Does the temperature increase with asthma? Why does fever occur in bronchial asthma and how to treat the disease? Bronchial asthma of physical exertion

Bronchial asthma is a respiratory disease that occurs in the absence of resistance from the immune system. Modern medicine interprets asthma as an allergic inflammatory process accompanied by disorders of the bronchial system. An increase in body temperature is not a typical manifestation of bronchial asthma.

Why does the temperature appear?

Most likely, the attack is caused by a cold. Often the disease occurs due to acute respiratory viral infections, so when the temperature rises, you need to find out what infection caused the attack. An experienced pulmonologist will help in this matter.

Bronchial asthma without complications is mainly characterized by shortness of breath with difficulty exhaling, a persistent strong cough without sputum, a slight increase in temperature and skin manifestations (urticaria, psoriasis).

Only an experienced doctor can distinguish obstructive bronchitis from bronchial asthma. The causes of the first are various infections of viral, bacterial or fungal origin. In some cases, a bacterial infection is associated with a viral infection. Whereas bronchial asthma is a reaction to various allergens (animal hair, dust, household chemicals, pollen and food products).

The connection between infectious-allergic asthma and bronchitis is very clearly monitored: bronchitis lasts up to 21 days, becomes chronic, and then asthma attacks occur, which are accompanied by low-grade fever (up to 38.0 ° C). This is due to inflammation of the upper respiratory tract. Often, patients with this disease suffer from food or skin allergies.

Factors causing the disease

There are a number of factors that reduce immunity, resulting in asthma attacks. These factors include:

1. Malnutrition and lack of sleep.
2. Chronic fatigue.
3. Constant emotional stress.
4. Hormonal changes.
5. Long-term progression of other diseases.

In infectious-allergic asthma, in addition to the basic manifestations, attacks may have their own characteristics:

• when coughing, a lot of viscous and mucous sputum is released, sometimes pus is present;
• possible spasm of the respiratory tract, causing suffocation;
• the duration of attacks can reach several days;
• wheezing with difficulty exhaling;
• frequent and shallow breathing.

As mentioned earlier, attacks can occur with changes in body temperature. It is observed both increased and decreased. The reasons for its occurrence are also varied. The most common include immune system failures, drug overdose, stress, and disruption of the endocrine system.

IMPORTANT! If attacks of bronchial asthma are characterized by constant changes in temperature, then you need to urgently contact a medical facility. Qualified doctors should order a series of tests to identify the causes of such differences.

Exacerbation of infectious-allergic asthma is observed in winter, spring and autumn at low atmospheric temperatures. This disease should not be ignored and must be treated for several reasons:

1. Without the use of medications, the patient's condition will not improve.
2. Various complications are possible, and without proper treatment, pulmonary emphysema is possible after 3 years.
3. There is a possibility of getting related ailments.
4. Lost ability to work ⇒ read about disability.

It is also worth noting that in women with a similar illness, more severe attacks occur monthly. This is due to menstruation and PMS, when emotional stress increases. Therefore, asthma can be considered a psychosomatic disease and it is better to seek the advice of a specialist in this field.

Types and stages of asthma development

In addition to the typical type of asthma described above, there are others in medicine. Thus, mild asthma develops into obstructive bronchitis during exacerbations and is classified as an asthmatic type. Some people suffer from a constant night cough, in which there is no shortness of breath - this is an asymptomatic type of asthma that can develop into typical asthma.

If bronchial asthma has developed due to constant physical exertion, then it is asthma of physical exertion. It is characterized by shortness of breath and fatigue during exercise, wheezing and coughing, as well as a feeling of heaviness in the chest.

Asthma develops in all patients according to the same pattern, which can be divided into 3 stages.

♦ The first stage is characterized by pain in the chest, which spreads to the abdominal area and shoulder muscles. There is a cough with shortness of breath, but there is very little sputum. The patient's general condition can be described as hyperexcited.

♦ In the second stage, the patient's condition worsens: breathing becomes rapid and shallow, and the skin may become pale gray. A decrease in heart rate and blood pressure is often observed, which leads to apathy of the patient. Rarely - body temperature rises to 38°.

♦ At the third stage, the skin becomes bluish, and blood pressure is near critical norms. The patient may suffocate and often have convulsions. If proper treatment does not occur at this stage, then unpredictable consequences are possible.

IMPORTANT! Symptoms of the inflammatory process in the bronchi appear not only during an attack, but also when it subsides. These symptoms can be treated with special medications aimed at eliminating the main causes of the disease.

Principles of treatment

Due to the complexity of the disease and the large number of components, treatment is carried out in several areas at once:

1. Medications are prescribed to relieve symptoms. Their task is to expand the bronchi and eliminate allergies. These include inhaled hormonal agents, antihistamines or antispasmodics. The pulmonologist must select medications individually for each patient. The inhalation drug Fliktosid, Ascoril and Miteka syrup or Ketotifen tablets are often prescribed. Sometimes, in addition to them, special massages and salt caves are prescribed.
2. Medicines are used to relieve the inflammatory process. But initially the type of infectious agent is determined. Doctors prescribe antibiotics, both in the form of tablets and in the form of inhalation solutions, and only in extreme cases resort to injections. Cefazolin is generally used for 7 days. If the patient's condition worsens, then hospitalization is performed.
3. Attention is paid to removing mucus and clearing the respiratory tract. For this purpose, mucolytic and bronchodilator drugs are used.
4. Trying to boost immunity. Doctors resort to physical therapy, exercise therapy or massage, because immunomodulatory drugs can only intensify the allergic reaction.

IMPORTANT! If the disease occurs with a high temperature, then it is important to undergo a series of examinations, and only then the doctor should prescribe a course of treatment. In case of a prolonged attack, when medications cannot eliminate it, inpatient treatment is recommended.

Treatment of infectious-allergic asthma is a long and continuous process in which patience and impeccable compliance with doctor’s prescriptions play an important role. In addition, it is worth remembering that for a successful recovery you must take medications, because this disease cannot be cured with folk remedies.

√ Good to know ⇒ Bronchiectasis

bronchial.ru

A chronic disease that most often occurs as an allergic reaction to a number of pathogens is called bronchial asthma. The patient is constantly tormented by suffocating attacks, which he describes as “I can’t exhale,” a hacking cough and shortness of breath even at rest. Temperature in bronchial asthma is not a specific symptom. Often, the thermometer readings increase when pathogens affect a weakened body.

Reasons for rising temperature

Now doctors consider the disease as an allergic reaction of the body to pathogens. This response is accompanied by disorders of the bronchial system and develops due to the inactivity of a weakened human immune system. A high temperature is more likely a sign of a concomitant disease (for example, ARVI, influenza, etc.), which causes inflammatory processes and provokes changes in thermometer readings. Men, women and even children suffer from this disease. Bronchial asthma develops as a result of pathologies of the bronchi or upper respiratory tract, when the inflammatory process is not treated for a long time, or the therapy is not selected correctly.

The disease is accompanied by attacks that can occur at any time, so the patient must always be prepared and have medications with him to cope with the symptoms and manifestations of the disease. Otherwise, suffocation during an asthma attack can be fatal.

Many patients, when faced with the manifestations of bronchial asthma for the first time, wonder whether body temperature can increase with this disease and what the consequences are. At the initial stage, the disease can indeed resemble the symptoms of a cold with an increase in temperature. The development of asthma is usually a consequence of asthmatic bronchitis, among the symptoms of which there is a change in the body such as a feverish state.

