37. What are the symptoms of the asthma?

There is main triad of asthma symptoms – dyspnea, cough, wheezing. At the onset of the asthma attack patient experience the sense of constriction in the chest , often with unproductive cough. Respiration become audibly harsh and wheezing in both phases of respiration becomes prominent. Patients often have tachypnea and expiration becomes prolonged. The lungs become overinflated, the accessory muscles become visible active. Termination of the episode is frequently marked by a cough producting plugs of mucose. In extreme situations cough may be unproductive and patient starts to suffocate

38. When do the asthma attacks usually start? Why?

Attacks often occur at night, for reason which are not clear buy may relate to circadian variation in airway receptor threshold. Attacks also may follow exposure to a specific allergen, physical exertion, viral respiratory infection, or emotional excitement

39. What is the treatment for the asthma?

The aim of treatment is to get your asthma under control and keep it that way. Everyone with asthma should be able to lead a full and unrestricted life. The treatments available for asthma are effective in most people and should enable you to be free from symptoms.

Steroids and Other Anti-Inflammatory Drugs

Anti-inflammatory drugs, particularly inhaled steroids, are the most important treatment for most people with asthma. These lifesaving medications prevent asthma attacks and work by reducing swelling and mucus production in the airways. As a result, the airways are less sensitive and less likely to react to asthma triggers and cause asthma symptoms.

Bronchodilators and Asthma

Bronchodilators relieve the symptoms of asthma by relaxing the muscles that can tighten around the airways. This helps to open up the airways.

Short-acting bronchodilator inhalers are often referred to as rescue inhalers and are used to quickly relieve the cough , wheeze, chest tightness, and shortness of breath caused by asthma. They may also be used prior to exercise for people with exercise-induced asthma. These should not be used daily in the routine treatment of asthma. If you need to use a short-acting bronchodilator as a rescue inhaler more than twice a week, then your asthma is not optimally controlled. Ask your doctor about improving your asthma controller medication.

Long-acting bronchodilators are used in combination with inhaled steroids for control of asthma symptoms or when someone has ongoing asthma symptoms despite treatment with a daily inhaled steroid. Long-acting bronchodilators are never used alone as long-term therapy for asthma. 

Asthma Inhalers

Asthma inhalers are the most common and effective way to deliver asthma drugs to the lungs . They are available in different types that require different techniques for use. Some inhalers deliver one medication and others contain two different medications. 

40. What therapy and post-treatment regimen would you recommend to people suffering respiratory diseases?