Treatment of cough variant asthma
Perhaps you encountered such a problem: the cold disappeared, but the cough remained for a whole month. It could be asthma, cough variant which manifests itself that way. To confirm the diagnosis is hard enough, sometimes it only proves the reduction of the cough on the background of drug therapy anti-asthmatic drugs.
Cough after a cold
Often people think the cough is a complication of sinusitis, chronic pharyngitis, infectious and allergic rhinitis. In addition, the cough manifests itself in vasomotor rhinitis, when disrupted vessels of the mucous membrane of the nasal passages. In these cases the cough is accompanied by runny nose. It is better to visit a doctor-otolaryngologist and make crop of a smear from the nasopharynx. After determining the sensitivity of bacteria to antibiotics the doctor will recommend treatment.
Pharyngitis work well drugs local action. First used gargling salt water with iodine, a decoction of chamomile, sage, etc. And then processing is applied in aerosol type Stopangin, Soroban, Hexoral, Tantum Verde, etc., and resorption of tablets and lozenges Faringosept, Grameen, Strepsils Plus.
If the rhinitis is allergic in nature, prescribe special sprays or nose drops: a. Analergin, Tizin, Allergy, Vibrocil and other Similar funds used during treatment of vasomotor rhinitis.
Cough is observed in nazalnam the leaking (Drip-syndrome). Providing real assistance to physiotherapy: ultrasound and endonasal electrophoresis with medication.
Cough in smokers
If a person smokes, the cause of cough may be bronchitis of the smoker. Over the years Amateur cigarettes accumulate changes in the bronchial mucosa. Thinned mucosa can't fight off pathogenic bacteria and viruses, so a person is sick for longer. The most common complication of colds in a smoker - lingering cough. Any irritants (dust, smoke or chemicals) cause fits of coughing.
Bronchitis of the smoker gradually develops into obstructive pulmonary disease, involving constriction of the bronchial lumen. The most effective is to stop Smoking. Of the available drugs are taking Ambroxol or Acetylcysteine.
Cough with heartburn
People are not alwayslong-term cough associated with heartburn. But there is a direct connection. Gastroesophageal reflux occurs when the acidic gastric juices coming back up into the esophagus. This phenomenon is often worse at night or in the supine position. Then the cough is accompanied by heartburn or an uncomfortable feeling in the epigastric region or chest. Although 50% of patients only complain on sore throat and night cough.
To confirm or refute the diagnosis, you need to consult a gastroenterologist. As therapy prescribed drugs that reduce the acidity in the stomach. Also recommended to raise the head of the bed and not to eat 3 hours before bedtime.
Cough of asthma
Another illness with a cough the cough is a form of asthma. About it often forget, because, unlike regular asthma, the disease is not typical of asthma, whistling and rales in the bronchi. Her only symptom is manifested as persistent dry hacking cough for several months.
The cough asthma is often wrongly considered a chronic cough. If you have nocturnal asthma, cough interfere with sleep you and your family. In some patients the cough starts during and after exercise is asthma stress. An asthmatic cough is usually exacerbated by contact with allergens: dust, animal dander, household chemicals, aerosol sprays, etc. In some cases, the cough begins during a walk in the cool weather: it provokes the inhalation of cold air.
The cough asthma common in children, but get it can a man of any profession and age. This form of asthma can be reborn in a "classic", accompanied by shortness of breath, rasping breath.
The symptoms of cough asthma refers to non-productive cough that develops in some patients with hypertension after administration of beta-blockers - drugs high blood pressure. This group of drugs used to treat heart failure, cardiovascular diseases, migraine, etc., the Application of certain eye drops, aspirin and other medications can cause a bout of asthmatic cough.
Diagnosis begins with listening to patient with stethoscope, x-ray studies of the lungs and spirometry. During spirometry measures the volume of air that the patient can inhale with a deep breath, also notes the time required to complete exhalation.
If previous study did not confirm asthma, prescribe test with methacholine(subject to availability at the clinic of special equipment). In patients with asthma inhalation of the substance causes a spasm and constriction of the Airways. During the test the patient inhales gradually increasing the amount of methacholine in aerosol form. Then repeat the spirometry. If the health of the lungs is down by 20% or more, the diagnosis of asthma is confirmed. To counteract methacholine, after completion of the studies the patient is given a bronchodilator, expanding the Airways.
If it is not possible to go through all kinds of studies confirm cough, asthma can treatment. Standard asthma treatment helps to get rid of cough after 1.5-2 months.
How to treat asthma cough?
The cough of asthma can be successfully treated, although it requires patience. Currently use inhalers aerosol hormonal therapy that attacks only the respiratory system. Effect on the organism as a whole is minimal. Due to hormones bronchial tubes cease to become inflamed, and seizures allergic cough becomes less frequent.
To the cough had not returned, inhalers have to use a few months, is that a couple of years.
Inhaled corticosteroids combined with sympathomimetics (dilates the bronchi). To hormonal means of inhalation include Beclomethasone (Becloforte, Becotide, Beclazone Light breath), Flunisolide (Angekort), Budesonide (Budesonide, Benacort, Pulmicort) and Fluticasone (Flixotide). Among the drugs of this group are the short-acting drugs - Terbutaline, Salbutamol (Ventolin), Fenoterol (berotek). If necessary, write tools that have long period effects: Formoterol (Foradil), Salmeterol (Serevent). Other alternatives are the combination agents such as seretide and Symbicort in which prolonged sympathomimetic connected with inhaled corticosteroid.
Lately the cough asthma successfully treated by courses of visiting the salt caves. Speleo-climatic chamber to help treat bronchitis, bronchial asthma, pharyngitis, allergic and infectious rhinitis. This is a very effective remedy for sickly children. Salt cave, a Spa treatment and a trip to the sea - excellent preventive measure and after the cure of cough asthma. The salty air has a beneficial effect on the lungs: breathing becomes easy and deep. In addition, it increases resistance of immunity to various diseases, sputum itself departs from the bronchi, improves the function of internal organs.
Preventive measures
In addition to the annual trip to the sea, you need to followsome rules:
- Eliminate allergens, 2-3 times per week wet cleaning in the apartment only with soapy water (no household chemicals).
- Clean open shelves, carpets and plants.
- Eat a healthy diet.
As you can see, prolonged non-productive cough can be a consequence of many diseases, particularly the cough variant asthma. But people often doubt and not believe that they had asthma. After many doctors, having done a bunch of tests and drinking a countless number of pills, the man remains alone with his cough. The cough asthma is suspected only after all other diagnoses, especially because it is difficult to diagnose. Although the treatment is long but not difficult. The main thing - not to admit transition to the normal asthma which cured to the end is almost impossible.