Doctors note that with a disease such as bronchial asthma, a decrease in body temperature is often observed. If the temperature becomes higher, this is most likely due to a respiratory disease superimposed on asthma. When an attack begins, the thermometer readings may rise slightly, within 38 C. Do not panic, for many attacks are accompanied by exactly this body temperature, but then it returns to normal values ​​on its own.

If elevated degrees on the thermometer persist for a couple of days, you should consult a doctor for diagnosis and treatment.

Other factors

Other reasons that provoke temperature changes may be:

• Anemia.
• Nervous tension, stressful conditions.
• Uncontrolled use of medications.
• Hyperthermia.
• Decreased immunity.
• Pathologies of the lungs and bronchi.
• Disturbances of the endocrine system.

Asthma exacerbations usually occur in autumn, winter and spring when the climate changes. At this time, asthmatics should be extremely attentive to their health, as the risk of developing the disease is high.

In women suffering from a disease such as asthma, complications in the form of temperature changes occur every month due to the menstrual cycle. This happens due to the increase in emotional stress these days and changes in hormonal levels.

Asthmatics often experience complications when vapors from household laundry detergent, furniture polish, dishwashing liquid, and even soap enter their lungs. When entering an unfamiliar place, the patient must prepare for the fact that there are pathogens there that can lead to the development of an allergic reaction and an attack of bronchial asthma. You should always have antispasmodics and antihistamines with you to relieve an attack.

Treatment of the disease

To choose the right treatment regimen, you need to contact a qualified specialist who will conduct a series of studies. The doctor will determine the causes of symptoms such as fever in asthma and prescribe symptomatic treatment for the root cause.

Since asthma is a complex disease, therapy is designed to help in several ways:

1. Hormonal drugs as inhalations, antiallergic drugs and antispasmodics will help overcome the primary manifestations of the disease. The main goal of this type of therapy is to dilate the bronchi and relieve a person from allergy symptoms. This will alleviate the patient’s condition during an attack.
2. Fever in asthma occurs due to an inflammatory process. Therefore, having determined the infection that has become the causative agent of inflammation, the doctor prescribes medications that can effectively cope with inflammation. Preliminary studies should show the sensitivity of pathogens to various groups of medications. As a rule, these are antibiotics in tablets. If after this the patient’s condition does not improve, he has to be hospitalized and resort to injections of the strongest broad-spectrum antibiotics.
3. An important task of the doctor is to cleanse the patient’s lungs and remove mucus in order to avoid re-inflammation and recurrent attacks. For this purpose, mucolytic and bronchodilator medications are used.
4. To avoid relapse, it is necessary to increase the patient's immune defenses. For this purpose, various massages, physiotherapy, and exercise therapy are used. The patient is advised to rest, change the environment or even the climate by going on a trip.

If a patient suffers from a high temperature, it is necessary to undergo a thorough examination that can identify pathogens that provoke changes in body temperature. After this, appropriate treatment will be prescribed. If the patient's condition worsens, hospitalization will be required.

Treating asthma with a high fever can be lengthy and difficult. It is important to pay close attention to treatment, not to interrupt therapy and listen, and to follow all recommendations of your doctor.

elaxsir.ru

could it be and what should I do?

Any disease has certain symptoms that indicate what is happening in the body. Bronchial asthma is also characterized by specific symptoms, including:

These signs are also characteristic of other respiratory diseases and colds. It is difficult to determine an exact diagnosis; an examination is required. However, bronchial asthma often has one difference - it is not characterized by an increase in temperature.

Why is it possible to have an elevated temperature during asthma?

Asthma is a chronic disease that cannot be completely cured. In other words, it lasts for years, and all this time the symptoms periodically remind themselves.

However, the presence of asthma does not exclude the development of other diseases in the patient, for example, of infectious origin. In this case, the symptoms of bronchial asthma are accompanied by signs of a concomitant disease, including high temperature.

Can the temperature rise only during exacerbations of asthma (when there are no viral diseases)? This happens very rarely. Typically, during attacks there is a decrease in temperature, which occurs due to more active breathing, which has a cooling effect.

But there may be situations in which the temperature increases. This:

• allergic reaction;
• drug overdose;
• pathological processes in the organs of the respiratory system;
• disturbances in the functioning of the immune system;
• endocrine disorders;
• stress.

All these circumstances are not part of the manifestations of bronchial asthma - these are either factors that provoke it or its complications. Therefore, we can say that the cause of hyperthermia is not asthma.

In other words, the symptom in question is not characteristic of asthma. If it manifests itself, this indicates the presence of another type of abnormality in the body. An exception may be the case when an aggressive asthma attack occurred unexpectedly, which frightened the patient and caused exactly such a reaction in his body (but this is already associated with individual characteristics of the reaction).

This means that if an elevated temperature is detected due to asthma, you should consult a doctor to determine the cause of this phenomenon. This is especially true for children, since the children's body is too sensitive to external influences.

But even more dangerous is the situation when body temperature changes sharply. You definitely need to pay attention to this, since bronchial asthma is already a complex disease, and if there are complications and additional diseases, the danger increases.

Is it necessary to shoot down?

In most cases, doctors do not recommend lowering the temperature below 38 degrees. When present, the body’s defenses are activated, which contributes to a speedy recovery. However, in the case of bronchial asthma, everything is ambiguous. It all depends on what causes this phenomenon and how it can affect the patient’s condition.

Infectious diseases and allergic reactions that cause fever can aggravate asthma, so you should find out how best to deal with them. If they are accompanied by severe hyperthermia, which is poorly tolerated by the patient, this symptom should be eliminated.

If such a reaction occurs due to a drug, you need to be careful because taking additional medications may make it worse. Therefore, if you have a high temperature, you should consult a doctor.

If the reason is a stressful situation, then the temperature should drop on its own as soon as negative experiences are eliminated. But it also happens that due to hyperthermia, unwanted emotions become even brighter and stronger, which causes a further increase in body temperature. In this case, it makes sense to turn to medications.

At a temperature that arises due to pathological processes in the respiratory system, the doctor must decide whether to bring it down or not. If a pathology of the respiratory system is detected only after the occurrence of this symptom, it is necessary to conduct an examination and choose treatment. In this case, any ill-considered actions can cause harm.

In general, hyperthermia during asthma if it:

• insignificant;
• does not last long;
• well tolerated by the patient,
• does not require adjustment with medications.

Only serious increases that do not go away for a long time and seriously worsen the patient’s condition require such influence. Despite the fact that there is no need to lower the temperature during asthma, in some cases it must be done. This is especially important in the presence of diseases that can complicate the course of asthma (for example, ARVI).

They need to be eliminated as quickly as possible. Therefore, the patient must know how to cope with this problem. To do this, you should consult with your doctor, which should be done the first time hyperthermia is detected. The fact is that antipyretics for adults and children with asthma should be selected by a specialist depending on the causes of this phenomenon.

In some cases, this symptom is successfully treated with anti-inflammatory drugs prescribed to prevent asthmatic exacerbations (Nedocromil sodium, Dexamethasone). With their help, hyperthermia is quickly eliminated.

It is acceptable to use conventional antipyretics (Paracetamol, Nurofen). However, they should be avoided in aspirin-induced asthma. In this situation, you need to treat medications very carefully and not use them unless necessary.

