Different Types of Asthma

Portrait of a young smiling Muslim woman sitting on the sofa at home in a shirt, holding an inhaler for breathing, and showing a bottle of medicine to the camera.Asthma is a chronic respiratory illness that causes airways to become inflamed, swollen, and narrow, making breathing difficult.  It affects millions of people living in the United States. According to the Centers for Disease Control and Prevention (CDC), approximately 26 million people in America have asthma.

Asthma isn’t a single disease but rather a group of related conditions with shared symptoms, which include:

  • Wheezing
  • Shortness of breath
  • Cough
  • Chest tightness
  • Mucus production

Asthma is categorized into different types based on severity and triggers. Some common clinical types of asthma are:

  • Allergic asthma – triggered by allergens such as pollen
  • Non-allergic asthma – triggered by non-allergens such as stress or irritants such as smoke or weather
  • Exercise-induced asthma- occurs when airways narrow during physical activity, especially in dry or cold air
  • Occupational asthma -caused by exposure to irritants such as chemicals, dust, or fumes at the workplace
  • Aspirin‑Exacerbated Respiratory Disease (AERD)- triggered by aspirin or other NSAIDs
  • Cough-variant asthma- where a chronic dry cough is the only or primary symptom, lasting weeks
  • Nighttime asthma – where symptoms worsen at night or early morning

Your doctor may evaluate your medical history, symptoms, and triggers to diagnose your type of asthma.  Testing may include allergy tests, sputum, or lung function tests.

Treatment for asthma may vary by type.  They may include inhaled corticosteroids, biologic therapies, allergy medications, a bronchodilator used before exercise, trigger avoidance, avoidance of aspirin or NSAIDs, or rescue inhalers.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206- 7001.

 

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Managing Seasonal Allergies If You Have Asthma

Spring has finally sprung, and with it comes growing grass, blooming trees, and flowers. The season of renewal also comes with seasonal allergies due to the spreading of grass, tree, and flower pollen, as well as mold spores.  

Seasonal allergic rhinitis or hay fever affects many people who have pollen allergies. About 26% of adults and 19% of children are affected by seasonal allergic rhinitis.  

When a person who suffers from seasonal allergies inhales pollen, it causes allergic reactions in the eyes, nose, sinuses, throat, and lungs. Seasonal allergic rhinitis can also affect those who suffer from asthma, a chronic condition that causes the airways to become narrow and inflamed and can also cause extra mucus to be produced.  

Allergic asthma can be triggered by inhaling mold spores and pollen from trees, flowers, and grass. If a person who suffers from asthma inhales pollen, it can cause their airways to narrow and become swollen, which makes it difficult for them to breathe. 

Asthma symptoms include: 

  • Wheezing 
  • Shortness of breath 
  • Chest pain or tightness 
  • Coughing 

Common treatments for asthma include: 

  • Nasal corticosteroid sprays 
  • Antihistamines 
  • Immunotherapy or allergy shots  

If you suffer from seasonal allergies or asthma, there are several ways to manage allergies and reduce your exposure to pollen, including: 

  • Using the air conditioner 
  • Sleeping with the windows closed 
  • Keeping track of the air quality and pollen counts  
  • Taking your asthma medications as prescribed 
  • Using an air purifier 
  • Washing clothes and bedding regularly 
  • Showering after being outdoors 
  • Staying indoors when the pollen count is high 

If you are experiencing symptoms related to seasonal allergies or asthma, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Integrative Health: Acupuncture

Integrative health combines modern and holistic medicines that can help prevent the onset of disease, address existing chronic conditions, and promote healing in patients.

This approach places the patient at the center of a treatment plan, considering the physical, emotional, and social needs of that individual.

Treatment plans may also include the use of conventional medicine, such as prescriptions, to manage chronic health conditions, as well as therapies and practices, such as acupuncture.

Acupuncture is a technique in which practitioners insert fine needles into the skin to treat health problems. The needles can be manually manipulated or stimulated with small electrical currents, which is called electroacupuncture.

Originating from traditional Chinese medicine, acupuncture has been in use in some form for at least 2,500 years, gaining worldwide popularity since the 1970s.

According to the World Health Organization (WHO), acupuncture is used as a therapeutic technique in 103 out of 129 countries that reported data.

Data from the National Health Interview Survey showed that the use of acupuncture by adults in the U.S. more than doubled between 2002 and 2022. In 2002, 1% of adults in the U.S. used acupuncture. In 2022, that percentage rose to 2.2%.

National survey data suggest that acupuncture is most used for back, joint, and neck pain in the U.S.

