Asthma Archives - Page 2 of 6 - Active Healthcare

Cold Weather Tips for Asthma Sufferers

Lisa Feierstein Asthma, Breathe EZ Leave a comment   , , , ,

North Carolina is typically known for its mild winters. 2018 looks to be off to a very chilly start!

People who suffer from asthma may be caught off guard when the weather forecast turns unusually cold. As with most things, preparation is the key to keeping asthma under control.

Cold Air = Increased Lung Inflammation

cold weather tips asthmaWhen you step outside and take a deep breath in cold air – it’s shocking – you feel like you can’t take a deep breath. While breathing in cold air can be uncomfortable for anyone, people who suffer from asthma need to be more cautious.

Cold air can shock the lungs of people with asthma. This shock can cause inflammation – which may lead to an asthma attack. Breathing can become more challenging since cold air also constricts airways. While those with asthma may be able to tolerate breathing in cold air for a few minutes, exercising outside could be dangerous.

Don’t forget that cold winter air is also drier, another potential airway irritant for those who suffer from asthma. Wind can also stir up more dust and other allergens.

Minimize the impact of Cold Weather

  • Consider exercising indoors. If you do exercise outdoors make sure to warm up properly.
  • Take your asthma medication 10 to 15 minutes prior to heading outside into the cold air.
  • Wear a scarf or a mask over your nose and mouth when outdoors to help warm the air entering your lungs. Mom was right, dress in layers and wear a hat!
  • On days where extremely cold temperatures are in the forecast plan to minimize the time you spend outside.

 
Remember that spending more time indoors can increase your exposure to the many indoor allergens and asthma triggers. Dampness and mold are two common indoor asthma triggers. Adding some indoor humidity can help keep nasal passages from drying out, but watch for signs of too much humidity like mold and mildew.

In general, the winter is cold and flu season. Encourage children to cover their mouths and noses when they cough or sneeze. Frequent hand washing and avoiding those who are sick can help everyone stay healthy and happy this winter.


Exercising with Asthma: Your Lungs Will Thank You

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health 1 , , , , , , , , , ,

exercising with asthmaWe hear all the time from multiple sources to get more exercise.  Everyone has their reasons for not getting enough.  We all know we should do it more, but feel like we don’t have enough time or energy to do so.  If you suffer from asthma, you may fear that working out would make your symptoms worse.  Here are some of the best options for exercising with asthma

Exercising with Asthma: Best Exercises

  1. Walking – can actually improve one’s asthma symptoms if done long term and on a regular basis. It is recommended that asthma patients walk three times per week.  Remember to warm up and cool down just like with any other exercise.
  2. Yoga – allows us to control our breathing, which is beneficial for asthmatics because it can activate more areas of the lung.
  3. Biking – with the right pace, this is a great way to get your activity in and your stress level down.
  4. Golfing – the staggered activity of alternating swings with walking is great for keeping symptoms at bay, but be sure to check the pollen levels before heading out to the course.
  5. Running – keep your distance short and your pace moderate.
  6. Downhill Skiing — as long as you don’t try to tackle one of those black diamond slopes, this outdoor activity doesn’t require a lot of physical exertion, as the mountain does most of the work.
  7. Swimming – provided the pool doesn’t contain too much chlorine, the highly humidified, warm air breathed in while swimming can loosen mucus.

Exercising with Asthma: Best Sports

  1. Baseball – allows for breaks in activity to keep symptoms in check. Take a hit on your inhaler as needed while sitting in the dugout waiting to bat.
  2. Racquet sports – the players control the pace of the game, allowing for plenty of rest and water breaks.
  3. Softball – similar to baseball, players have adequate rest to hydrate, use their inhaler, and regroup.
  4. Volleyball – A little more intense, but the court is small, so players can move quickly in short bursts.
  5. Football – while sometimes annoying to spectators, this sport allows for many breaks between downs.

Activities such as cross-country skiing, basketball, and soccer are a bit too strenuous for asthmatics.  Cross-country skiing can dry out the airways with the cold air being a contributing factor.  Basketball requires too much running up and down the court while not providing enough rest time between plays.  Soccer players are in constant motion chasing the ball unless they are a goaltender.

Exercising in a way that works for you is great way to destress, which, in turn, can help keep your asthma symptoms from flaring up.  Always remember to consult your doctor before starting a new exercise program.  Keep your water bottle and inhaler with you at all times.  And remember, exercise should also be something you enjoy.

Additional Resources for Exercising with Asthma

Check out our previous exercise-related blogs for more information:

Regular, Moderate Exercise Improves Asthma Symptoms
Don’t Wheeze Your Way Through Exercise-Induced Asthma

 


Six Best and Worst Foods for Asthmatics

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   , , , ,

fruitAsthma is a challenging, but very treatable illness. There are many medications and tools available to help relieve symptoms. Did you know that asthma prevention can start in your kitchen? Not all foods are created equal. What foods might be best for asthmatics? There are even healthy foods that may worsen your asthma symptoms.