It is better to bring down the temperature with the help of folk remedies (drinking plenty of fluids, herbal infusions). But you also need to be careful with them so as not to consume a component that is an allergen.

Antibiotics are also suitable for these purposes, especially if the problem is due to infection (Ceftriaxone).

In other words, a specialist must choose a medicine to eliminate a symptom such as fever, since too many circumstances need to be taken into account. This is especially important for children, since the child may get rid of asthma as they grow older, and it is important to prevent possible complications.

Hyperthermia in bronchial asthma is considered a rare phenomenon, which usually manifests itself in the presence of complications. Therefore, this symptom is a reason to consult a doctor, who will identify its causes, determine the degree of danger and choose a way to overcome it.

It is important to remember that minor changes in temperature, which are observed rarely and pass quickly, are not a cause for alarm even with such a serious illness. However, if hyperthermia persists for a long period of time or occurs during an acute asthmatic attack, it is better to undergo examination.

Bondarenko Tatyana

Expert of the OPnevmonii.ru project

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Temperature in bronchial asthma

Bronchial asthma is an unpleasant and dangerous chronic disease accompanied by constant inflammatory processes provoked by certain external or internal factors. Allergens are caused by a variety of causes: infections caused by bacteria or viruses entering the body, and irritants – chemicals or small particles. Sometimes the development of bronchial asthma can be triggered even by prolonged stress.

The main symptoms include frequent attacks of suffocation, sometimes independent of activity or time of day, characteristic shortness of breath with difficulty in getting out, as well as a strained paroxysmal cough with the inability to get rid of phlegm.

Many people, encountering such symptoms for the first time, wonder: is there a fever with bronchial asthma?

Typically, a low temperature accompanies the disease that precedes the development of bronchial asthma - asthmatic bronchitis. The disease most often manifests itself in children over 3–4 years of age who are overweight or in a child of any age suffering from diathesis or rickets. It is in this case that a problem may arise with determining the true nature of the disease, since the first signs of incipient bronchial asthma are accompanied by temperature fluctuations and other symptoms of colds. But most often in such a situation, the child is diagnosed with several diseases, the symptoms of which overlap each other.

Is it possible to confuse bronchial asthma and classic bronchitis?

Although sometimes diagnosing the disease can baffle even experienced doctors, in most cases it is the presence of elevated temperature that speaks in favor of bronchitis rather than asthma.

Can temperature change during bronchial asthma?

Although in most cases this sign is not a characteristic symptom of the disease, experts do not deny that some patients have recorded changes in temperature (most often there is a decrease in temperature). The features of the processes occurring are revealed in the osmotic theory, which is very popular among doctors. It takes into account the effect of physical activity on lungs damaged by the disease.

With any active activity, a person’s breathing quickens and a large volume of air enters the lungs, which is less humidified and slowly warms up. This leads to cooling not only of the respiratory tract, but also of the entire body as a whole - the body, as it were, “gets cold” from the inside.

Are there situations in which bronchial asthma is accompanied by fever?

An increase in temperature occurs only if the disease is accompanied by increased activity of bronchopulmonary infection. Such cases are called subtrophilic or long-term observed conditions.

Most often, low-grade fever does not exceed 37-37.5 degrees and occurs against the background of acute respiratory diseases superimposed on asthma.

It is worth noting the difference in the nature of low-grade fever:

• infectious - poor tolerability in combination with a positive reaction to antipyretic drugs;
• non-infectious - an almost imperceptible, smooth course with no reaction to medications.

Is it necessary to bring down a low-grade fever?

Most experts note that there is no need to take medications provided that the patient tolerates his condition well.

What diseases have symptoms similar to bronchial asthma?

1. Acute bronchitis is characterized by a slight increase in temperature with a complete absence of shortness of breath. Most often, bronchitis is preceded by an untreated cold.
2. Obstructive bronchitis - shortness of breath, wheezing and heavy exhalation inherent in asthma, accompanied by a sharp increase in temperature to 38–39 ° C. The main difference of the disease is the absence of recurring attacks.
3. Pneumonia - high temperature, strained cough and constant shortness of breath without specific difficulty in exhaling.

astmabronhit.ru

Temperature during asthma in a child: what is it and how long does it last?

Features of temperature in a child with asthma

A typical normal or slightly lower temperature for asthmatic children may increase for the following reasons:

• Increased reaction to high doses of allergens.
• Side effects of drugs.
• Increased inflammatory processes in the lungs, bronchi, and trachea.
• Endocrine and immune disorders.
• Severe stress due to the unexpected onset of an attack.

After all, temperature is the body’s reaction to trouble. And it can appear in cases of severe exacerbation of asthma. Although, in the period between attacks it is not typical for her and is not considered a symptom of this disease.

What temperature?

High hyperthermia complicates the course of asthma, as does taking any additional medications, even if they are not contraindicated. Therefore, already at a temperature of 37℃, the child must begin to drink heavily in order to prevent a sharp rise to 38 and above. But this drink should not contain allergens.

2013-03-14 06:20:18

Diana asks:

Hello, please help. I am 33 years old. The last three years have been completely tormented by relapses - herpetic keratitis of both eyes, corneal erosion, while visual acuity itself has not been reduced, but the disease has left cloudy scars on the cornea itself. Very painful relapses occur 20 times a year!!! (treatment: “acyclovir” tablets, interferon eye drops, “Vegamox” eye drops, “Virgan” eye gel, “Systein-Ultra” eye drops , - with each relapse. "neovir" intramuscularly twice a year, "cycloferon" intramuscularly last time in February of this year. began in 2004 with single relapses once or twice a year. ophthalmologists, ENT specialists and others cannot understand the reason. Today, relapses have reached three times a month!!!
Among chronic diseases - mixed bronchial asthma of moderate severity, under control, not particularly bothersome (which appeared after community-acquired pneumonia in 2004), allergic rhinitis (I undergo allergy tests once a year - nothing was detected, and eosinophils in the blood range from 3 to 11, regardless of the time of year), migraine, in recent years, acute respiratory viral infections with a constant temperature of 37.5 for a long time have become more frequent. All HIV tests are negative, according to gynecology everything is normal - I gave birth to two children, there are no infections of the genitourinary system and there have never been any.
ELISA tests to detect immunoglobulins for viruses are negative (oddly enough). Please kindly decipher the immunogram. I will write down the results that are “out of the norm”:
result is normal
Lymphocytes (abs.) 2.0 1.7-1.9
T-lymphocytes (E-ROK)(abs.) 1.32 0.80-1.20
T-lymphocytes active 50 24-30
T-lymphocytes active (abs.) 1.04 0.40-0.57
B lymphocytes (EAC-ROK) 29 12-26
B lymphocytes (EAC-ROK)(abs.) 0.60 0.20-0.49
HCT 45.4 34.1-45.0
MCV 98.1 79.4-95.0
MONO 0.62 0.24-0.36
ESR - 3
Hemoglobin - 146
Thank you in advance!

Answers Consultant at the medical laboratory "Sinevo Ukraine":

Good afternoon, Diana.
The data you provided does not qualify for an immunogram. At least they indicated that yours is normal, because... I don’t know what indicators you did an immunogram for. The same story applies to antibodies to viruses, which ones?
Judging by the clinic described, there are problems with the immune system. You should probably be examined for autoimmune, hematological and infectious diseases.
Besides, going to a good classical homeopath won't hurt either.
Lymphocytosis is observed in a number of bacterial and viral infections, in hyperthyroidism, diseases of the lymphatic system, and rheumatic diseases. An increase in B-lymphocytes is observed in acute and chronic infections, lymphocytic leukemia, myeloma, etc.
In any case, you need to sort it out in person.
Be healthy!