It isn’t fully understood how acupuncture works. However, there is evidence that shows that acupuncture may have effects on the central nervous system, effects on other body tissues, and placebo effects.

Studies done in animals and humans, including studies using imaging procedures to see what is happening in the brain, have shown that acupuncture may affect nervous system function.

Acupuncture may have direct effects on the tissues where the needles have been inserted, which has been seen in connective tissue.

Research has shown that acupuncture may be beneficial for several pain conditions, including knee pain resulting from osteoarthritis and postoperative pain. Acupuncture may also help relieve joint pain associated with the use of aromatase inhibitors, which are drugs used in people diagnosed with breast cancer.

An analysis of data from 20 studies (6,376 participants) of people with painful conditions (back pain, osteoarthritis, neck pain, or headaches) showed that the beneficial effects of acupuncture continued for a year after the end of treatment for all conditions except neck pain.

Acupuncture doesn’t only treat painful conditions. It has also been studied for at least 50 other health problems. There is evidence that indicates acupuncture may help relieve seasonal allergy symptoms, stress incontinence in women, and nausea and vomiting associated with cancer treatment, and may also help relieve symptoms and improve the quality of life in people with asthma, but it has not been shown to improve lung function.

Auricular acupuncture is a type of acupuncture that involves stimulating specific areas of the ear. Research on auricular acupuncture for chronic back pain and cancer pain has had promising results.

Relatively few complications from using acupuncture have been reported. However, complications have resulted from the use of nonsterile needles and improper delivery of treatments. When not delivered properly, acupuncture can cause serious adverse effects, including infections, punctured organs, and injury to the central nervous system.

The U.S. Food and Drug Administration (FDA) regulates acupuncture needles as medical devices and requires that they be sterile and labeled for single use only.

If you are interested in learning more about any of our integrative health services, events, or classes, or would like to schedule an appointment, please call us at (718) 206-5675.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Asthma in the Summer

Summer can be a difficult season for people with asthma. The heat and humidity can affect airways, with the hot air causing them to tighten and narrow. This can trigger symptoms such as wheezing, breathing difficulty, shortness of breath, and other symptoms that increase the likelihood of asthma attacks.  

Similarly, humid air is not only heavy and hard to breathe in, but it can trap irritants and allow allergens such as dust mites and mold to thrive and diminish air quality, triggering asthma symptoms. This effect occurs regardless of the type of asthma a person has. If a person has allergic asthma, they may find managing their asthma to be especially difficult in the summer. The same is true if a person has exercise-induced asthma and tends to be more active during the summer.   

Asthma symptoms are usually more common in the fall and winter; however, summer creates unique risks as there are more causes of summer asthma. Causes of summer asthma symptoms include: 

  • Having asthma means the lungs are sensitive to extreme heat. Breathing in hot air can aggravate airways and trigger symptoms. Becoming dehydrated can cause a person to breathe more rapidly than normal, which can also play a role in setting off symptoms.  
  • Ozone is a product of atmospheric chemicals and sunlight. Although more research is needed to discount statistical uncertainty and better assess adult lung function in response to different levels of exposure, many researchers believe this pollutant can exacerbate asthma, especially in children. This is based on studies that show lung function worsens in the days after ozone levels peak, affecting people with asthma and even people without it. 
  • If you have allergic asthma and are triggered by certain allergens that are especially prevalent in June, July, and August, it stands to reason you’re more likely to have asthma attacks during these months.  
  • March through June: tree pollen is high 
  • May through early June: grass pollen is high 
  • June: outdoor mold spores peak and decrease after the first frost 
  • August through the first frost: weed pollen is high (daily peaks around noon) 
  • Whether it is a small campfire or a raging wildfire, exposure to smoke is more likely in the summer months. Smoke carries fine particulate matter that can get into a person’s airways and have a major impact on asthma.  

If you have a history of worsened asthma in the summer, an asthma healthcare provider will work with you to create a seasonal action plan, which may include incorporating additional medications and/or lifestyle measures into your overall management measures.  

It is key to head into summer with your asthma well under control. It is not under control if: 

  • You use a rescue inhaler more than twice a week 
  • Asthma symptoms interrupt sleep more than twice a month 
  • You need a new rescue inhaler more than twice a year 

Avoiding allergens altogether may be difficult, especially if you enjoy being outside in warm weather. In addition to following your prescribed treatment plan, this may involve taking some special precautions in the summertime, including: 

  • Checking the pollen counts for your area 
  • Staying indoors and/or limiting outdoor activities on days with extreme heat, high humidity, high pollen counts, wildfire smoke days, thunderstorm warnings, and ozone alert days 
  • Showering after outdoor activities 
  • Not letting dust accumulate in your home 
  • Using a dehumidifier and an air conditioner 
  • Considering immunotherapy 

It is important to follow your asthma action plan, try to avoid triggers, and stick to the asthma medication regimen prescribed by your healthcare provider. These steps may include taking daily asthma controller medication to prevent asthma symptoms and rescue medications to treat acute symptoms.  

