Asthma Triggers Archives - Active Healthcare

Upper Airway Microbiome Offers Clues For Future Asthma Treatments

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

There has been extensive research on the microbiome of the human digestive system, but not as much study of the typical bacterium present in our upper respiratory system.

Your Microbiome – Good and Bad Bacteria

Scientists classify bacteria as either beneficial or pathogenic.

You may be familiar with beneficial bacteria found in fermented foods like yogurt that help us digest our food, absorb nutrients and maintain a healthy digestive system. Most of us have been exposed to pathogenic bacteria like the ones that cause strep throat (Streptococcus), pneumonia (Streptococcus pneumoniae) and food poisoning (Escherichia coli and Salmonella).

Study Details

The Yellow Zone Inhaled Corticosteroids to Prevent Exacerbations (STICS) was conducted at the Washington University School of Medicine in St Louis and funded by the National Institutes of Health (NIH).

While the study was seeking to investigate the effectiveness of significantly higher doses of inhaled corticosteroids at the first sign of an asthma attack, the review of the nasal mucous samples revealed a distinct difference in the bacteria profile of the study participant’s upper respiratory biome between control and asthma flare up.

The study found no benefit to the larger doses of medication at the start of an asthma attack.

 

Study participants included 214 children with mild to moderate asthma that were currently treating their asthma symptoms and flare-ups with inhaled corticosteroids.

Curious Results

Nasal samples were collected from study participants twice. First when their asthma was under control, and when the participants had the signs of an emerging flare-up – known as the “yellow zone”.

 

The study data revealed that a rapid change occurred in the airway microbiome of study participants as they transitioned from respiratory health to disease.

 

Asthma in control: Microbiome dominated by beneficial bacteria

Yellow Zone: Microbiome contained bacteria associated with diseases like pneumonia and strep throat – Staphylococcus and Streptococcus.

Future Research Opportunities

This study showed a link between the bacteria and asthma symptoms but did not prove cause and effect.

Future study of the upper respiratory microbiome will help asthma researchers in their development of new asthma treatments. These new treatments might target the bacteria present in the upper respiratory microbiome in hopes of preventing asthma symptom flare ups.

Additional Resources

Study Information – Washington University School of Medicine
The Human Microbiome
Wearable Asthma Informatics: Future of Asthma Care in Children
Hidden Spots for Germs: Home, Office and Doctors Office


Halloween Tips – The Effect of Sugar and Dairy on Asthma

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

Now that summer has come and gone, the grocery store is filled with Halloween candy displays. Those with asthma know to avoid pollen and pet dander to help prevent asthma attacks. However, do you know that eating excess sugar and dairy can also have an negative effect on asthma?

Here’s how sugar and dairy effect your lungs and some tips for an asthma-friendly Halloween.

Candy Corn

 

How Sugar and Dairy Consumption Effects Asthma

Sugar is often inflammatory, even to those without asthma. Higher consumption of sugar can cause airway inflammation, making asthma worse.

Other common Halloween candy ingredients are dairy products. Eating dairy causes the body to produce excess mucus, which can make breathing more difficult.

Avoiding candy in large quantities is important for everyone, but is particularly crucial for those with asthma. With Halloween around the corner, avoiding candy becomes more difficult, especially for children.

Tips for an Asthma-friendly Halloween

Emphasize candy-free activities: Instead of trick or treating, try a haunted house or movie night.

Limit candy consumption: If you and your child do go trick or treating, stick to snacking on a few pieces of candy that evening and save the rest of the haul for later.

Have a Halloween party: Holding your own Halloween party is a great way to guarantee healthy asthma-friendly snacks like popcorn, fruit, and veggies are available for you or your child. A night of spooky crafts, fun games, and a family friendly movie can make for a Halloween your child will remember for years to come.

Avoid other allergies/triggers: If you or your child will be attending a party at another home, avoid indoor allergies like pets as much as possible. For trick or treating, check the air quality and pollen levels before heading out

With these tips, Halloween can be fun for the whole family

Everyone has their favorite Halloween candy treat. However, for a healthy holiday for all, keep the candy to a minimum. Shifting the focus away from candy to more healthy spooky fun will guarantee a fun holiday for all.

Additional Resources

Asthma and Nutrition: How Food Effects your Lungs – American Lung Association
Sugar Intake Linked to Kids’ Asthma? – WebMD
Six Best and Worst Foods for Asthmatics


Wearable Asthma Informatics – Future of Asthma Care in Children

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

wearable asthma informaticsAn incredible amount of research has gone into childhood asthma in the last few years, leading to deeper understanding of the condition and better care for children with asthma.
New technology hopes to help predict a child’s asthma attacks before they occur. A wearable asthma informatics system is under development as part of an initiative of the US National Institutes of Health.

What is PRISMS?