2012-11-02 13:17:58

Maria asks:

Hello! For 2 months I have been bothered by a dry cough, a sensation of a lump somewhere in the trachea, just below the throat. I was examined and tested for IgE - normal, eosinophils in the blood were normal (2). There are no changes on the chest x-ray. FVD revealed latent bronchospasm. Based on this, the doctor diagnosed me with bronchial asthma. I bought a peak flow meter and have been taking measurements in the morning and evening every day for 8 days. For my age and weight, the norm is 393, my readings are usually 450-470. There are no so-called “morning dips” in the peak flow graph. Please tell me, maybe I just did the FVD wrong? Recently, the cough has decreased significantly, but the feeling of wheezing in the lower left lung has increased when coughing; it does not exist with simple inhalation and exhalation. I was advised to see a psychologist, and I started consulting with him. There were no attacks of suffocation. Long-term increase in temperature 37-37.2. What could it be?

2012-05-05 17:34:00

Svetlana asks:

Good afternoon, Vera Alexandrovna. Please help me. I want to breathe normally, but I can’t (((Sorry, I can write in detail and emotionally, because I no longer have the strength to live like this, and I no longer have doctors who I can consult with. Background: I’m 25. In October I fell ill with pneumonia , we were treated in the hospital for a month, it either subsided or recurred again. They cultured a large growth of pneumococci and staphylococci. They even used Amoxiclav, Tavanic, Ertapenem, Vancomycin, but to no avail, in the end they instilled sumamed and it became easier. (As it turned out, I already had it in March mycoplasma pneumonia). Although the pneumonia resolved in November, residual effects in the lungs remained and remain to this day, even increasing in size (pneumonia was in the 10th segment of the right lung, and now the pulmonary pattern of the entire lung of the right and slightly of the left has been enlarged). symptoms: constant weakness is unbearable, temperature 36.9 - 38, no cough, but the feeling of pressure in the lung is strong and recently when walking (although I can barely walk, shortness of breath has appeared), as well as tingling in the lung, in the place where there was pneumonia, It even hurts to lie on the right side. All these months I have been seeing doctors, I was in the pulmonary department in Kharkov, and I had a consultation in Kyiv. In Kyiv, during the next bronchoscopy, I was cultured with Pseudomonas aeruginosa (the captions were not written). But the doctor in Kyiv didn’t pay attention to this, my blood clinic tests were already normal then (I also didn’t know anything about Pseudomonas aeruginosa then, only now I read about it that it was dangerous). When my temperature at home in Kharkov once again rose to 38.5, I went to the infectious diseases department in Kharkov, the doctor prescribed me fromilid (fromilid, because the doctors of the only two pulmonary departments in Kharkov do not believe that I could have Pseudomonas aeruginosa in the lung , we are sure that the tests were not done sterilely in Kiev), after 7 days the blood tests came back to normal and I didn’t have a fever for a month, my lungs seemed to hurt less, I had strength, and I was finally glad that all the torment was ending (pressure and distension the truth still remained in the lung). A week and a half ago, my temperature rose again to 37.5. I no longer went to the doctors, because the pulmonologists in Kharkov decided that they had already cured me. If they do treat it, it will be for anything, just not for Pseudomonas aeruginosa, because they don’t trust the tests. Tell me, please, 1) if Pseudomonas aeruginosa is still present in the lung, and blood tests are almost normal (only monocytes are elevated) and a little ESR, then is it possible not to treat it with antibiotics, is there a chance that the body will someday overcome it itself? 2) will there be any complications with the lungs later if it is not cured? 3) An infectious disease specialist in Kharkov said that from his experience, Pseudomonas aeruginosa in the lungs is not cured at all, it develops into a chronic infection, what could this chronic infection threaten me with? 4) can I breathe poorly because of it? (bronchial asthma was excluded; there is catarrhal endobronchitis of the 1st degree). Sorry for writing so much, but I honestly don’t know what to do anymore? Please tell me. I can’t check for myself whether there is still Pseudomonas aeruginosa, the sputum does not clear up with any bronchodilators, and no one in Kharkov will do a bronchoscopy for me from the street. Please help me please. (my mail [email protected])

Answers Strizh Vera Alexandrovna:

Hello! Catarrhal endobronchitis of the 1st degree in the absence of fever and clinical manifestations of an active bacterial infection cannot be the basis for antibiotic therapy and, moreover, the cause of pressure and distension in the lung. Rule out diseases of the digestive system, heart and thyroid gland.

2012-02-16 21:34:40

Gregory asks:

Hello! I am 30 years old. My disease appeared 1 year ago. It started with me feeling dizzy, feeling very weak, and feeling like I was losing consciousness. When an ambulance was called, the blood pressure increased to 170/120 and tachycardia (130 bpm) was then treated in cardiology (with a diagnosis of VSD). After discharge, my health improved slightly. But a week later everything started back (general weakness, dizziness, tachycardia when walking) I turned to a therapist - they began to treat “ARVI” and closed the sick leave with the same symptoms (14 days passed). Two weeks later I am on sick leave again (they again diagnose ARVI). I myself went to the doctors - a neurologist, an endocrinologist and an infectious disease specialist. I underwent examinations: tests for hormones, blood (detailed, for potassium, etc.), hormones, REG, EEG, HIV, cardiogram, x-ray, ultrasound of the thyroid gland and abdominal cavity, swallowed the probe. everything is normal except - they found me hepatitis B, I also suffer from bronchial asthma and chronic. gastroduodenitis, all this was normal at the time of the examination.
With these results, the neurologist sent me to the regional hospital where I was diagnosed with vegetative dysfunction of the mixed type. Upon arrival back to the doctor, he told me that it was not his and referred me to an endocrinologist who, in turn, said the same thing and sent me back (but advised me to drink a note). Afterwards I went back to the therapist (about 2 weeks later), but I also developed other symptoms: pain, tingling in the area of ​​the heart; nausea in the morning; feelings of fear, fear of losing consciousness, etc.; he ordered new examinations of the stomach and another neurologist - who sent me to the hospital (saying that she had no time to bother with me) there they gave me Mildronate, Adoptal, Caventon, Neurovitan, Actovegin. After discharge, there were no recommendations and I was discharged with a temperature of 37.4 (which I have from time to time), headache and slight dizziness. Although I felt much better, alas, I had 14 days of sick leave. Two weeks later, I went to another neurologist (through friends), because all the symptoms started again (tremor in my hands, feelings of fear, temperature 37.1, weakness, blood pressure 170/100 (I called for an emergency magnesium injection), tachycardia etc. She said that these were panic attacks and prescribed myoserne 0.5 tablets before bed. It became easier, but periodically the temperature rose, stomach upsets, and fatigue, dizziness. As a rule, this happens in the afternoon after sunset, I feel better I drank for 1.5 months as prescribed, but after stopping two weeks everything intensified again, I went to see her and they prescribed myosern again. After drinking for a month, I suffered a strong emotional shock and my blood pressure increased, and at the slightest excitement, pressure appeared, tachycardia, predilection. fainting state. By coincidence, my mother was in neurology and there I took a consultation. The head of the department advised me to drink afobozol 1-3r and bisoprolol 0.5 in the morning, diagnosing HD I-II DE with moderate astheno-neurotic syndrome, and referred me for a consultation to cardiologist with cardiogram. The cardiologist said that the cardiogram was good and that it was a nervous condition, but they prescribed me to take the same medicine for a month. I drank it for 1.5 months. and after stopping, I started feeling dizzy again, aching between the shoulder blades, but less often. I turned to a massage therapist who advised me to first contact a homeopath. After 2 weeks, the attacks began to become more frequent, I started drinking myosern again because... he had the skills to have a home. I haven’t gone to a homeopath for colds yet.
Please tell me what I need to do and what to treat?
Thanks in advance.