Foods That May Improve Asthma Symptoms and Support Your Respiratory System

1. Apples – these contain flavonoids such as khellin, which has been shown to open the airways.
2. Cantaloupe – these are rich in Vitamin C, which we already know is good for our immune system. This vitamin aids in clearing out congestion in the airways.
3. Carrots – these contain beta-carotene, which is an antioxidant that is converted to Vitamin A. This vitamin can reduce the possibility of exercise-induced asthma.
4. Coffee – Coffee is a natural source of caffeine, which has been proven to improve airflow. On the other hand, caffeine (especially in high doses like that found in coffee) is not recommended for children for various reasons.
5. Flax seeds – these are rich in Omega-3s, which research has found to be beneficial to asthma. They also contain magnesium which relaxes the muscles surrounding the bronchi and airways, keeping them open.
6. Garlic – Garlic is an anti-inflammatory. Anti-inflammatories are beneficial to asthma because they reduce swelling and mucus production in the airways.

Potential Allergens and Intolerances That May Worsen Asthma

1. Eggs – Because many people already suffer from an egg allergy, the reaction when consuming eggs can be in the form of exacerbated asthma.
2. Peanuts – Another common allergen. Severe reactions can be fatal. Those with a peanut allergy can actually develop asthma.
3. Salt – Salt contributes to inflammation by causing fluid retention.
4. Shellfish – Yet another common allergen, particularly in children.
5. Wine – Studies suggest that the sulfites in wine may trigger asthma attacks. On the other hand, red wine has been found to lessen symptoms if consumed in moderation.
6. Milk – If you are lactose intolerant or have any other dairy-related allergy, consuming milk products can cause wheezing, coughing, and other respiratory problems. On the other hand, milk contains Vitamin D, which can ease symptoms.

We hope that this information has given you some food for thought. Ask your doctor if dietary changes could be included as a part of your asthma management plan. He or she may also be able to test you for food-related allergies that might be exacerbating your symptoms.

Additional Resources

Read our blog on How to Manage Food Allergies During the Holidays

Check out the Asthma and Allergy Foundation of America’s great online resource for kids with food allergies.


Music to Our Lungs: How Making Music Can Help Asthma

Lisa Feierstein Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   , , , , ,

Music is a wonderful stress release for many people. For some, the release comes from listening to the music and relating to the lyrics. It strikes a chord inside of us all. For others, making music is the release. Whether you play an instrument or sing, you are successfully dissolving the stress of your day-to-day. Congratulations! You have found an outlet.

You might think that asthma would make this more difficult and less enjoyable. Good news! You can still make music and be symptom free. Playing a wind instrument can actually make the asthmatic more aware of his/her breathing, as well as improve their posture. They feel calmer and more in control, which will make it less likely that they will suffer from an asthma attack.

Many children make music their extracurricular activity and/or attend music class during their regular school day. If your child is interested in music as a hobby, but suffers from asthma, there is hope. Talk to his/her doctor for tips on how they can manage this while participating in music class, band, orchestra, or chorus.

If your child is interested in band or orchestra

Certain instruments are better than others at helping asthma sufferers both with their symptoms and stress levels. Some good ones are:

  • Drums — gives the musician a great cardio workout
  • Strings — increases finger dexterity and motor skills
  • Trumpet — requires copious amounts of fast, high-pressure air
  • Trombone — requires a lot of free-flowing air
  • Flute — requires the most air out of all wind instruments
  • Oboe — the reed creates high levels of pressure, causing the player to carefully control their breathing

 

For children who like to hear the sound of their own voice

Chorus may be the better option. Asthmatic vocalists benefit from the controlled, deep breathing that singing requires.  Trained singers know that breathing from their diaphragm is the only way to go, which keeps them from feeling breathless.

Music instructors will assist you with controlling your breathing in such a way that you are not even thinking about your asthma while making music.  If you are performing and feel your chest tighten (a familiar sensation for those suffering with asthma), pull out your inhaler in between songs to regroup.

Remember to share any concerns with your doctor.  They can work with you to adjust your treatment to incorporate any new hobbies or activities.  Music can help the asthmatic patient manage their stress better, which, in turn, can help them manage their asthma better.

 


Does Back to School Mean Back to Allergies?

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   , ,

Summer is coming to a close for students in North Carolina.  The change of seasons and environment can spell trouble for asthma and allergy sufferers.  They already know their at-home triggers and how to combat them, but have less control over their environment at school.  Common classroom triggers include pollen, dust mites, mold, chalk dust, and pet dander.  With the help of school administrators and parents, students can remain focused on their studies and less on their allergies.

