What sports are best suited for exercise induced asthma? What sports are not?
Those with severe asthma, or asthma resistant to traditional asthma medicines, are increasingly likely to develop GERD. In fact, About 90% of people diagnosed with GERD also have hiatal hernias, which is when a portion of your stomach protrudes through a small opening in your diaphragm. Certain foods or drinks, such as chocolate, peppermint, cinnamon, deep fried foods, spicy foods, coffee and alcohol, can cause the esophageal sphincter to relax, causing acid reflux. It can also be caused by obesity or hiatal hernias. COPD vs. Emphysema Differences SimilaritiesCOPD (chronic obstructive pulmonary disease) is the term doctors and other healthcare professionals use to describe a group of serious, progressive (worsens over time), chronic lung diseases that include emphysema, chronic bronchitis, and sometimes asthma.
â€œIf you have acid reflux and you regurgitate high enough, you can get a bronchospasm that can trigger asthma,â€ Dr. Vaezi notes. Another theory is that acid reflux may trigger a protective nerve reflex that causes the airways to tighten in order to prevent the stomach acid from entering the lungs; this can lead to a bronchospasm too.
Your airways narrow to keep the acid out, and asthma symptoms start. Shortness of breath, also called dyspnea, occurs with GERD because stomach acid that creeps into the esophagus can enter the lungs, particularly during sleep, and cause swelling of the airways. This can lead to asthma reactions or cause aspiration pneumonia. Such airway damage can affect breathing by causing coughing or wheezing.
By viewing your lungs on an X-ray, your doctor can see if you have another health condition that may be causing asthma-like symptoms. Asthma may cause a small increase in the size of your lungs (called hyperinflation), but a person with asthma will usually have a normal chest X-ray. Patients with COPD will also have hyperinflation, but emphysema causes holes in lung tissue, called blebs or bullae, which are evident on a chest X-ray. A chest X-ray can also make sure you don’t have pneumonia or lung cancer, particularly in smokers. Until recently, it was believed that controlling “silent” acid reflux with proton pump inhibitors (PPIs), such as esomeprazole (Nexium) and omeprazole (Prilosec), would help relieve asthmatic symptoms as well.
Nemours Childrenâ€™s Health System is one of the nationâ€™s largest integrated non-profit pediatric health systems that focuses on prevention and education, medical research, academics and health advocacy to improve the lives of children and families everywhere. Nemours owns and operates two free-standing childrenâ€™s hospitals and extensive community networks of specialty, urgent and primary care locations, as well as online video doctor care, throughout the Delaware Valley and Florida. Everyone has experienced gastroesophageal reflux. It happens when you burp, have an acid taste in your mouth or have heartburn. However, if these symptoms interfere with your daily life it is time to see your physician.
The patient’s history is an extremely important part of the diagnosis of GERD-associated asthma. The diagnosis is important to consider, however, because significant improvement in symptoms and in asthma control occurs with appropriately treated GERD. Certain clinical clues can be helpful in identifying GERD-related asthma. Patients’ symptoms suggesting reflux include nocturnal cough, worsening of asthma symptoms after eating large meal, drinking alcohol, or being in the supine position. GERD should be considered in asthmatics who initially present in adulthood, in those without an intrinsic component and in those not responding to bronchodilator or steroid therapy.
Sinusitis and asthma
Although this improved her pharyngeal and epigastric pain, she still had mild respiratory complaints. Treatment with inhaled budesonide was initiated, having been well tolerated by the patient. At this writing, the patient was under treatment with budesonide, indacaterol, tiotropium, esomeprazole, and aminophylline and had no respiratory or digestive complaints. In addition, she had been enrolled in a smoking cessation program and was currently receiving nicotine replacement therapy.
However, a 2009 study published in the New England Journal of Medicine questioned the drugs’ effectiveness in treating severe asthma attacks. During the nearly six-month-long study, there was no difference in the rate of severe attacks between people taking medication and those taking a placebo. People with asthma are twice as likely as those without asthma to develop the chronic form of acid reflux known as gastroesophageal reflux disease (GERD) at one time or another. In fact, research has shown that more than 75 percent of adults with asthma also have GERD. The exact connection between GERD and asthma isnâ€™t entirely clear.
For most asthma patients, however, exercise-induced asthma is treatable and preventable, thereby allowing children and adults with asthma to fully participate in sports and exercise. Regular exercise is beneficial for the heart, circulatory system, muscles (including breathing muscles), and mental health, but it will not cure the asthma. More than 90% of patients with asthma experience nighttime wheezing and coughing. Symptoms of asthma are most common between midnight and 8 a.m.
You may be able to control acid reflux with over-the-counter medications – for example, a proton pump inhibitor, such as omeprazole (Prilosec OTC). Avoiding reflux triggers, such as fatty foods, alcohol and tobacco, also may help.