10 Things You Should Know About Asthma

iStock.com/Wojciech Kozielczyk
iStock.com/Wojciech Kozielczyk

To anyone with asthma, the feeling of an attack is unmistakable. Patients have compared an asthma attack's feeling of breathlessness, caused by inflammation in the lungs and airways, to being smothered by a pillow or having an elephant sit on their chest. Medical experts have already figured out some aspects of asthma, like how to diagnose and treat it, but other components, like what causes asthma and how to cure it, remain unclear. From the triggers people encounter at work to the connection to allergies, here are some facts about asthma symptoms and treatments you should know.

1. Asthma attacks are related to allergies.

The physical process that occurs when someone has a sneezing fit during pollen season is similar to what happens during an asthma attack. But while the former causes discomfort, the latter produces potentially life-threatening symptoms. When people with allergies are exposed to an allergen like pollen, they produce antibodies that bind to that allergen. This signals the body to release the chemicals that cause allergic symptoms. In most people, the symptoms are limited to the head, such as a runny nose or watery eyes, but in people with asthma, they're felt in the lungs. If the lungs are inflamed, the airways that carry air swell up and fill with mucus, constricting airflow and causing common asthma symptoms like coughing, wheezing, and shortness of breath. Such asthma attacks can be fatal when patients can’t get enough air to their lungs.

2. Asthma is the most prevalent chronic disease among children.

Asthma is common, affecting 25 million in the U.S. alone, and of those patients, about 7 million are children. Most people with the disease develop it during childhood. Asthma is the most prevalent chronic illness among kids, and each year, students miss 13.8 million school days because of it.

3. Asthma may be inherited.

Doctors aren’t entirely sure what causes asthma, but they know it sometimes runs in families. A 2010 study found that people with one parent with the condition were nearly twice as likely to have it themselves, and people with a parent and a grandparent with asthma were four times more likely to develop it. Because asthma is connected to allergies, a genetic disposition toward allergies, known as atopy, may explain some inherited asthma cases.

4. Asthma is surprisingly easy to diagnose.

One of the simplest ways to diagnose asthma is through a lung function test. If a patient is reporting asthma symptoms (coughing, chest tightness, a feeling of not getting enough air), their doctor may check the strength of their exhalations before and after having them use an inhaler. If their breathing improves with the medicine, they likely have asthma. An X-ray of the patient’s chest can also be used to reach an asthma diagnosis.

5. Kids who grow up around germs are less likely to have asthma.

A person’s environment early in life may also play a role in whether or not they develop asthma. People who grew up in rural areas, around animals, and in large families are less likely to have asthma than those who did not. One possible explanation is the hygiene hypothesis: According to this theory, kids who were exposed to germs and pathogens while their immune systems were developing are better equipped to deal with allergens, while kids who were sheltered from germs may be more likely to have an exaggerated (and in the case of asthma, potentially deadly) immune response to harmless substances. The hygiene hypothesis hasn’t been proven, however, and it’s definitely not an excuse to expose children to infections in an attempt to strengthen them against asthma attacks in the future.

6. Asthma triggers are everywhere.

To manage their symptoms, doctors tell asthma patients to limit exposure to their triggers when possible. Common asthma triggers include irritants and allergens like dust, tobacco smoke, car exhaust, mold, pet dander, and smoke from burning wood. Triggers that don’t come from the environment, like colds, sinus infections, acid reflux, and hyperventilation brought on by stress, can be even harder to avoid.

7. There's one asthma trigger patients shouldn't avoid.

Physical activity causes fast breathing, which can provoke asthma attacks in some people with the condition. There’s even a type of asthma called exercise-induced bronchoconstriction that specifically describes people who suffer from these kinds of attacks. But the risks of living a sedentary lifestyle outweigh those of exercising carefully, even with asthma. Instead of cutting out cardio altogether, doctors work with patients to come up with an exercise plan that’s safe for them. This might include warming up and using an inhaler before working out, practicing cool-down activities afterward, and wearing scarves or masks to limit exposure to irritants that may also trigger asthma symptoms.

8. There are two types of asthma treatments.

Long-term controllers and quick-relievers are the two types of medications used to treat asthma. Immediate medicines like short-acting beta agonists and anticholinergics relax muscles in the airways when flare-ups occur, and they’re typically administered directly to the lungs with an inhaler. Long-term medications help keep asthma symptoms under control over time are taken as often as once a day, regardless of whether symptoms are present. They include inhaled long-acting beta agonists and corticosteroids, biologic injections, and theophylline and leukotriene modifier pills and liquids. All of these medications suppress asthma symptoms by either relaxing muscles, reducing swelling, or preventing inflammation in the airways.

