Cough Accompanied By Shortness Of Breath And Chest Pain?
Hello doctor. I am 22 years old girl. Since I was a child, I have never had respiratory disease and there is no hereditary history of respiratory disease. But in the last 1 year, every time I coughed, it was always followed by shortness of breath and chest pain. When the doctor checked, I said I had asthma. Then, can I really have asthma? What is the difference between my asthma and congenital asthma, such as someone with asthma? Next, what should I do so that my asthma doesn’t recur? thank you
Hello good morning Ivani.
Asthma is a disease in the form of increased airway response to various allergens and irritants that cause airway obstruction / blockage. This increase in body response causes mucus (mucus) production, narrowing of the airway muscles, swelling of the airway walls causing obstruction. It is this obstruction that gives the typical symptoms of asthma, including:
shortness of breath or shortness of breath coughing, especially at night or in the morning a wheezing sound when breathing in the chest feels like tightness Asthma that first occurs in adulthood is called adult-onset asthma. This condition is more often experienced by women than men. Some of the possible causes of this condition include:
Exposure to allergens (substances that cause allergies) and irritants (substances that cause irritation) such as cigarette smoke, chemicals, dust, house dust mites, and other substances that are commonly found by someone in their environment (in the home environment or workplace environment) can triggers the first asthma symptoms to appear in adulthood. Hormonal fluctuations in women. In some cases, a person has asthma for the first time when she is pregnant or after pregnancy. In addition, asthma that occurs for the first time can also occur when a woman is experiencing menopause. Disease due to certain viral or bacterial infections that a person experiences for the first time can also trigger adult-onset asthma People who are overweight The main risk factor that can cause a person to experience asthma is a family history of atopic (i.e. biological family, including father, mother) , brothers, grandparents). Atopic history is a history of allergies of any kind, so it's not just a family history of asthma alone that can increase the risk of asthma. Examples of other family history of allergies that can be risk factors include: history of hives in family members, history of frequent sneezing or runny nose, or coughing, or watery eyes in the morning / evening when the weather is cold, history of dermatitis atopic (skin disease caused by an allergic reaction, also known as skin asthma), etc.
To be able to diagnose asthma in adults, doctors need to explore the complaints experienced by patients, consider the history of the disease that has been experienced, and perform a physical examination. In addition, if necessary, the doctor will recommend investigations to help make a diagnosis, such as a spirometry test to see lung capacity, or a lung X-ray. These examinations are also needed to help rule out other possible diagnoses that mimic asthma, such as chronic obstructive pulmonary disease consisting of chronic bronchitis and pulmonary emphysema.
In contrast to children who usually experience intermittent asthma attacks (come and go), adults who have just been diagnosed with asthma will generally experience persistent (persistent) symptoms, so they may receive daily medication to control their asthma.
To control asthma from recurring, it is necessary to know the triggers that can trigger an asthma attack. Here are some steps you can take to control known asthma triggers in the environment:
Clean the house from dust, mites, cockroaches, and other allergens that trigger allergic reactions, choose foods that don't cause allergies, reduce outdoor activities to avoid exposure to pollen, which can trigger asthma. Evaluate your workplace for possible triggers of asthma and avoid exposure against these allergens To find out first aid in asthma, you can read it here.
That's all, hope it helps.
Greetings, dr. Denisa