Allergy and Asthma Preventative Measures for Back to School

  • Keep windows closed when pollen counts are high
  • Repair leaking water pipes and faucets
  • Install high efficiency air filters
  • If the classroom has a pet, position asthmatic and allergic students far away from it. In addition to the dander produced by the class pet, it is possible that a fellow student might also transport pet dander into the classroom from home.
  • Address any concerns that aren’t resolved by your administrators with county school officials, if necessary

 

Prepare for a Successful and Allergy-Free School Year

  • Make an appointment with an allergist
  • Make an appointment with your child’s teacher and/or school administrator and, if possible, perform a walk-through of the classroom to pinpoint potential triggers (this could be done at meet-the-teacher night, as well)
  • Share your child’s treatment plan with school staff and bus drivers
  • Discuss what to do in an emergency
  • Provide the school nurse with any medications the student needs, as well as the dosage and instructions
  • Also, have your child’s doctor complete your school district’s Medication Authorization form

 

Don’t Forget About Recess and Sports Activities in Your Planning

  • Use a short-acting inhaler 15 minutes before any activity, under your healthcare provider’s recommendations
  • Stay hydrated
  • Choose activities that are less intense
  • If it’s cold out, bundle up
  • Protect your eyes and lungs with a mask or bandanna

 

Going back to school is an exciting time and can be made less stressful for asthma and allergy sufferers by taking this advice into careful consideration.

 


Got Asthma or Allergies? There’s an App for That!

Lisa Feierstein Allergies, Asthma, Breathe EZ Leave a comment   ,
Smartphone apps for both Android and iPhone are not just for shopping and social media. Most are free to download. We’ve blogged about asthma apps before. Here are a few new technology tools to better manage your asthma and allergy symptoms.

Five Free Apps for Asthmatics and Allergy sufferers to Download Now

Pick An App to Manage Your Asthma

AllergyManager

Geared towards helping those suffering with nasal allergies by allowing you to look up daily pollen counts. The app also provides 4-day allergy forecasts and coping tips. You can also use the symptom and severity tracker to report back to your doctor.

Asthma Ally

Pinpoints asthma and allergy triggers by tracking airborne irritants near you including pollen, dust, and the ozone. Allows you to log your daily symptoms before your next doctor’s appointment.

First Aid by American Red Cross

Offers step-by-step instructions on how to best handle an asthma or allergy attack in the form of safety tips and video demonstrations. It’s a good way to stay informed even when symptoms aren’t as bad so you can be prepared ahead of time for when an attack occurs.

WebMD Allergy

A lot of people turn to WebMD when they have symptoms they are unsure about, and now allergy sufferers can carry personalized allergy and weather forecasts with them, as well as tips. With this app, you can track how you feel on a particular day, as well as access an extensive library of articles and videos.

Zyrtec Allergycast

Yes, you may see some advertising for Zyrtec here, but the app also provides your local pollen index for the day and reports on how it might affect you. In addition, you are provided with alerts when the pollen level is high in your specific area, as well as a 10-day forecast so you can plan ahead.

Asthma can flare in any season. More flowers and plants are in bloom in the summer months; which worsen allergy symptoms. We hope that these apps along with your regular treatment regimen will have you enjoying your summer and worrying less about your asthma or allergies.


The Double Threat of Vaping

Lisa Feierstein Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   , , ,

Juul e-cigaretteFood industry workers at a microwave popcorn factory were the first to get sick from inhaling the vapors from artificial flavorings. The vapors caused symptoms such as coughing, wheezing, and shortness of breath, similar to those of chronic obstructive pulmonary disease (COPD).

Popcorn: Tasty Snack; Popcorn Lung: Deadly Disease

Dubbed popcorn lung, this condition (bronchiolitis obliterans) is a serious and irreversible lung disease. The culprit is the chemical diacetyl. When inhaled, it scars the tiny air sacs in the lungs resulting in the thickening and narrowing of one’s airways.

While many major popcorn manufacturers have removed this chemical from their manufacturing process, it still poses a threat. Diacetyl is also an ingredient in the flavorings for e-cigarettes. A Harvard study found that 39 of 51 e-cigarette brands contained the offending ingredient.

With flavors like ‘Cinnatoast Munch,’ ‘Cotton Candy,’ and ‘Kiwi Watermelon,’ teens are drawn to vaping. Not only do teens think vaping looks cool; they justify their new habit by saying it is better than smoking. Some e-cigarette ‘juices’ do not contain nicotine, but there is still a danger from the artificial flavorings.

As we discussed in our March blog vaping is often a method people choose for quitting tobacco, but can be very harmful to asthmatics. Vaping is not safe. Why put yourself at risk to develop ‘popcorn lung’? Don’t forget about the many other chemicals in e-cigarette vapor, like formaldehyde.

If you are a current smoker who desires to quit, there are better and healthier ways to accomplish this. A lot of people have trouble quitting because of an oral fixation. Below are some ideas to use as a substitute for smoking or vaping.

• Chew gum (some even contain nicotine) or eat hard candies.
• Get more exercise as this can reduce stress – which may lead smokers to crave a cigarette.
• Consider the nicotine patch which can curb your urge to smoke or vape.

The American Lung Association has many resources to help you quit smoking – or vaping.

Final Notes

Diacetyl has since been removed from the following brands of microwave popcorn: Orville Redenbacher, Act II, Pop Secret, and Jolly Time. So, don’t worry. Your favorite snack is safe now.

