Asthma Treatment Taunton & Norwood MA
Get The Relief You Need With Our Asthma Specialists
Breathing is freedom, and proper asthma management can set you free. Whether you or a family member needs an asthma specialist, Allergy & Asthma Care is here to help. Our board-certified allergists are specialists in asthma management for children and adults. All three doctors are also pediatricians, so they are comfortable caring for patients of all ages.
Management of childhood asthma can help your child lead a full life
Asthma is the most common chronic illness among children. Untreated asthma can interfere with your child's sleep, exercise, and school attendance. Uncontrolled asthma can lead to emergency room visits, hospitalizations, and even death.
The good news is that childhood asthma can be effectively treated with medications and lifestyle management—especially avoidance of allergies and triggers. With proper treatment, children with asthma should be able participate in all sports and not be held back by their asthma.
Asthma FAQ
About 17 million people in the United States have asthma.
Asthma Medications
Rescue inhalers
Beta-agonist drugs (ALBUTEROL, PROAIR, VENTOLIN, XOPINEX) relax the muscles surrounding the bronchial tubes and cause bronchodilation (opening the bronchial tubes). When used as an inhaler or in a nebulizer, these drugs begin to work within minutes, have few side effects and are effective for 4-6 hours. They are the drugs of choice to treat an asthma attack. They are also used frequently to prevent exercise-induced asthma. Since asthma is due to inflammation (irritation) of the bronchial tubes, most asthmatics should use an anti-inflammatory drug daily. Also, if you find that you are using the beta-agonist inhaler routinely, this usually indicates that your asthma is not well-controlled and you should see the doctor for further evaluation.
Side effects: these are usually mild: anxiety, muscle tremors, increased heart rate. There have been several reports associating regular usage (as opposed to as-needed usage) of these drugs to a worsening of asthma. The reasons for this remain unclear.
What should you do?
You should not stop using your beta-agonist inhaler, but you should periodically review your need for this medication with your doctor.
Controller Medications
Almost all asthmatics, except those with very mild asthma, should use an anti-inflammatory medication daily. If you use these drugs daily, you will generally control your asthma better and be able to decrease your usage of the rescue medications (beta-agonist drugs). Since these drugs do not relax the bronchial tubes, you still need to have a rescue medication available to use when needed.
Points to remember:
01
No drug is 100% safe
02
Use a rescue inhaler (beta-agonist) when needed to control asthma symptoms
03
If you have asthma symptoms more than twice each week, you should usually use a daily controller medication
04
Signs of unstable asthma include frequent flare-ups or frequent usage of a rescue inhaler
What are steroids?
Everyone makes steroids, which are essential for maintaining health. There are two groups of steroids: anabolic steroids, which have been abused by athletes, and corticosteroids. Corticosteroids are the type of medication used by doctors for asthma.
Steroids can be taken by mouth or injection (systemic), by inhalation into the lungs or nose, or by application to the skin. For the treatment of asthma and allergies, inhaled and topical steroids are preferred as they cause fewer side effects than taking steroids by mouth or injection.
Side Effects Of Inhaled Steroids:
If you develop a BLOODY NOSE while using nasal steroids, stop the medication for several days and then restart it. If the bloody nose reoccurs, call the doctor. THRUSH (a fungal infection in the mouth) and HOARSENESS are common when taking inhaled steroids for asthma, but can usually be avoided by using a spacer device and rinsing your mouth after using the inhaler. If you are taking very high doses of inhaled steroids, you may develop some of the same symptoms noted when taking oral steroids (see below).
For many years there has been a concern that children using inhaled steroids might not reach there full adult height. However, a study published by The New England Journal of Medicine on October 12, 2000 (Effect of long-term treatment with budesonide on adult height in children with asthma) followed children who took an inhaled steroid (budesonide) for up to thirteen years. The final adult height was less than one inch from their predicted adult height although some of the children reached their adult height later than others. The conclusion of the article was that the drug decreased the rate of growth but not the final adult height in most children. Keep in mind that poorly controlled asthma also will cause a decrease in a child's growth.
Side Effects Of Oral Steroids:
Mild, temporary side effects are common: increased appetite, mood swings, water retention, weight gain, acne flare-ups, muscle cramps (possibly due to loss of potassium, so drink orange juice or eat bananas), menstrual irregularities and heartburn (take the steroid with meals or use an antacid). Serious side effects can occur in patients who have diabetes, mental illness, high blood pressure or infections such as tuberculosis. Long-term usage of oral steroids can cause many side effects, including osteoporosis, cataracts, high blood pressure, diabetes, poor wound healing and in children, decreased growth and hip problems. Most of the more serious side effects can be avoided or minimized if the oral steroids are used for only a short period of time (usually less than two weeks) or taken every other day. If you notice symptoms other than the mild symptoms listed above, the steroid may need to be stopped, but NEVER STOP ORAL STEROIDS BEFORE SPEAKING WITH DOCTOR.
Steroids can be a lifesaving medication, but like all other medications, they should be used carefully and exactly as prescribed.