Answers Yatsenko Ekaterina Valentinovna:

Dear Gregory, judging by the symptoms you described, your primary treating doctor should be a neurologist. I recommend finding a competent doctor and continuing therapy (this pathology requires long-term methodical treatment).

2012-01-10 18:41:12

Elena asks:

Since the end of October 2011, a slight pain in the middle of the chest, a dry cough, weakness, and a temperature of 37-37.2 suddenly appeared. I went to see a therapist at my place of residence, and he diagnosed: allergic type bronchitis? The therapist prescribed an X-ray of the OGK, and issued a referral for a consultation with an allergist. The result of the chest x-ray: no infiltrative, focal shadows are detected, the pulmonary pattern is somewhat enhanced, the roots are stringy, the sinuses are intact, the heart is not enlarged in size. Complete blood count: WBC 7.6; RBC 4.48; HGB 143;HCT 0.418;MCV 93.3;MCH 31.9;MCHC 342; PLT S 318. Treatment was prescribed: ambroxol, ventolin, lorano, travesil, erespal, ascorutin. The allergist issued a referral to the bacteriological laboratory for a culture from the nose and throat, as well as for general IgE. Result of bacterial culture: abundant growth of Staphyloccus aureus in the throat, no pathogenic bacteria were detected from the nose; no mushrooms were found. The result of the blood test for IgE is 9.77 IU/ml, reference intervals up to 87.0.
Treatment with a therapist did not produce any results; a week after outpatient treatment, her health worsened. In addition to the pain in the chest, heaviness appeared, the cough intensified (without phlegm), the weakness became stronger, an incomprehensible painful spasm appeared (a feeling as if a ball was rolling from the middle of the chest and into the throat) - only during the day, the lower part of the ribs hurt and there was a feeling that the ribs one size larger, there was no suffocation, no cough at night.
On November 18, 2011, she was sent to the regional hospital for a consultation with a pulmonologist, who gave a referral for bronchoscopy, based on the results of which treatment will be prescribed. I refused bronchoscopy due to side effects after it. I underwent spirography using 200 mcg of salbutamol. Spirometry without salbutamol: FVC- 3.52, should-3.46; FEV1 – 3.41 should-3.0; PEF L/s- 7.28 should-6.86; FEV 1% -96.9 debt -82.5. Conclusion: spirometry is normal. Spirometry 15 minutes after inhalation of salbutamol: FVC POST - 3.72 PRE -3.52; FEV1 POST – 3.44 PRE -3.41; PEF L/s POST – 6.64 PRE- 7.28; FEV 1% POST – 92.5% PRE – 95.5. Conclusion - the sample is negative.
On November 24, 2011, I went to a private clinic for a consultation with a pulmonologist. The pulmonologist gave a referral for fluoroscopy. The result of fluoroscopy: lungs without focal and infiltrative opacities, normal airiness, the pulmonary pattern is strengthened, moderately deformed in the hilar regions, the roots are reduced in structure, the diaphragm is clear, sinuses free, heart and aorta normal; conclusion: hilar pneumofibrosis. The pulmonologist, based on the fluoroscopy findings, diagnosed an exacerbation of chronic bronchitis aggravated by osteochondrosis. Treatment was prescribed: lazolvan intravenously, 10 injections; serrata 10 days; erespal syrup 14 days; rapithus -10 days; bronchomunal – 10 days; breathing exercises; massage on the chest. Lazolvan was able to give only 6 injections, did not take rapitus due to lack of availability in pharmacies in the city, and did 10 massage sessions per group cell. My health has improved a little.
On December 13, 2011, she went to the inpatient pulmonology department for treatment. The doctor diagnosed COPD stage 1 exacerbation of LIO. Treatment: intravenous latren (droppers), lazolvan 10 injections, dexamethasone 3 droppers, soda buffer, thiotriazoline, amplipulse per group cell 10 days; inhalation with flixotide 7 days. There are no improvements. During the treatment, the following tests were taken: 12/20/2011 urine test: specific gravity 1021, protein not detected, sugar not detected, Ep pl ed in p/z; alpha 4-7 in p/z; phosphates; 12/14/2011 detailed blood test: Ht -0.39; hemoglobin 148; red blood cells 4.4; color index 1.0; average erythrocyte volume 89; platelets 288; leukocytes 14.3; segmented neutrophils 74; lymphocytes 22; monocytes 4; erythrocyte sedimentation rate 7. Complete blood count 12/20/2011: Ht 0.47; hemoglobin155; red blood cells 4.8; color index 0.97; average erythrocyte volume 88; platelets 331; leukocytes 9.3; neutrophils, band 2, segmented 59; eosinophils 1; lymphocytes 26; monocytes 12; erythrocyte sedimentation rate 5. I had an ultrasound of the thyroid gland - there were no deviations from the norm.
On December 23, 2011, she was sent for a consultation with an allergist at the regional hospital. The allergist makes a diagnosis of bronchial asthma, possibly with an allergic bias. Prescribed to take Symbicort 2 times a day for 3 months.
On December 23, 2011, I did a tomography of the gr. cell, scanning mode - spiral, contrast enhancement - ultravist 300 - 100 ml IV bolus. Tomography results: the lungs are completely expanded, uniform pneumatization, without ocular and infiltrative changes, the pulmonary pattern is not changed, the trachea and bronchi are I-V orderly passable, without intraluminal pathology, in accessible areas of the pulmonary trunk, pulmonary arteries and their branches, no intraluminal contrast defects were detected, the mediastinum was not expanded, no pathological formations were found in the mediastinum, the lymph nodes of the roots of the lungs and the mediastinum were not enlarged, fluid accumulations in the pleural cavities and not detected in the pericardial sac, the layers of the pleura and pericardium are not thickened; No bone-destructive changes in the thoracic spine, ribs and sternum were detected.
Treatment at the pulmonology hospital did not produce significant results: the spasm has almost gone away (it appears sometimes but is not as painful as before), the heaviness in the chest has not gone away, the cough has not gone away (no phlegm), the ribs hurt from time to time. I can only sleep on my back if I lie down on on the side or on the stomach, the heaviness intensifies, and the sensation is as if some kind of vessel is being compressed inside.
Help with clarifying the diagnosis and treatment. I would be grateful for your help.

Answers Bondaruk Olga Sergeevna:

Good afternoon. If, according to CT data, there are no focal formations, then asthma is most likely present. In addition, it is worth doing FEGDS to exclude a hiatal hernia. The cough can be both nervous and allergic.