The FDA is closely monitoring this market and has begun to apply and enforce key provisions of the Family Smoking Prevention and Tobacco Control Act. This 2009 law gives the FDA authority to regulate the tobacco market and minimize the negative impacts of smoking on America’s youth and families.

Resources

2016 Surgeon General Report detailing the use of e-cigarettes among youth and young adults.

Quitline NC:  1-800-QUIT-NOW or En Espanol at 1-855-Dejelo-Ya


The Good, The Bad, and The Ugly: How Houseplants Affect Asthma and Air Quality

Lisa Feierstein Allergies, Asthma, Breathe EZ Leave a comment   , , , , , , , , , , ,

We are all familiar with the usual suspects that trigger asthma including secondhand smoke, dust mites, mold, pests like cockroaches, and pets. Did you know that your houseplants can affect the air quality in your home and your asthma?

The Good: Many Common Houseplants Improve Indoor Air Quality

houseplants and air qualityPlants are frequently used to mediate the effects of pollution and toxins in our external environment. Our indoor environments can contain toxins such as volatile organic compounds (VOCs). Two common indoor VOC pollutants are benzene and formaldehyde. Benzene can be found in plastics, fabrics, pesticides, and cigarette smoke. Common household items such as dish detergent, fabric softener, and carpet cleaners all may contain formaldehyde.

VOCs have been linked to asthma and more serious conditions including respiratory illnesses and cancer. Plants act as filters to remove these harmful pollutants via their leaves and roots. In addition, the microorganisms living in the plant’s soil are a big help in neutralizing the air. Air-quality friendly plants include the Peace Lily, Golden Pothos, Red-Edged Dracaena, Snake Plant, and Asparagus Fern.

The Bad: These Houseplants are Indoor Irritants

Your friendly ficus that fills an empty corner has allergens in its sap. Palms, of the male variety, produce excess pollen. Check in with your local nursery to find a ‘female’ palm which is not a pollen offender. English ivy can cause skin irritations. African violets have beautiful flowers, but their leaves are dust catchers.

Don’t forget about cut flowers! If you home includes allergy sufferers, you may want to select flowers that generate less pollen like lilies, iris, roses and zinnias. Try to avoid daisies, chrysanthemums, and sunflowers in your table top bouquets.

Healthy Plants Mean Healthier Air: Avoid the Ugly Reality of Mold and Fungi

Over-watering your plants can lead to the development of a fungus and mold which are known asthma triggers. Remember that plants like ferns can be kept in rooms with higher humidity levels, such as your bathroom to keep them healthy and minimize over-watering.

Additional Resources

NASA Guide to Air-Filtering Houseplants
Houseplant Watering Guide


EpiPen® Recall Announced by Mylan N.V.

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health Leave a comment   , ,

EpiPen Recall - 2017Meridian Medical Technologies, a Pfizer company and Mylan’s manufacturing partner, has expanded a voluntary recall of select lots of EpiPen (epinephrine injection, USP) and EpiPen Jr® (epinephrine injection, USP) Auto-Injectors to now include additional lots distributed in the U.S. and other markets in consultation with the U.S. Food and Drug Administration (FDA).

Lots Effected by Recall

The recall impacts certain lots of the 0.3 mg and 0.15 mg strengths of EpiPen Auto-Injector. None of the recalled lots include the authorized generic for EpiPen Auto-Injector, which is also manufactured by Meridian Medical Technologies.

The manufacturer will be replacing the recalled devices at no cost.

Please visit Mylan’s website to read the Press Release with a list of the impacted lots that were sold in the United States and additional information on how to return effected devices.


Are You Asthma Aware?

Lisa Feierstein Allergies, Asthma, Breathe EZ Leave a comment   , ,

Did you know that May is Asthma Awareness Month?

Asthma Awareness MonthSpring is in the air, and as temperatures rise, an asthmatic’s symptoms reach their peak.

This is a perfect time to review some key points about asthma. With May quickly approaching, let’s have a refresher of some Frequently Asked Questions asked by asthmatics and their loved ones.

Question: Should I only take my controller medication if I’m having an attack?

Answer: No, controller medications are used to treat the underlying issue and not an attack. They do not immediately relieve symptoms such as wheezing, coughing, or chest tightness.

Question: Can I exercise and play sports even if I have asthma?

Answer: Yes, exercise is possible with asthma, but consult your doctor before starting a new exercise program or sport.

Question: Can I become addicted to my controller medication?

Answer: No, asthma medications are not considered addictive. With that said, it is important to understand them and to use them properly.

Question: Is it okay if I’m around smoke as long as I am outdoors?

Answer: No, secondhand smoke should always be avoided if you are an asthma sufferer because tobacco smoke is among the most common of asthma triggers.

Question: Does my controller medication stop working the longer I use it?

Answer: No, these medications are designed to work for the long haul and should be taken daily until your doctor suggests otherwise.