This new asthma monitoring system is part of the PRISMS Initiative, which stands for Pediatric Research Using Integrated Sensor Monitoring Systems. A team of researchers from University of California-Los Angeles and the University of Southern California are developing an integrated platform of wearable sensors that can gather data about the environment of children with asthma and help predict asthma attacks.

How does the Asthma Informatics Platform Work?

The platform connects a variety of sensors and equipment using bluetooth and wi-fi, compiling all the data for health professionals. The platform includes the following:

Smart Watch: acts as a hub connecting to all other devices during the day and collects bioinformatics like activity level and heart rate.
Air Quality Sensor: attached to backpack or placed nearby and measures very small particulates in the air that can make asthma worse.
Medication Sensor: receptor in inhaler that records when medicine is taken.
Spirometer: measures the volume of breath twice a day, data is automatically sent to the system.
Smartphone app: includes questionnaires to gather data from the child about their environment.

How will PRISMS help asthma care?

With the data that PRISMS collects, medical professionals can identify patterns and help families identify asthma triggers. In the future, a platform like PRISMS could send alerts when sensors detect that an asthma attack is likely.

Overall, using the data from all children in the study, researchers hope to find new trends in childhood asthma. Patterns realized from the data of the children in the study may lead to new treatments and new environmental policies to keep all children healthy.

New Technology will bring better care for children with Asthma

In the future, portable medical health devices may be commonplace, and the data collected from systems like PRISMS will help make asthma care better than ever.

Resources

Predicting Asthma Attacks in Kids – Chemical & Engineering News
PRISMS Initiative – National Institutes of Health
Got Asthma or Allergies? There’s an App for That!


It’s Not Just Water Vapor: Risk of Secondhand Vapor Exposure

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

It is hard to imagine that many people still believe that the vapor produced by e-cigarettes is harmless. They believe that the sweet smelling cloud produced by someone vaping nearby is just water vapor. The secondhand vapor from e-cigarettes actually contains many of the same chemicals that are found in traditional ones. These contaminants include propylene glycol, vegetable glycerin, nicotine and many different flavoring agents.

E-Cigarettes: Continued Health Threat for YouthNo one should be inhaling any of these toxic substances because they will all cause inflammation in your lungs. Asthma sufferers and those with allergies are especially at risk of exposure to lung irritants. Studies by the National Academies of Science indicate that e-cigarette use increases asthma symptoms such as coughing and wheezing.

The good news is that e-cigarettes are different from traditional cigarettes in one way, they only emit vapor when they are being used. 

New Research Based on the Florida Youth Tobacco Survey

The Florida Youth Tobacco Survey data (link to data) was the basis for some recent research to determine the connection between electronic nicotine delivery systems (ENDS) and asthma symptoms. The survey data indicates that e-cigarette use was up almost 600% from 2012 to 2018 in youth ages 11-17. The rate of youth trying e-cigarettes is also up over 350% in the same date range.

Survey Data Demographics:

  • Study based on surveys from almost 50,000 youth and teens.
  • 33,500 respondents were in High School and another 36,000 were in Middle School.
  • Respondents were evenly split by gender.
  • One-third identified as Hispanic, one-third are white, and one-fifth as African American.
  • About 75% of survey participants lived in large or mid-sized metro areas.
  • The research focused on the 11,000 respondents diagnosed with asthma.

 

Study Definition of Exposure to secondhand vaping aerosol:  Exposure to someone vaping either in the same room or in a car within the last month.

Secondhand vaping exposure increased the likelihood of an asthma attack by 27%, regardless of whether the children themselves smoked or vaped.


Tips for Parents

Juul e-cigaretteThe statistics on the rates of vaping are staggering. In 2018 the CDC reported that 20% of high school students vaped in the past 30 days. Smoking rates in the same age group are actually lower at only 8 percent. The rate of teen smoking continues to fall; it is 50% lower than it was in 2011.

The national rate of smoking in adults is 14% (2017), down from 20% in 2005. In contrast only 2.8% of adults use e-cigarettes.

Nicotine is toxic to children, even at minimal exposure levels. Their developing bodies are even more susceptible to environmental pollutants like nicotine and the other dangerous components of e-cigarette vapor.

  • Encourage your children to avoid secondhand vaping aerosols just like secondhand smoke from traditional cigarettes.
  • Educate family members and friends who vape to do so away from children and especially not in enclosed spaces.
  • Communicate with your children about the dangers of smoking and vaping so they know the risks.

 

If your child has asthma, consider adding limiting exposure to vaping in your child’s asthma action plan – due to the possibility of it triggering an asthma attack.

Additional Resources


Hidden Spots for Germs: Home, Office and Doctor’s Office

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

The winter season is peak time for cold and flu. Getting vaccinated against the flu is always a good idea but remember that germs are sneaky and can lurk in the most unlikely places.

