Saturday, June 20, 2009

Asthma

Asthma is a chronic medical condition. It has been defined by the National Heart, Lung and Blood Institute of the United States of America as a common chronic disorder of the airways that is complex and characterized by variable and recurring symptoms, airflow obstruction, bronchial hyperresponsiveness (bronchospasm), and an underlying inflammation. The interaction of these features of asthma determines the clinical manifestations and severity of asthma and the response to treatment.

Cause

Asthma is caused by a complex interaction of environmental and genetic factors that researchers do not yet fully understand. These factors can also influence how severe a person’s asthma is and how well they respond to medication. As with other complex diseases, many environmental and genetic factors have been suggested as causes of asthma, but not all studies posing such claims have been verified by further studies. In addition, as researchers detangle the complex causes of asthma, it is becoming more evident that certain environmental and genetic factors may affect asthma only when combined. However, the actual or real cause of asthma is very different.

Signs and symptoms

Asthma exists in two states: the steady-state of chronic asthma, and the acute state of an acute asthma exacerbation. The symptoms are different depending on what state the asthmatic is in.

Common symptoms of asthma in a steady-state include: nighttime coughing, shortness of breath with exertion but no dyspnea at rest, a chronic 'throat-clearing' type cough, and complaints of a tight feeling in the chest. Severity often correlates to an increase in symptoms. Symptoms can worsen gradually and rather insidiously, up to the point of an acute exacerbation of asthma. It is a common misconception that all asthmatics wheeze—some asthmatics never wheeze, and their disease may be confused with another Chronic obstructive pulmonary disease such as emphysema or chronic bronchitis.

An acute exacerbation of asthma is commonly referred to as an asthma attack. The cardinal symptoms of an attack are shortness of breath (dyspnea), wheezing and chest tightness. Although the former is "often regarded as the sine qua non of asthma. Some patients present primarily with coughing, and in the late stages of an attack, air motion may be so impaired that no wheezing may be heard.When present the cough may sometimes produce clear sputum. The onset may be sudden, with a sense of constriction in the chest, breathing becomes difficult, and wheezing occurs (primarily upon expiration, but can be in both respiratory phases). It is important to note inspiratory stridor without expiratory wheeze however, as an upper airway obstruction may manifest with symptoms similar to an acute exacerbation of asthma, with stridor instead of wheezing, and will remain unresponsive to bronchodilators.

Non-medical treatments

Many asthmatics, like those who suffer from other chronic disorders, use alternative treatments; surveys show that roughly 50% of asthma patients use some form of unconventional therapy.There is little data to support the effectiveness of most of these therapies. However, the Buteyko method of controlling hyperventilation hypocapnia has shown in five randomized controlled trials to result in a significant reduction in need for medications without an effect on bronchial hyperactivity or lung function.

A study of "manual therapies" for asthma, including osteopathic, chiropractic, physio-therapeutic and respiratory therapeutic manoeuvres, found there is insufficient evidence to support or refute their use in treating asthma; these manoeuvers include various osteopathic and chiropractic techniques to "increase movement in the rib cage and the spine to try and improve the working of the lungs and circulation"; chest tapping, shaking, vibration, and the use of "postures to help shift and cough up phlegm." One meta-analysis finds that homeopathy may have a potentially mild benefit in reducing the intensity of symptoms. However, the number of patients involved in the analysis was small, and subsequent studies have not supported this finding. Several small trials have suggested some benefit from various yoga practices, ranging from integrated yoga programs,yogasanas, Pranayama, meditation, and kriyas, to Sahaja yoga, a form of 'new religious' meditation.A study, performed by scientists at Egypt's Tanta University, has found that a combination of omega-3, vitamin C and zinc may improve the symptoms of asthma.

Asthma treatment using Honey

Honey is one of the most common home remedies for asthma. It is said that if a jug of honey is held under the nose of an asthma patient and he inhales the air that comes into contact with it, he starts breathing easier and deeper.

Asthma treatment using Figs

Among fruits, figs have proved very valuable in asthma. They give comfort to the patient by draining off the phlegm. Three or four dry figs should be cleaned thoroughly with warm water and soaked overnight.

Asthma treatment using Lemon

Lemon is another fruit found beneficial in the treatment of asthma. The juice of one lemon, diluted in a glass of water and taken with meals, will bring good results

Asthma treatment using Indian Gooseberry

Indian gooseberry has also proved valuable in asthma. Five grams of gooseberry mixed with one tablespoon of honey forms an effective medicinal tonic for the treatment of this disease. It should be taken every morning

Asthma treatment using Bitter Gourd Roots

The roots of the bitter gourd plant have been used in folk medicine for asthma since ancient times. A teaspoon of the root paste, mixed with an equal amount of honey or juice of the holy basil leaves, given once every night for a month, acts as an excellent medicine for this disease.

Asthma treatment using Drumstick Leaves

A soup prepared from drumstick leaves, and taken once daily, has been found beneficial in the treatment of asthma. This soup is prepared by adding a handful of leaves to 180ml of water and boiling it for five minutes. After being allowed to cool, a little salt, pepper, and lime juice may be added to this soup.

Asthma treatment using Ginger

A teaspoon of fresh ginger juice, mixed with a cup of fenugreek decoction and honey to taste, acts as an excellent expectorant in cases of asthma. The decoction of fenugreek can be made by mixing one tablespoon of fenugreek seeds in a cupful of water. This remedy should be taken once in the morning and once in the evening.

Asthma treatment using Garlic

Garlic is another effective home remedy for asthma. Ten garlic cloves, boiled in 30 ml of milk, make an excellent medicine for the early stages of asthma. This mixture should he taken once daily by the patient. Steaming ginger tea with two minced garlic cloves in it, can also help to keep the problem under control, and should be taken in the morning and evening.


Asthma treatment using Safflower

Safflower seeds are beneficial in the treatment of bronchial asthma. Half a teaspoon of powder of the dry seeds, mixed with a tablespoon of honey, can be taken once or twice a day in treating this disease. This acts as an expectorant and reduces the spasms by liquefying the tenacious sputum. An infusion of five grams of flowers mixed with one tablespoon of honey, taken once daily, is also useful in this disease.

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