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News on the topic: temperature in bronchial asthma

In the autumn-winter period, the largest number of exacerbations of bronchial asthma is recorded: the frequency and depth of attacks become more pronounced and severe. Exacerbations in the cold season are mainly associated with meteorological factors and the prevalence of acute respiratory viral infections.

Elevated temperature during bronchial asthma is a rather atypical symptom, which indicates that an asthma attack occurred against the background of a cold. Most often, an increase in temperature during asthma is caused by ARVI. In order to find out exactly what kind of infection a high temperature indicates, you need to contact a pulmonologist.

Bronchitis and asthma

It can be difficult to distinguish chronic obstructive bronchitis from bronchial asthma on your own, but your doctor will help you figure it out. These diseases manifest themselves with a similar list of symptoms, but have different causes. They also require different treatments. Bronchial asthma is a type of allergic reaction, and bronchitis is an inflammatory process caused by a bacterial, viral or fungal infection. Most often, bronchitis is provoked by the following types of microorganisms:

In very rare cases, a fungal infection, such as Candida, is to blame for bronchitis.

Sometimes bronchitis can be triggered by a viral infection, which is then joined by a bacterial one. To treat bronchitis, antiviral or antibacterial agents are needed, depending on the type of pathogen. Bronchial asthma occurs as a reaction to irritating substances that a person inhales. Most often, people with bronchial asthma are allergic to:

• wool and excretions of animals, both wild and domestic;
• household dust mites and their excrement;
• certain types of foods, such as fish;
• some types of plants, such as ragweed, flowering plants.

Obstructive bronchitis in acute form can be accompanied by a temperature of up to 38.5-39 ° C. Bronchial asthma almost never causes an increase in temperature.

It is possible that the same victim has both bronchitis and asthma. In this case, the disease is called infectious-allergic asthma, that is, it is a chronic inflammatory process in the bronchi, which leads to an increased reaction to any external irritants. Most often, older people suffer from infectious-allergic asthma; it is very rare to find this type of asthma in those who are under 45.

In most cases, an increase in temperature in a child indicates two different respiratory diseases, and not one. If treated incorrectly, acute bronchitis can become chronic and, under unfavorable circumstances, relapse or turn into asthma. Most often, exacerbation of chronic bronchitis occurs against the background of a weakening of the body's defenses. Bronchial asthma worsens either seasonally (usually in spring and autumn), or after direct contact with an allergen. A correct understanding of what exactly causes a person’s poor health will help to choose effective treatment. To diagnose asthma and bronchitis, you need to visit a pulmonologist.

Signs of infectious-allergic asthma

It is possible to trace a clear relationship between the occurrence of infectious-allergic asthma and recent bronchitis. Asthma appears 2-4 weeks after the disease becomes chronic. The attack may be accompanied by a slight increase in temperature, since its main cause is an exacerbation of the inflammatory process of the upper respiratory tract. Often patients with infectious-allergic asthma also have another type of allergy - food, skin. Factors that can provoke an attack:

• malnutrition, prolonged feeling of hunger;
• insufficient amount of sleep;
• chronic fatigue, overwork;
• any other disease;
• hypothermia and heatstroke;
• stress, extreme situation, strong excitement;
• hormonal changes, menopause, pregnancy;
• prescribing new hormonal contraceptives or medications, for example, for skin allergies.

All these factors can provoke a decrease in immunity, which, in turn, leads to the activation of bronchitis even before the onset of an asthmatic attack. Last move:

• cough with large amounts of sputum;
• spasm of the respiratory tract, which causes suffocation;
• the duration of the attack is from several minutes to several days (with periodic decline in symptoms);
• wheezing appears when breathing;
• difficulty in inhaling;
• breathing becomes more frequent and shallow;
• The color of sputum can vary from white to green, sometimes with inclusions of pus, and the sputum is mucous and viscous in nature.

In many patients, infectious-allergic asthma exacerbates in the fall, spring and winter, when the air temperature is quite cold. What is the danger of this disease and why does it need to be treated?

Women with infectious-allergic asthma in most cases experience an exacerbation before the onset of menstruation, that is, an attack in a more or less severe form occurs monthly. Since stress can literally provoke an attack, asthma should be considered as a psychosomatic disease. In addition to taking medications, the patient needs to see a psychotherapist who specializes in psychosomatic diseases.

Treatment of infectious-allergic asthma

Since the disease is complex and has many components, treatment also consists of several areas:

In the treatment of infectious-allergic asthma, much depends on the patient himself. First of all, medications alone are not enough; psychosomatic factors must be eliminated.

If a person does not have the opportunity to see a psychotherapist, he can at least read professional literature on this issue.

To ensure sustainable progress in recovery, you need to avoid factors that provoke an attack. First of all, these are emotionally intense situations and contact with allergens.

You need to ensure yourself a sufficient amount of sleep and rest, and avoid overwork. Food should be varied and nutritious.

Bronchial asthma is a disease of the respiratory organs that occurs as a result of low resistance of the patient's body. In the modern understanding, asthma is an inflammatory allergic process accompanied by damage to the bronchial system when the body interacts with allergens. As a result of determining the cause of the disease, appropriate treatment is prescribed.

Symptoms of bronchial asthma

Uncomplicated bronchial asthma is characterized by the following symptoms:

severe suffocation, which most often occurs after physical exertion; sometimes obstructive bronchitis may appear; sometimes during an asthma attack the temperature rises to low-grade levels; there is shortness of breath, in which it is difficult to exhale;

the patient is bothered by a strong, incessant cough with minimal sputum production; On the part of the skin, urticaria, eczema, and psoriasis are possible.

If the body temperature rises above 38.5°C, it is necessary to exclude acute inflammation of the bronchopulmonary system by contacting a medical facility.

Causes of fever

Bronchial asthma in some cases can be accompanied by both low and high fever, the causes of which can be quite diverse. The most common ones include:

hyperthermia may be present if an asthmatic attack is accompanied by bronchitis; a sharp rise in temperature may be observed when the disease is accompanied by pathological processes of the pulmonary system (congenital defect, bronchiectasis, etc.); functional disruptions in the immune system; general intoxication of the body due to overdose or improper use of medications;

stress overexertion, anemia; often subfebrile temperatures (38°C - 38.5°C) are triggered by an acute allergic reaction and disruption of the endocrine organs. In addition, recently there has been an increase in cases of bronchial asthma with low-grade fever, which occurs due to a chronic process caused by a non-infectious form of respiratory infections.

In the case when attacks of bronchial asthma are accompanied by sudden changes in body temperature, that is, it is very unstable, immediate contact with your doctor is required. A qualified specialist is obliged to identify the cause of this condition by prescribing a series of diagnostic examinations. If such an increase (or decrease) is observed once and does not cause severe complications, you should wait some time, observing the patient’s reaction, and subsequently identify the etiology of hyperthermia.

Course of the disease

In a classic attack, asthma appears suddenly. In this case, rapid breathing and difficulty exhaling are observed. The person is forced to take the most gentle position and perform shallow breathing efforts. Difficulty in exhaling leads to the accumulation of air in the chest area, causing it to swell, and if you put both hands on your chest, you can feel a trembling when exhaling.

An asthma attack can last from 5 minutes to several hours. Sometimes it ends on its own. However, it is recommended not to wait for complications and to take an aerosol bronchodilator, since suffocation causes severe discomfort and ineffective treatment can worsen bronchospasm. In particularly severe cases, there is a high risk of severe complications, which require intensive therapy.