Question: Is it normal to use my rescue inhaler at least once per day?

Answer: No, this inhaler is not meant to be used every day, only in the instance of an asthma attack.

Question: Will using inhaled steroids/controller medication stunt my growth?

Answer: No, asthma drugs do not stunt growth, although one recent study did report a temporary stunt in childhood that disappears by adulthood.

To celebrate Asthma Awareness Month, the Triangle Asthma Coalition would like to make you aware of two upcoming events:

  1. 2017 Asthma Fair, May 6th, 9 AM to 12:30 PM, Raleigh, NC – Held at the Andrews Center at Wake Med and hosted by the Triangle Asthma Coalition, this educational event provides patients and their families with information about taking control of their asthma.
  2. 2017 Asthma Summit, May 24th, 8 AM to 4:15 PM, Burlington, NC – Held at St. Mark’s Church and hosted by the Asthma Alliance of North Carolina, the summit’s target audience includes nurses, respiratory therapists, registered environmental health specialists, and health educators.

For more information about the events, please visit the events page of the Triangle Asthma Coalition website.

Happy Asthma Awareness Month to all!

 


Vaping is Smoking, Too

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health Leave a comment   , ,

VapingIt’s no secret that tobacco is one of the most common asthma triggers. Tobacco smoke irritates the airways and causes your lungs to produce more mucus. In addition, it weakens the tiny hairs called cilia that sweep away mucus and other irritants that settle in your airways.

Quitting smoking is an excellent method of combating asthma, but you aren’t out of the woods yet. Another important risk factor to consider is secondhand smoke. It is especially harmful for children. If you are an asthmatic, tell your family and friends how tobacco smoke affects you. Have them smoke outside and far away from the doorway, if possible. Encourage them to quit for their own health, not just yours.

Vaping is Not Risk Free

Since it is common knowledge that tobacco smoke is very bad for one’s health, many nicotine addicts turn to electronic cigarettes and “vaping.” It gives many a false sense of security and the mindset of “at least I’m not smoking actual cigarettes.” Vaping is harmful, too, but in a different way. The vapor released by e-cigarettes contains formaldehyde, another asthma trigger. So, while people are on the right track with quitting tobacco, they need to know that vaping is not risk-free and may worsen their asthma symptoms. Vaping is a developing trend among teens because there are a number of flavors offered, some even tasting like candy and adult beverages.

Another thing to avoid is secondhand vapor. Since electronic cigarettes are a relatively new phenomenon, many businesses and workplaces do not have policies in place to keep employees and patrons from “vaping” indoors. In the same way you would tell your family and friends not to smoke around you, you should also ask them to vape elsewhere.

E-Cigarettes Pose Similar Risks

A recent National Jewish Health study links the liquid in e-cigarettes to an increase in respiratory infections. During the study, a test was performed on young, healthy non-smokers and it discovered that e-cigarette use damaged the cells in the airways that defend against harmful inhalants, such as viruses. “The cells showed a strong pro-inflammatory response within minutes and the risk of viral infection in those cells rose significantly,” said Hong Wei Chu, MD, who led the study.

If you are an asthmatic or have one in your life, remember to avoid both smoking and vaping for a healthier future.


When Valentine’s Day is Bittersweet

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , , ,

Valentine's candy heartsMost people are aware of the most common asthma triggers which are referred to as the 3 Ps: pets, pollen, and pollution. Recent studies have brought a new one to light – sugar. The reason? Sugar causes inflammation of the airways. I bet you didn’t know that a little sugar could cause such a reaction.

In 2008, Dr. Sonja Kiersten, a researcher from the Nestle Institute in Lausanne, Switzerland, began to make this discovery. Dr. Kiersten and her colleagues at the University of Pennsylvania used mice to perform their research by feeding them sugar water. This experiment produced the following results.

  • The mice’s airways became inflamed, which made them more prone to developing asthma.
  • The mice fed the sugar water had airways that were twice as reactive as those that drank plain water.
  • The mice became addicted to the sugar water and wanted more.

Limiting your sugar intake is beneficial to everyone, as sugar can affect your body in a variety of ways including:

  • It can lead to an over-active pancreas, which can cause inflammation in various parts of the body. The pancreas is a small organ, so it can only take so much before it starts releasing hormones that affect your sugar levels.  It also produces insulin.  When you feed it with refined sugar like that in a can of soda, for example, your pancreas goes into overdrive and produces too much insulin. This will, in turn, inflame air passages.
  • Excess sugar leads to weight gain. Obesity aggravates asthma, as it does with many other chronic illnesses.

In addition to sugar, dairy can also worsen an asthmatic’s symptoms.  Many doctors tell their asthma patients to try to eliminate dairy from their diets because of the mucus milk and cheese produce, which clogs the airways and constricts air passages.  Even coffee can be harmful.  It is definitely important for asthmatics to stay hydrated and water is the best way for them to do so.

