What lifestyle changes will improve uncontrolled asthma?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

As you have described, you are suffering from bronchial asthma. The key to its treatment is the use of inhaled medications. For adequate asthma control, appropriate inhalers with the right dose should be used with proper technique, and they should be used regularly.

I suggest you undergo the following investigations for your newly diagnosed or uncontrolled bronchial asthma:

1. Complete blood count.

2. Serum total immunoglobulin E (IgE).

3. Chest X-ray.

4. Pulmonary function test (spirometry pre- and post-bronchodilator).

Causes for repeated exacerbations include:

1. Presence of comorbid conditions such as allergic rhinitis, acid reflux, and obesity.

2. Incorrect inhaler technique or infrequent use of the inhaler (this is the most common cause).

3. Use of incorrect inhaled medications.

4. Fungal sensitization and hypersensitivity.

5. Emotional stress.

6. Environmental factors, including pollution and pollen.

I suggest you follow the below-mentioned advice for uncontrolled bronchial asthma:

1. Start using the inhaler, a metered-dose inhaler containing Budesonide (corticosteroid) and Formoterol (β₂ agonist) at two puffs twice daily with a spacer, followed by a mouthwash. Inhalers should be used daily without any breaks for at least six months. No doses should be skipped unless advised by a pulmonologist.

2. Use a spacer with the inhaler; the technique for its use can be learned online through videos. It is essential to use a spacer if you are using a metered-dose inhaler.

3. Consult a pulmonologist either in person or virtually on a regular basis (at least once a month).

4. Receive vaccinations appropriate for your age if you have not done so already.

5. Control any comorbid conditions, if applicable.

6. Incorporate regular exercise and physical activity into your routine.

7. Ensure intake of a balanced and nutritious diet.

8. Asthma can be very well controlled with adequate treatment and appropriate guidance.

9. Get the advised investigations done and follow up after one week. We will then evaluate whether your asthma is controlled and if it requires any further treatment.

Take care and follow up with the investigations after one week.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.