The interictal periods also differ. Some patients are virtually asymptomatic, while others develop serious changes in respiratory function during this time.

Forms of bronchial asthma

In many patients, asthma proceeds without obvious attacks, and during exacerbation they develop obstructive bronchitis, which is classified as the asthmatic form of bronchial asthma. Some patients, especially children, are predisposed to developing a persistent night cough without characteristic shortness of breath. This form of the disease is called asymptomatic, but over time it can take on a typical form.

The development of bronchial asthma in response to physical activity is classified as exercise asthma. With this form of the disease, bronchial hyperreactivity is observed, which is stimulated by the muscular system.

It must be taken into account that an asthmatic attack can cause emotional and psychological stress. Therefore, if there is a predisposition to asthmatic manifestations, stressful situations and nervous strain should be avoided.

Stages of asthma development

At the first stage of development, pain occurs in the chest area. Sometimes it can spread to the abdominal area, muscle area in the shoulder area. Cough and shortness of breath with minimal presence of sputum become noticeable. In addition, the patient becomes hyperexcitable. The second stage is characterized by a more severe condition of the patient. His skin color may change to pale gray, and his breathing becomes more frequent (it becomes shallow). In addition, there is a sharp drop in blood pressure and a decrease in heart rate. The patient becomes apathetic.

In the third stage of bronchial asthma, the color of the skin becomes bluish, blood pressure may drop to critical levels, the patient begins to choke and a convulsive syndrome may occur. If this condition is not treated promptly, irreversible consequences may occur.

It is important to consider that signs of an inflammatory process in the bronchi are observed in almost all patients, not only during an attack. They can be detected when the attack is in the attenuation stage. These symptoms require mandatory treatment. For this purpose, there are a number of special drugs, the treatment of which is aimed at combating the main causes of the development of bronchial asthma.

Treatment tactics

In case of illness with high fever, it is important to undergo a diagnostic examination, after which the doctor prescribes comprehensive treatment. It can be quite long. If the attack is prolonged and cannot be stopped with medications, it is recommended to go to a medical facility for treatment in a hospital setting.

During an attack of bronchial asthma, aerosol drugs are most often prescribed (Berodual, Atrovent, Salbutamol, Berotek, etc.). Inhalers are the most convenient to use, in addition, they are quite easy to store and can be carried with you.

It is important to consider that treatment with drugs that are used on an ongoing basis is sometimes not able to relieve the onset of an attack, but they can effectively reduce the susceptibility of the bronchi to the development of spasms. Such drugs must be taken for a long time without interrupting treatment. The most commonly used are long-acting glucocoricosteroids, which can also be in aerosol form. These include Fluticasone propionate, Beclamethasone, Flixotide, Budesonide, etc.

It should be noted that only patience and careful implementation of all medical recommendations and taking only those drugs prescribed by the doctor can most effectively neutralize the symptoms of the disease for a long period of time.

Take a test to control your asthma - More details ⇒

Not many people know that bronchitis is a dangerous disease that can become chronic or asthma. We will talk about how bronchitis, including chronic bronchitis, can be cured with pulmonologist, doctor of the highest category, candidate of medical sciences Ekaterina Viktorovna Tolbuzina - my recommendations will help you.

Bronchial asthma is a respiratory disease that occurs in the absence of resistance from the immune system. Modern medicine treats asthma as an allergic inflammatory
a process accompanied by disorders of the bronchial system. Increased body temperature is not a typical manifestation of bronchial asthma.

Why does the temperature appear?

Most likely, the attack is caused by a cold. Often the disease occurs due to acute respiratory viral infections, so when the temperature rises, you need to find out what infection caused the attack. An experienced pulmonologist will help in this matter.

Bronchial asthma without complications is mainly characterized by shortness of breath with difficulty exhaling, a persistent strong cough without sputum, a slight increase in temperature and skin manifestations (urticaria, psoriasis).

Only an experienced doctor can distinguish obstructive bronchitis from bronchial asthma. The causes of the first are various infections of viral, bacterial or fungal origin. In some cases, a bacterial infection is associated with a viral infection. Whereas bronchial asthma is a reaction to various allergens (animal hair, dust, household chemicals, pollen and food products).

The connection between infectious-allergic asthma and bronchitis is very clearly monitored: bronchitis lasts up to 21 days, becomes chronic, and then asthma attacks occur, which are accompanied by low-grade fever (up to 38.0 ° C). This is due to inflammation of the upper respiratory tract. Often, patients with this disease suffer from food or skin allergies.

Factors causing the disease

There are a number of factors that reduce immunity, resulting in asthma attacks. These factors include:

Malnutrition and lack of sleep. Chronic fatigue. Constant emotional stress. Hormonal changes. Long-term occurrence of other diseases.

In infectious-allergic asthma, in addition to the basic manifestations, attacks may have their own characteristics:

when coughing, a lot of viscous and mucous sputum is released, sometimes pus is present; a spasm of the respiratory tract is possible, causing suffocation; the duration of attacks can reach several days; wheezing with difficulty exhaling; frequent and shallow breathing.

As mentioned earlier, attacks can occur with changes in body temperature. It is observed both increased and decreased. The reasons for its occurrence are also varied. The most common include immune system failures, drug overdose, stress, and disruption of the endocrine system.

IMPORTANT! If attacks of bronchial asthma are characterized by constant changes in temperature, then you need to urgently contact a medical facility. Qualified doctors should order a series of tests to identify the causes of such differences.

Exacerbation of infectious-allergic asthma is observed in winter, spring and autumn at low atmospheric temperatures. This disease should not be ignored and must be treated for several reasons:

Without the use of medications, the patient’s condition will not improve. Various complications are possible, and without proper treatment, pulmonary emphysema is possible after 3 years. There is a possibility of developing concomitant ailments. Loss of ability to work ⇒ read about disability.

It is also worth noting that in women with a similar illness, more severe attacks occur monthly. This is due to menstruation and PMS, when emotional stress increases. Therefore, asthma can be considered a psychosomatic disease and it is better to seek the advice of a specialist in this field.

Types and stages of asthma development

In addition to the typical type of asthma described above, there are others in medicine. Thus, mild asthma develops into obstructive bronchitis during exacerbations and is classified as an asthmatic type. Some people suffer from a constant night cough, in which there is no shortness of breath - this is an asymptomatic type of asthma that can develop into typical asthma.

If bronchial asthma has developed due to constant physical exertion, then it is asthma of physical exertion. It is characterized by shortness of breath and fatigue during exercise, wheezing and coughing, as well as a feeling of heaviness in the chest.

Asthma develops in all patients according to the same pattern, which can be divided into 3 stages.

♦ The first stage is characterized by pain in the chest, which spreads to the abdominal area and shoulder muscles. There is a cough with shortness of breath, but there is very little sputum. The patient's general condition can be described as hyperexcited.

♦ In the second stage, the patient's condition worsens: breathing becomes rapid and shallow, and the skin may become pale gray. A decrease in heart rate and blood pressure is often observed, which leads to apathy of the patient. Rarely - body temperature rises to 38°.

♦ At the third stage, the skin becomes bluish, and blood pressure is near critical norms. The patient may suffocate and often have convulsions. If proper treatment does not occur at this stage, then unpredictable consequences are possible.

IMPORTANT! Symptoms of the inflammatory process in the bronchi appear not only during an attack, but also when it subsides. These symptoms can be treated with special medications aimed at eliminating the main causes of the disease.