With Valentine’s Day approaching, here are some ideas on how you and your family can celebrate this popular holiday with minimal impact:

  • Have your child take Valentines to school with small toys attached instead (ex: a balloon).
  • Do a Valentine’s Day craft.
  • Make a special, heart-shaped breakfast using cookie cutters.
  • Take him/her out on a “date” not involving food such as a movie, walk, game night, etc.

It’s Beginning to Look A Lot Like Asthma Season

Lisa Feierstein Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   ,

The holidays may be the most wonderful time of the year, but not so much for asthma sufferers. While in the midst of the flurry of activity the season brings, it can be hard for asthmatics to enjoy themselves, especially when away from home.

Here are some things that you can do to make your holiday travel and festivities more enjoyable!

Before Your Trip

airplane

First, if you know you are going to be traveling anywhere this holiday season, make an appointment as soon as possible with your doctor. This will give you the opportunity to update medications, obtain new prescriptions, and get necessary information you need for your specific asthma case to help you in your travels.

  • Ask your doctor to provide you with a copy of your personal medical records to carry with you.
  • Refill as many prescriptions as you can that you think you could potentially use up while away from home a few days before your trip.

Packing Tips

car

  • When packing your bags, remember there are some critical things to leave out of your checked baggage such as your inhaler and medical record.
  • For your remaining medications, use a re-sealable plastic bag with all of the prescription labels visible so that you can move quickly through the security checkpoint at the airport.
  • Packing a pillowcase (and a pillow and mattress pad if you have the space) from home will help eliminate the possibility of inhaling dander from the pillowcases at your destination that could bring on an attack.
  • Tell a fellow traveler that you have asthma and how they can help you if you begin to have an attack. Make sure they know where to find your inhaler in your carry-on.

 

At Your Destination

  • If you will be staying in a hotel, be sure to request a non-smoking room. Look for pet-free hotels.
  • Before you go, search for the nearest emergency room or urgent care to your destination.

Asthma and Obesity: The Chicken or the Egg?

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   ,

eggsOver the last two decades, asthma and obesity have reached epidemic proportions. Obesity is a common comorbidity to asthma and it is commonly thought that obesity precedes the asthma symptoms. Now, the question has been raised about whether it is the other way around. Does obesity follow on the heels of asthma or is it asthma that raises the likelihood of becoming overweight?

Understanding this relationship could help doctors better give their professional recommendations in obese versus non-obese asthmatic patients.For instance, not automatically stepping up controller medication in overweight patients who report needing to use rescue medication often. Additionally, it may be that obese patients may be able to step down their level of controller medication. Their symptoms may respond better with non-asthma related interventions.

Recent Research Highlights the Asthma Obesity Connection

In a recent study, aged 10-17 years children – both a higher and lower body mass index (BMI) – with a physician’s diagnosis of persistent asthma were monitored to assess asthma control, symptoms, and quality of life. The patients underwent methacholine challenge testing – a test to evaluate lung function and reactivity. Additionally, the patients experienced measurement of exhaled nitric oxide values – a test done to help evaluate whether their asthma (and inflammation) is under control.

Intriguingly, overweight children were less responsive to the methacholine challenge test. They required nearly four times the dose of methacholine before the lungs were responsive. Overweight children also had lower nitric oxide values, meaning inflammation in the lungs were still a problem.

However, there were no differences in regard to reported wheeze, chest tightness, or nocturnal symptoms between overweight and lean children. These findings are a distinction from previous research, which has mostly focused wheeze as a symptom most commonly associated with just obese children.

This study’s findings support exploring non-asthma related interventions before raising levels of controller medications in overweight asthma patients. These results also support the plan that overweight asthmatic patients may need different treatment plans to control their asthma appropriately.

Whether it is the reduced lung capacity and activity level due to asthma that causes obesity, or excess weight that induces the development of asthma, it is clear that these two issues have a linked relationship. However, further research into differences in obese patients with asthma will be needed to best assess optimal therapy and prevention.


Puppies Reduce a Child’s Risk for Asthma

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health 1 , ,

puppies

The benefits of having a canine companion to come home to are numerous. New research states that lowering a child’s asthma risk is yet another reason to add to that list. Having a dog has been shown to reduce a child’s risk for asthma. It can also reduce levels of stress and depression, increase one’s physical shape, and enhance social skills.

A recent Swedish asthma study included more than one million children. Those with dogs in the home within the infant’s first year of life had a 15% lower rate of asthma.

Researchers say that their findings indicate that having a dog in the house may affect their child’s microbiome. Each individual’s inner bacterial environment of the gut is influenced by the food we consume and the air we breathe. Examinations are being made into whether there is a specific strain of bacteria that lessens the likelihood of asthma that is transmitted from dog to child.

Pets like Puppies = More time Outdoors

It is also worth noting that children living in households with dogs almost certainly spend more time outdoors and exercising more frequently. Both of these factors lower a child’s probability of developing asthma.

Interestingly enough, researchers have also explored data relating to children who grew up on farms. These children were exposed to farm animals such as cows, sheep, or horses. Findings show that these farm children had a 25% lower risk for an asthma diagnosis than those who did not grow up on a farm.