If your asthma symptoms are becoming difficult to deal with, you can visit Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Asthmatic Bronchitis

woman holding her chest while coughingBronchitis is the inflammation of the bronchial tubes or bronchi, which carry air to and from the lungs.  It can be caused by a bacterial or viral infection or, in some cases, environmental exposures.

People with asthma are more susceptible to getting bronchitis because asthma can also lead to inflammation of the bronchi— Inflammation caused by asthma narrows the airways, making it easier for bacteria and viruses to become trapped and infect the bronchi.

When someone with asthma develops bronchitis, it is called asthmatic bronchitis (this is not an official medical diagnosis but a term used to describe people with asthma and bronchitis symptoms).

The symptoms of asthmatic bronchitis are similar to those of bronchitis, which are:

  • Wheezing
  • Cough with mucus
  • Chest tightness
  • Chest congestion
  • Shortness of breath
  • Excess mucus production

Common triggers of asthmatic bronchitis include:

  • Viral or bacterial infections
  • Pollution
  • Tobacco smoke
  • Certain medications
  • Allergens such as mold, dust, or pollen
  • Breathing in dangerous chemicals

If you are experiencing symptoms of asthmatic bronchitis, you should see a doctor.  Your doctor may ask questions about your symptoms, conduct a physical examination, or order tests.

Treatment for asthmatic bronchitis focuses on getting rid of mucus, reducing inflammation of the airways, and keeping them open. This can be achieved by using inhalers that contain bronchodilators and possibly corticosteroids. Treatment may also involve antibiotics or humidifiers.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call the Division of Pulmonary Medicine at 718-206-5916.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Foods Asthma Sufferers May Want To Avoid

Although food is not a common trigger for asthma, some people with the disease may develop symptoms or adverse reactions as a result of eating certain foods or additives.

According to the Asthma and Allergy Foundation of America, asthma-triggering foods can include those that contain sulfites an additive found in:

• Pickled foods
• Packaged potatoes
• Dried fruits and vegetables
• Wine and beer
• Shrimp
• Bottled lemon or lime juices
• Some condiments

Foods that contain salicylates, a naturally occurring chemical compound, have also been known to trigger symptoms in some people with asthma. Salicylates can be found in:

• Teas and coffees
• Certain herbs and spices

Additionally, foods that can cause gas or bloating such as beans, fried foods, carbonated drinks, onions, or garlic may make breathing more difficult for people with asthma.

Lastly, if you are allergic to certain foods, it is best to avoid them. An allergic reaction to these foods can also trigger an asthma attack.

Asthma sufferers should be careful about the foods they eat. Food allergies or reactions vary depending on the individual; therefore, speaking with a doctor about foods to eliminate or add to a diet is recommended.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

When is a Cough Serious?

A man sitting on a couch coughing.Coughing is a normal reflex and often does not signify a serious underlying medical condition. However, a cough could be connected to a more significant health issue and should be evaluated by a doctor when it is:

  • Severe
  • Worsening over time
  • Occurring frequently over several days or weeks

A cough can be either “acute,” meaning that it lasts less than three weeks, or “chronic,” meaning that it lasts longer. Some causes of acute cough, such as the common cold or exposure to airborne irritants, are not necessarily causes for concern on their own, but others, such as pneumonia and influenza, are potentially life-threatening for some people, such as older adults, infants, and people with compromised immune systems or chronic health conditions.

In many cases, chronic coughing is also not indicative of a major, life-threatening health problem, such as when it is caused by mild allergies or asthma. However, it may be a cause for concern when it is severe, frequent, or accompanied by one or more other symptoms, including (but not limited to):

  • Coughing up blood
  • Wheezing
  • Shortness of breath
  • Chest tightness
  • Fatigue
  • Unintended weight loss

These symptoms could indicate that a cough is associated with a serious underlying medical condition, such as chronic obstructive pulmonary disease (COPD), emphysema, lung cancer, cystic fibrosis, or pulmonary embolism. If you experience these symptoms, it’s important to get evaluated by a doctor as soon as possible.