9. Asthma can be an occupational hazard.

Occupational asthma develops when a patient’s triggers come from their work environment. According to the National Institutes of Health, wood dust, grain dust, animal dander, fungi, and various chemicals are some of the most common asthma triggers that patients encounter in the workplace. Bakers, farmers, laboratory workers, millers, and woodworkers predisposed to asthma are all at higher risk.

10. There's no cure for asthma, but symptoms can lessen over time.

Though asthma is treatable, there’s no cure for the chronic illness. Some people, however, do appear to grow out of the condition after suffering from it as kids. It’s possible for asthma symptoms to become less severe and go into remission as patients get older, but once someone is diagnosed with asthma, the risk of an episode never goes away completely. Changes in hormone levels are a factor that could possibly bring asthma symptoms back in patients who haven’t experienced an attack in years.

A Custom Wheelchair Allowed This Brain-Injured Baby Raccoon to Walk Again

фотограф/iStock via Getty Images
фотограф/iStock via Getty Images

Animal prosthetics and wheelchairs allow dogs, cats, and even zoo animals with limited mobility to walk again, but wild animals with disabilities aren't usually as lucky. Vittles, a baby raccoon rescued in Arkansas, is the rare example of an animal that was severely injured in its natural habitat getting a second shot at life.

As Tribune Media Wire reports, Vittles came to wildlife rehab specialist Susan Curtis, who works closely with raccoons for the state of Arkansas, with a traumatic brain injury at just 8 weeks old. The cause of the trauma wasn't clear, but it was obvious that the raccoon wouldn't be able to survive on her own if returned to the wild.

Curtis partnered with the pet mobility gear company Walkin' Pets to get Vittles back on her feet. They built her a tiny custom wheelchair to give her balance and support as she learned to get around on her own. The video below shows Vittles using her legs and navigating spaces with help from the chair and guidance from her caretaker.

Vittles will likely never recover fully, but now that she's able to exercise her leg muscles, her chance at one day moving around independently is greater than it would have been otherwise. She now lives with her caretaker Susan and a 10-year old raccoon with cerebral palsy named Beetlejuice. After she's rehabilitated, the plan is to one day make her part of Arkansas's educational wildlife program.

[h/t Tribune Media Wire]

Why You Should Never Shower With Your Contact Lenses In

belchonock/iStock via Getty Images
belchonock/iStock via Getty Images

Contact lenses offer a level of convenience for those with less-than-perfect vision that glasses can hardly compete with, but that doesn’t mean the daily struggle of taking them in and out of your eyes doesn’t wear on you. If you get a little lazy and decide it’s fine to leave them in your eyes during showers or pool parties, think again.

According to Popular Science, a 41-year-old woman in the UK lost sight in her left eye as a result of frequently showering and swimming without removing her contacts. The culprit was Acanthamoeba polyphaga, a protozoa that crawled into her eye and caused a cornea infection called Acanthamoeba keratitis. After two months of pain, blurry vision, and light sensitivity, the woman sought medical attention at the Manchester Royal Eye Hospital, where doctors discovered a ring shape in her left eye and a hazy layer covering her cornea. Upon testing her vision, they found that her left eye was now 20/200, which counts as legally blind in the United States.

Leela Raju, an ophthalmologist and cornea specialist at New York University, told Popular Science that the single-celled organisms “can be anywhere,” including pools, hot tubs, showers, dirty saline solution containers, and even tap water. Lens-wearers make up around 85 percent of those who get infected, and experts think it may be because the amoeba can latch onto a contact lens more easily than a bare eye.

Though Popular Science reports that Acanthamoeba keratitis only affects one or two people out of every million contact wearers each year, that’s no reason not to be careful. If you do catch it, you’ll likely need a cornea transplant, and even that won’t necessarily restore your eyesight to its previous state—after her transplant, the UK woman’s left eye now has 20/80 vision.

“It’s just a long road, for something that’s totally preventable,” Raju says. In addition to removing your contacts before swimming, showering, or sleeping, you should also refrain from reusing saline solution, make sure your contact case is completely clean and dry before filling it with more solution, and check out these other tips.

[h/t Popular Science]

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