AsthmaAsthma is an immunological disease which causes difficulty in breathing. It is a form of type II hypersensitivity in which the bronchioles in the lungs are narrowed by inflammation and spasm of the lining of the airway wall. A person with asthma may experience wheezing, shortness of breath and poor exercise tolerance. Sudden-onset attacks of breathlessness may require hospitalization and can lead to rapid deterioration. Treatment of asthma is with medication, inhaled or in the form of tablets.
Signs and symptoms
The cardinal symptom of asthma is wheezing, indicating airway obstruction. Cough, sometimes with clear sputum may be present. Typically the symptoms are very variable, often with rapid onset, and associated with the triggers listed above. Symptoms are often worse during the night or on waking. Increasing airway obstruction will cause shortness of breath. Asthma sometimes correlates with acid indigestion, especially amongst older patients.
Signs of asthma are wheeze, rapid breathing, expiratory phase of breathing longer than inspiratory, in drawing of tissues between ribs and above sternum & clavicles, over inflation of the chest and rhonchi (wheezy noises heard with a stethoscope). In severe attacks the asthma sufferer may be cyanosed (blue), may have chest pain and can lose consciousness. Between attacks a person with asthma may show no signs at all.
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