Principles of treatment

Due to the complexity of the disease and the large number of components, treatment is carried out in several areas at once:

Medications are prescribed to relieve symptoms. Their task is to expand the bronchi and eliminate allergies. These include inhaled hormonal agents, antihistamines or antispasmodics. The pulmonologist must select medications individually for each patient. The inhalation drug Fliktosid, Ascoril and Miteka syrup or Ketotifen tablets are often prescribed. Sometimes, in addition to them, special massages and salt caves are prescribed. Medicines are used to relieve the inflammatory process. But initially the type of infectious agent is determined. Doctors prescribe antibiotics, both in the form of tablets and in the form of inhalation solutions, and only in extreme cases resort to injections. Cefazolin is generally used for 7 days. If the patient's condition worsens, then hospitalization is carried out. Attention is paid to removing sputum and clearing the respiratory tract. For this purpose, mucolytic and bronchodilator medications are used. They try to increase immunity. Doctors resort to physical therapy, exercise therapy or massage, because immunomodulatory drugs can only intensify the allergic reaction.

IMPORTANT! If the disease occurs with a high temperature, then it is important to undergo a series of examinations, and only then the doctor should prescribe a course of treatment. In case of a prolonged attack, when medications cannot eliminate it, inpatient treatment is recommended.

Treatment of infectious-allergic asthma is a long and continuous process in which patience and impeccable compliance with doctor’s prescriptions play an important role. In addition, it is worth remembering that for a successful recovery you must take medications, because this disease cannot be cured with folk remedies.

√ Good to know ⇒ Bronchiectasis

Our readers recommend-interview with a doctor of the highest category, candidate of medical sciences Ekaterina Viktorovna Tolbuzina. We will talk about how you can cure bronchitis, including chronic bronchitis, which can develop into bronchial asthma and other bronchopulmonary diseases. Her recommendations will help you.

Any disease has certain symptoms that indicate what is happening in the body. Bronchial asthma is also characterized by specific symptoms, including:

shortness of breath; cough; labored breathing; feeling of tightness in the chest; rapid heartbeat, etc.

These signs are also characteristic of other respiratory diseases and colds. It is difficult to determine an exact diagnosis; an examination is required. However, bronchial asthma often has one difference - it is not characterized by an increase in temperature.

Why is it possible to have an elevated temperature during asthma?

Asthma is a chronic disease that cannot be completely cured. In other words, it lasts for years, and all this time the symptoms periodically remind themselves.

However, the presence of asthma does not exclude the development of other diseases in the patient, for example, of infectious origin. In this case, the symptoms of bronchial asthma are accompanied by signs of a concomitant disease, including high temperature.

Can the temperature rise only during exacerbations of asthma (when there are no viral diseases)? This happens very rarely. Typically, during attacks there is a decrease in temperature, which occurs due to more active breathing, which has a cooling effect.

But there may be situations in which the temperature increases. This:

allergic reaction; drug overdose; pathological processes in the organs of the respiratory system; disturbances in the functioning of the immune system; endocrine disorders; stress.

All these circumstances are not part of the manifestations of bronchial asthma - these are either factors that provoke it or its complications. Therefore, we can say that the cause of hyperthermia is not asthma.

In other words, the symptom in question is not characteristic of asthma. If it manifests itself, this indicates the presence of another type of abnormality in the body. An exception may be the case when an aggressive asthma attack occurred unexpectedly, which frightened the patient and caused exactly such a reaction in his body (but this is already associated with individual characteristics of the reaction).

This means that if an elevated temperature is detected due to asthma, you should consult a doctor to determine the cause of this phenomenon. This is especially true for children, since the children's body is too sensitive to external influences.

But even more dangerous is the situation when body temperature changes sharply. You definitely need to pay attention to this, since bronchial asthma is already a complex disease, and if there are complications and additional diseases, the danger increases.

Feedback from our reader - Olga Neznamova

Is it necessary to shoot down?

In most cases, doctors do not recommend lowering the temperature below 38 degrees. When present, the body’s defenses are activated, which contributes to a speedy recovery. However, in the case of bronchial asthma, everything is ambiguous. It all depends on what causes this phenomenon and how it can affect the patient’s condition.

Infectious diseases and allergic reactions that cause fever can aggravate asthma, so you should find out how best to deal with them. If they are accompanied by severe hyperthermia, which is poorly tolerated by the patient, this symptom should be eliminated.

If such a reaction occurs due to a drug, you need to be careful because taking additional medications may make it worse. Therefore, if you have a high temperature, you should consult a doctor.

If the reason is a stressful situation, then the temperature should drop on its own as soon as negative experiences are eliminated. But it also happens that due to hyperthermia, unwanted emotions become even brighter and stronger, which causes a further increase in body temperature. In this case, it makes sense to turn to medications.

At a temperature that arises due to pathological processes in the respiratory system, the doctor must decide whether to bring it down or not. If a pathology of the respiratory system is detected only after the occurrence of this symptom, it is necessary to conduct an examination and choose treatment. In this case, any ill-considered actions can cause harm.

In general, hyperthermia during asthma if it:

insignificant; does not last long; well tolerated by the patient and does not require adjustment with medications.

Only serious increases that do not go away for a long time and seriously worsen the patient’s condition require such influence. Despite the fact that there is no need to lower the temperature during asthma, in some cases it must be done. This is especially important in the presence of diseases that can complicate the course of asthma (for example, ARVI).

They need to be eliminated as quickly as possible. Therefore, the patient must know how to cope with this problem. To do this, you should consult with your doctor, which should be done the first time hyperthermia is detected. The fact is that antipyretics for adults and children with asthma should be selected by a specialist depending on the causes of this phenomenon.

In some cases, this symptom is successfully treated with anti-inflammatory drugs prescribed to prevent asthmatic exacerbations (Nedocromil sodium, Dexamethasone). With their help, hyperthermia is quickly eliminated.

It is acceptable to use conventional antipyretics (Paracetamol, Nurofen). However, they should be avoided in aspirin-induced asthma. In this situation, you need to treat medications very carefully and not use them unless necessary.

It is better to bring down the temperature with the help of folk remedies (drinking plenty of fluids, herbal infusions). But you also need to be careful with them so as not to consume a component that is an allergen.

Antibiotics are also suitable for these purposes, especially if the problem is due to infection (Ceftriaxone).

In other words, a specialist must choose a medicine to eliminate a symptom such as fever, since too many circumstances need to be taken into account. This is especially important for children, since the child may get rid of asthma as they grow older, and it is important to prevent possible complications.

Hyperthermia in bronchial asthma is considered a rare phenomenon, which usually manifests itself in the presence of complications. Therefore, this symptom is a reason to consult a doctor, who will identify its causes, determine the degree of danger and choose a way to overcome it.

It is important to remember that minor changes in temperature, which are observed rarely and pass quickly, are not a cause for alarm even with such a serious illness. However, if hyperthermia persists for a long period of time or occurs during an acute asthmatic attack, it is better to undergo examination.

Do you still feel like being healthy is hard?

chronic fatigue (you get tired quickly, no matter what you do)… frequent headaches… dark circles, bags under the eyes… sneezing, rashes, watery eyes, runny nose… wheezing in the lungs…. exacerbation of chronic diseases...

Bondarenko Tatyana

Expert of the OPnevmonii.ru project