes stronger controller medicine in the form of inhaled steroids, also called controllers.

For more moderate and severe asthma sufferers, there are new medications – biologics, that make even more dramatic improvements in severe asthma control.    

For most moderate asthma patients, inhaled corticosteroids will be a cornerstone of their asthma action plan.

Finding the right type of steroid, the frequency that works, and the one that you and your insurance company accept is a really important part of asthma care.

If you are using your albuterol rescue inhaler daily and aren’t using a steroid inhaler, you need one.  

If you are using your albuterol rescue inhaler more than two times per week and you ARE on a steroid inhaler, you need a change that delivers more steroid either per dose or more times per day.

If you are ready to make a change, grab an appointment and lets talk!

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* Asthma is present in about 10% of children.

* Asthma in children is diagnosed when your child has recurring episodes of wheezing that are relieved by rescue medicine such as albuterol

* Asthma in children is treated with the same medicines and treatment plans as in adults with adjustments for their size and metabolism.

Children have a lot more wheezing than adults.

A simple upper respiratory infection or common cold causes many children to wheeze.

But, a single episode of wheezing while ill doesn’t mean a child has asthma.  A key feature of asthma is the recurrence of wheezing, along with its reversibility by a bronchodilator/inhaler like albuterol.

How many children who wheeze when sick go on to have recurrent wheezing and asthma?  We don’t know for sure.  But we do know that infection with the respiratory syncytial virus (RSV) early in childhood is associated with the appearance of asthma.

The bottom line: asthma in children is a very big problem.

In 2016, about 6 million children were diagnosed with asthma.  That makes it  the most common chronic disease of childhood.

Untreated, asthma in children threatens them with death, emergency room visits, hospitalizations, and school absenteeism.

Childhood asthma is treated with the same medications and strategies as in adults. Since they are kids there are adjustments in medication dosage, and some differences in severity classification.

Unfortunately, like adults, children are often not treated according to the National standard of care.

Asthmaniac is designed to serve them as well.

At Asthmaniac, pediatric expertise is always on-deck to make sure our approach to children with asthma is aligned with National standards.

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* Follow-up Care is Essential to good asthma control.

* Follow-up allows determination of asthma severity.

* Other disorders that affect your breathing are detected early.

* Rescue medication refills are provided

* Your Asthma Action Plan is updated.

Having your asthma diagnosed is the first step to getting control.

But after treatments are prescribed, follow-up becomes the key to avoiding asthma attacks and controlling your asthma symptoms

Follow-up is so important because asthma is not a disease that is ‘cured’ in the usual sense.

Our goal is to manage and control it!

Asthma control means that:

• you can be active.
• you can sleep well.
• you don’t have to make emergency room visits “routine”.
• you don’t have to experience life-threatening asthma attacks!

Managing asthma means regular, Doctor visits.

We know from research studies that the best interval for these reassessments is about every three months.

At these appointments: We work on a number of points.

.. First, I evaluate your asthma severity to see if it has changed.,

.. We discuss your response to your asthma treatment plan and consider revising it if needed.

.. We will discuss new information relative to your asthma, such as new medications that may be helpful for controlling your symptoms.

.. If needed, I will order changes in the strength or the frequency of your controller or trigger medications.

.. When we have your new plan finalized, I will transmit your medication refills  to the pharmacy of your choice, electronically.

.. Then, we review your Asthma Action Plan and I

Send to your phone!

Before we sign-off, I schedule your next appointment, 3 months away.

In this way, Asthmaniac helps you stay on top of your asthma.

Asthmaniac gives you the tools to keep your asthma in control

and for you to become the

 expert of your asthma!

#asthmacontrolnow
#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac