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People who suffer from asthma have sensitive, hyper-responsive lungs, in the same way that people who suffer from eczema have sensitive skin.
A sensitive lung can go into spasm or constriction at any time. online doctor visits Spasm narrows small air channels, limiting airflow within the lungs and suddenly making it difficult for people with asthma to breathe. During such an episode of asthma attack, patients can experience shortness of breath, wheezing, coughing, fast breathing, and chest tightness or discomfort.
Wheezing is a high-pitched musical sound taking place in the chest of someone who is experiencing an asthma attack. When loud, people nearby can hear it; but at other times it can only be heard by clinicians who listen to the chest with a stethoscope.
Asthma triggers
Catarrh or runny nose with its concomitant viral infection, cold weather, pets such as cats and dogs, dust, dirt, cockroaches, pollutants, paint fumes, perfumes, mold, grass, pollens and cigarette smoke can trigger already sensitive lungs into an episode of coughing and wheezing. Exercise, as well as emotions, also triggers a cough and shortness of breath in people with sensitive lungs.
Cough as a sign of asthma
Cough, a common problem, is one of the many signs of asthma. Parents and caregivers bring children to clinicians when their cough continues for many days and does not resolve with cough syrup. A cough is bothersome to children; it can prevent them from sleeping at night or during the day, can provoke them to vomit, can make them fearful of eating and even cause them to lose weight. When a cough and fever go together in a child, a more sinister illness such as pneumonia comes to mind.
Severity of asthma
When evaluating a child with asthma, it is important to assess the severity of the symptoms. Some children have the intermittent form of asthma, while others have the persistent form.
People with the irregular form of asthma experience symptoms once in a while. Those who have a persistent form experience degrees of symptoms more often, usually on a weekly basis or a daily basis, and sometimes even several times a day.
Examination of children with asthma
Clinicians look for signs of distress when presented with a child with an acute attack of asthma. The in-and-out pulling of chest muscles in a patient, or 'retraction', signals air-hunger and agony.
When there is no obvious wheezing, chest retraction or spontaneous coughing, I tend to ask the child, if they are old enough and comfortable, to cough out loud so that I can hear it
By the sound, one can often tell from where a cough is coming: from the throat, or pharynx, or from deep in the chest. The latter would mean that the lungs are the source of the problem, and therefore indicative of asthma. This distinction is important.
Respiratory rates, temperature, pulse rate and oxygen saturation are some of the vital signs obtained at the time of first examination.
Diagnosis of asthma
Clinicians can diagnose asthma in a patient who has a cough by listening to the chest with a stethoscope. A high-pitched musical sound, known as a wheeze, is suggestive of this condition. When a patient's symptoms are relieved with the use of a bronchodilator, such as albuterol, the diagnosis is all but certain.