While these discoveries are not enough to definitively prove that puppies prevent asthma, they absolutely suggest that it isn’t necessary to rehome family pets for fear of their children developing respiratory problems by being around dogs.

Tove Fall, a coordinator of the study and assistant professor at Uppsala University in Sweden, stated, “It might be due to a single factor or more likely, a combination of several factors related to dog ownership lifestyle or dog owner’s attitudes, such as kids’ exposure to household dirt and pet dust, time spent outdoors or being physically active.”

All I’m hearing is a scientific reason for parents to give in and give their children a puppy!


The Sunshine Vitamin

Lisa Feierstein Asthma, Breathe EZ, Children's Health, Women's Health Leave a comment   ,

pregnant-blog picWhat if all it took was a little sunshine to lower your baby’s risk for asthma? In a recent study, researchers have observed that women with more vitamin D in their second trimester lowered their babies’ risk for asthma.

According to the Centers for Disease Control and Prevention, 1 in 12 in the U.S. suffers from asthma. “Our health system spends billions and billions treating asthma, and there’s lots and lots of opportunity costs,” said David Slusky, assistant professor of economics at the University of Kansas. “Pain and suffering, loss of productivity and premature death — asthma has all of those.”

The University of Kansas has found that as little as 10 minutes a day in the sun during the second trimester of pregnancy could reduce a child’s risk for asthma later in life. Sunlight is where Americans get more than 90 percent of our vitamin D. David Slusky and colleagues Nils Wernerfelt of the Massachusetts Institute of Technology and Richard Zeckhauser of Harvard’s Kennedy School examined the medical hypothesis using an economist’s tools, such as survey and health data.

Looking at hospital discharges and where asthmatics were born, they were able to pinpoint times mothers would have been in their second trimesters. Concerned about the sunlight being systematically different in separate parts of the country, researchers focused on relative variations. In other words, instead of looking at sunny versus non-sunny areas, they concentrated on differences of the level of sunlight at a particular place at a particular time of year. For example, people born in Georgia in July of 1978 received a different exposure to sunlight in utero than did their fellow Georgians born a year later.
Medical literature emphasizes our need for the “sunshine vitamin” and recommends at least 10 minutes a day to us all. Of course, if you’re going to be in the sun for longer periods of time, wear sunscreen.

“Skin cancer is a very serious disease, and I don’t want to minimize it, but at some point that extra minute you spend inside is costing you more vitamin D than it’s helping you not get skin cancer,” Slusky said.

Prenatal vitamins may include vitamin D already, but medical professionals pointed out that mothers may not be absorbing the full benefit from them. Anything that can help minimize the likelihood of asthma is worth doing, especially something as pleasant as spending some time in the sun.

Besides, sunshine is free!


Obesity Raises the Risk of Asthma in Women

Lisa Feierstein Asthma, Breathe EZ, Men's Health, Women's Health Leave a comment   ,
Photo by Shutterstock.

Photo by Shutterstock.

Researchers have identified obesity as a health risk for asthma, but a new study revealed that the level of risk differs for men and women. The Centers for Disease Control and Prevention (CDC) released a study in March that looked at the prevalence of asthma from 2011-2014 among adults based on weight. The rate of asthma in adults with obesity is 11 percent compared to 7 percent of adults in the normal weight range. In women with obesity, asthma prevalence was 15 percent–nearly twice that of normal-weight women.

The study revealed very different findings for men–there wasn’t a significant increase in asthma prevalence in obese men versus men in the normal weight range. For children, asthma prevalence is greater in boys than girls but the prevalence of the condition switches when they hit puberty. Researchers don’t know the specific reason for the difference in asthma prevalence among men and women, but it could be related to fat distribution and/or hormonal differences. More research is also needed to determine if weight loss could reduce asthma rates.


How to Plan for Camping with Asthma and Allergies

Lisa Feierstein Allergies, Asthma, Breathe EZ 1 , , ,
Camping: Photo by Ben Duchac, Unsplash.

Photo by Ben Duchac, Unsplash.

Camping isn’t for everyone, but I think it’s one of those time-honored American traditions that everyone should try at least once. It’s an opportunity to enjoy fresh air, hike in beautiful surroundings, and take a refreshing break from pervasive technology. Experienced campers understand the importance of packing proper gear, plenty of food and water, and making plans in case of an emergency. For individuals with asthma and allergies, it’s especially important to be well prepared before embarking on a camping trip.