You can receive diagnostic care and specialized treatment for your cough at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Can Mold Impact Your Health?

Mold growth is a common issue in many homes, and one that can cause a variety of medical problems. Many of the potential physical responses to mold exposure, such as a stuffy nose, sneezing, and red, itchy eyes, may occur more strongly in people who are allergic to mold or who have asthma. In some cases, severe reactions such as fever or shortness of breath can occur.

Mold is typically found in moist areas, such as parts of your home that have experienced flooding or leaks from your roof, windows, or pipes. It’s most likely to grow on wood-based products such as paper or cardboard, as well as some ceiling or floor tiles. Other materials that mold can grow on include:

  • Paint
  • Drywall
  • Carpet
  • Fabric
  • Insulation
  • Upholstery

You can often identify mold by its sight and smell. It often produces a musty odor and appears as one or more patches that are slimy, fuzzy, and/or discolored; these patches grow larger over time. Mold may also grow in places that are not easy to see, such as behind or under furniture, as well as inside pipes or walls. You can look for areas of your home where mold is most likely to grow by looking for signs of water stains or warping due to water damage.

If you notice signs of a mold problem in your home, make sure to identify the source of any water leakage and correct it, as well as discard any items with extensive mold growth or water damage that can’t be thoroughly cleaned and dried. Small areas of mold growth can be cleaned with soap and water, but for large-scale mold problems, it may be best to hire a licensed contractor to correct the issue.

If you are experiencing medical problems due to mold exposure, you can receive treatment at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Protecting Yourself From Wildfire Smoke and Poor Air Quality

Ongoing wildfires in Canada have brought significant amounts of smoke to New York City, resulting in record levels of air pollution. This smoke presents a variety of health hazards, particularly for certain at-risk groups. However, it is important to note that high levels of smoke can affect anyone, even people who are otherwise healthy.

Wildfire smoke in particular includes a mixture of gases and fine particles that can cause coughing, sneezing, eye and sinus irritation, and shortness of breath. In people with certain medical conditions, exposure to smoke may cause symptoms of those conditions to worsen. People who are at the highest risk include:

  • People with lung diseases such as COPD or asthma
  • People with cardiovascular disease
  • Older adults and children
  • Expectant mothers

Anyone who may be exposed to smoke should take effective measures to protect themselves. The Centers for Disease Control and Prevention (CDC) recommend that you:

Reduce smoke exposure as much as possible: You should minimize the amount of time you spend outdoors for as long as poor air quality alerts due to the smoke remain in effect. While inside, keep all doors and windows closed; if possible, use an air purifier or make sure your air conditioner has high efficiency filters that can prevent fine particles from entering your home.

Wear a mask: If you must go outside while air quality alerts remain in effect, make sure to wear a mask. N95 respirators are ideal, as these offer the highest level of protection against airborne particles.

Consult your doctor: If you are at heightened risk of adverse health effects due to smoke, talk to your doctor about what you should do if your symptoms worsen and about any medication you should have on hand to manage them.

If you experience smoke-related medical problems, contact your doctor as soon as possible. If a medical emergency occurs, please dial 911 immediately.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Can Exercise Relieve Nasal Congestion?

Mild to moderate physical exercise can temporarily relieve nasal congestion. A runny nose often occurs because of irritation in your nasal passages. This can occur due to a variety of causes, including sinus infections, airborne substances such as smoke or strong perfumes, and allergies.

Exercises such as push-ups can provide quick relief by opening your nasal passages and reducing inflammation that may be affecting them. However, this may not be the best approach in all cases.

Relieving nasal congestion through light exercise can be helpful when your symptoms are not severe and are limited to your nose, throat, or other parts of your head. However, if you’re experiencing symptoms that are worse or occurring in other parts of your body, such as a fever, fatigue, chest congestion, or muscle aches, it may be best to rest and avoid unnecessary exertion.

Additionally, physical exercise may even be a contributing factor to your nasal congestion in certain cases. If you have asthma, for example, your congestion may be a result of exercise-induced asthma, which causes your airways to constrict in response to hard physical activity.

Before exercising with nasal congestion or a cold, you should talk to an ear, nose, and throat doctor (ENT), also known as an otolaryngologist, to determine the cause of your congestion and whether physical exercise may help or harm your symptoms. An otolaryngologist can also prescribe decongestant medication or recommend alternative methods of relieving your congestion that may be safer for you, such as:

  • Using a humidifier
  • Taking a hot shower
  • Drinking more water throughout the day
  • Applying a warm compress to your face

If you’re experiencing nasal congestion, you can find an otolaryngologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7110.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.