How to manage uncontrolled asthma and reduce flare-ups?

Question

Hello doctor,

I have been struggling with uncontrolled asthma, and I am looking for advice on how to manage my symptoms more effectively. Despite using medication, I am still experiencing frequent flare-ups, shortness of breath, and wheezing. What could be causing my asthma to remain uncontrolled, and are there specific triggers I should be more aware of?

How can I adjust my treatment plan to better control my symptoms and reduce the risk of severe attacks? What lifestyle changes or environmental adjustments can help improve my asthma management and reduce flare-ups?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

As you already described, you are suffering from bronchial asthma. The key to the treatment of asthma is the use of inhaled medications. For adequate asthma control, appropriate inhalers in the right dose are to be used with adequate technique, and they should be used regularly. Investigations to be done on newly diagnosed or uncontrolled bronchial as[thma:

1. Complete blood count.

2. Serum total IgE (immunoglobulin E).

3. Chest X-ray.

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

Causes for your repeated exacerbations include:

1. Presence of co-morbid conditions like allergic rhinitis, GERD, and obesity.

2. Incorrect inhaler technique or if the inhaler is not being used regularly.

3. If incorrect inhaled medicines are being used.

The following advice is to be followed if bronchial asthma is diagnosed:

1. You should regularly start using inhalers containing Formoterol and Budesonide (200/6), two puffs twice daily with a spacer, followed by mouthwash. Inhalers are to be used daily without any break for at least six months. No dose is to be skipped unless advised by a pulmonologist.

2. Spacer and mask device (it is to be attached to the inhaler; the technique of its usage can be learned online).

3. Consult a pulmonologist either physically or virtually regularly (at least once a month).

4. Take vaccinations appropriate for the age if not taken already.

5. Control of co-morbid conditions, if any.

I hope this information helps you.

Follow up with investigations or earlier if further queries arise.

Thank you.