If you have asthma and/or allergies, here are some tips on how to prepare for a camping trip that’s both fun and safe:

  • Update Your Asthma Management Plan: Your asthma management/action plan should be updated annually with your doctor, or more frequently if you have severe asthma. This plan will outline how to handle emergencies like an asthma attack or allergic reaction. As you pack for your camping trip, double check that you have all your medication with you.
  • Make an Emergency Plan with Travel Partners: Talk to those joining you on your camping trip about what to do in the event of an emergency—whether it is an injury, allergic reaction, or asthma attack. Share emergency contact information, familiarize yourselves with the location of the nearest hospital, and pack a first aid kit. If you have an epinephrine auto-injector to treat anaphylaxis, make sure your travel companions are familiar with how to administer the medicine in the event you should need their assistance. Epiniephrine should be kept at room temperature, so if you carry one, try to take frequent breaks in shaded areas or indoors if possible.
  • Make a Meal Plan: If you have food allergies, carry a list of foods that you’re allergic to and share that with your travel partners. Talk to your companions about how to plan for meals that don’t conflict with your list. Pack plenty of healthy, non-allergenic snacks to keep your energy up during long hikes.
  • Steer Clear of the Campfire: If you have asthma, smoke from campfires can be irritating to your airways and can even trigger an asthma attack. Sit a safe distance away from the campfire; you may have to swap seats if the wind changes and smoke blows in your direction.

A little planning will go a long way in making your camping trip not only safe but also fun and memorable.

Sources:

Camping Safe with Allergies & Asthma, by the American Academy of Allergy, Asthma & Immunology

Epinephrine Auto-Injectors, by Food Allergy Research & Education


What Ozone Forecast Season Means for Air Quality

Lisa Feierstein Asthma, Breathe EZ Leave a comment   , ,
Ozone: Photo from Pexels.

Photo from Pexels.

Spring snuck up on me this year–not that I’m complaining! It doesn’t seem that long ago that the news was monopolized by winter weather warnings and threats of snowstorms. I’m more than happy to put those snow boots away and slip into my favorite summer sandals! The advent of warmer weather also means we’re heading into ozone forecast season which is when ground-level ozone, created by pollution from sources like cars and smokestacks, is at its highest.

High amounts of ground-level ozone can worsen asthma symptoms, so it’s key for asthmatics to check the forecast daily, which is posted to our Asthma Therapy page. Ozone forecast season stretches from April 1 to October 31 in North Carolina and serves as a reminder to check the forecast before heading outdoors.

Ozone Levels and Air Quality Forecasts

The forecast is color coded to indicate air quality and the potential health implications:

  • Good: Code Green
  • Moderate: Code Yellow – Dangerous to those with extreme asthma
  • Unhealthy For Sensitive Groups: Code Orange
  • Unhealthy For Most Everyone:Code Red
  • Very Unhealthy: Code Purple – The whole population is at risk; this is an emergency condition.

 

The air quality forecast is published each day at 3pm to help you plan your outdoor activities for the following day. In addition to accessing the forecast on our website, you can also sign up for email, phone, or mobile app alerts via the Environmental Protection Agency’s AirNow website.

Ozone forecast season isn’t just a reminder to monitor air quality; it can also inspire us to take steps to improving air quality. Cleaner air means fewer high ozone days, healthier lungs, and more opportunities to enjoy the outdoors. One step you can take to improve air quality is to choose sustainable transportation for your daily commute to work. Rethink your commute by carpooling, vanpooling, biking to work, working from home, or taking the bus. Many local transit agencies offer financial incentives for switching over to a sustainable mode of transportation – like GoTriangle’s GoSmart program. Choosing alternative transportation can also help you save money on gas and vehicle maintenance. It’s been several years since our last code red ozone day and I hope this ozone forecast season proves to be a healthy and safe one!


Credit-Card Sized Inhaler Fits in Your Wallet

Lisa Feierstein Asthma, Breathe EZ Leave a comment  
Image courtesy of Bloom.

Image courtesy of Bloom.

I bet I’m not alone in the constant battle to limit the amount of stuff I carry around during the day. With oversized purses in fashion, it’s easy to want to fill up the space in my bag with everything but the kitchen sink. There are so many essentials—medication, hand sanitizer, tissues, lip balm, mints—that add up to a very heavy bag. It’s hard to determine which items I could probably do without. I mean, they’re called essentials for a reason, right? Fortunately, some essentials are getting smaller. The Bloom inhaler—a thin, credit-card sized inhaler for asthmatics—is currently under development. The Bloom inhaler fits neatly into the credit card slot in a wallet, which makes it easy to carry, and simple to access.

How it Works

Users load medication from their typical inhaler canister into the Bloom cartridge that holds up to six doses of medication. Bloom is leak-proof and pressing the device’s trigger dispenses a precise dosage. Medication from any HFA inhaler can be used in Bloom and the device can be refilled over and over. Bloom doesn’t use a mouthpiece, but instead uses the “Open Mouth Technique” which the company likens to “using a breath spray.”

Bloom mist

Image courtesy of Bloom.

The Bloom inhaler creators expect the FDA to approve the device by November 2016, but interested customers can reserve one of the inhalers ahead of time by going to the company’s website. Each Bloom device will cost $40. If this device is approved, it could free up some room in my bag for other essentials…not that I need a reason to make my purse any heavier than it already is!

You may also like:

Asthma Management: There’s an App for That!

Children’s Lives Saved by 3-D Printer Technology 


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