Bacteria and viruses are spread by both direct and in-direct contact. A sick person can sneeze or cough near you. You might touch something that has been contaminated by a sick person who has passed by before you.

Remember that people with asthma can often be more susceptible to any respiratory illness. Small children are still working to build their immune systems. When they catch a cold or virus from other kids or pick up germs in their environment, they get sick and share the illness with their family members.

Germs in Your Office

Pens - clipboardsYour desk is ground zero for germs in the office. Recent studies showed that your desk can have 400 times more bacteria than a toilet seat. These unfriendly office visitors can survive up to three days on these surfaces. Everyone should disinfect their desk work surfaces including the keyboard, mouse and phone on a regular basis, but during cold and flu season it is even more important.

Don’t forget about shared work spaces like the break room, copy machines and shared workstations. At our office, we encourage those who are sick to stay home. Fellow team members have been known to swoop in to wipe down the desks and work areas of their contagious colleagues to keep the sickness from spreading.

Germs in Your Home

germs, cleaningThe dirtiest parts of your home include the kitchen sink and drain, along with the sponges and dish rags you use to wipe the counter or wash dishes.

Any location where water is present is highly susceptible to bacterial accumulation. Again, if someone at home is sick, you’ll have to step up your disinfecting efforts.

Germs at the Doctor’s Office

Many pediatricians’ offices separate ‘well’ and ‘sick’ children in different waiting areas. This can be a great way to avoid others who are coughing and sneezing if you are well. Since the same doctors and staff are caring for both sets of patients, here are a few ways to avoid germ magnets at your MD office.

Bring your own pens and reading materials. Test swabs show that those waiting room clipboard pens are far dirtier than door handles and waiting rooms chairs.

Don’t be afraid to ask the staff to wash their hands, especially after touching hand held devices and stethoscopes, and before touching you.

Bottom line, wash your hands frequently, avoid contact with people that are obviously sick, and schedule frequent cleanings around your home and office. As a favor to everyone one else, if you’re sick, stay home and rest rather than spread the contagion.

Additional Resources:

CDC Flu Information

Cold weather Tips for Asthma Sufferers

Five Flu Myths Debunked


Time To Rake the Leaves – Fall Allergy Season

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

Many of you may think that the springtime is the worst season for allergy sufferers. Everyone has different triggers, so the fall can also be troublesome for those with allergies and asthma. During the fall we enjoy beautiful scenery as the leaves change from green to brilliant shades of red, yellow and orange. As the season progresses, all those colorful leaves fall, becoming an allergy trigger of their own.

Fall Allergy Triggers: Pollen and Mold Spores

Although each allergy sufferer has different triggers, many people are allergic to plants that produce pollen in the fall season, such as ragweed. Another common fall allergen is mold spores. Remember all those beautiful fall leaves? Once they fall and linger on your lawn they get rained on – creating a perfect environment for the growth of mold spores.

Fall Leaves

When you rake all those leaves into a big pile – maybe for the neighborhood kids to jump into or to compost or bag up for pickup, all those mold spores are released back into the air.

Once exposed, your body reacts to the triggers and you’ll likely have a runny or stuffy nose, itchy or watery eyes and an irritated nose and throat. Doesn’t that sound like fun!

Outdoor Yardwork Tips: Protect Yourself Before and After

Since you can’t escape the yard work, if you suffer from allergies you can take these steps to minimize your symptoms this fall.

  • Wear a filter mask, especially when raking leaves
  • Rake often giving less time for mold spores to develop
  • Choose long sleeves and wear gloves to minimize exposure to your skin
  • Avoid touching your nose and eyes during yardwork
  • Choose early morning and evening times for yardwork when pollen counts are lowest

Once your yardwork is complete remember to leave your shoes at the door and change your clothing to limit tracking allergens into your home. Shower as soon as possible as allergens will linger on your skin and hair.

Even if you are not doing yardwork, just going outside can trigger an allergy attack. Remember it is best to stay inside when you hear one of your neighbors firing up their leaf blowers!

Allergy Medications Can Help

You can also work with your healthcare provider to choose the best over the counter and/or prescription medications to manage your seasonal symptoms. Some medications need to be taken in advance of the season for maximum effect. Consider adding nasal saline irrigation on a regular basis during the fall months to clear mucous and allergens from your system.

Additional Resources:

House Plants and Allergens

Holiday Planning For Those With Asthma and Allergies

Climate Changes and Outdoor Allergies


Asthma Sufferers – Plan for Fun at the NC State Fair

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

Are you excited about the North Carolina State Fair?

Here are some pointers to help you enjoy all the fair has to offer, even if you have asthma.

October is Not Too Early for Flu Shots

The flu causes inflammation and narrowing of your airways which can in turn trigger an asthma flare-up.

People with asthma should always get their yearly flu shot to both avoid catching the flu and suffering its complications that can trigger asthma attacks.

Sheep and Rabbits and Ponies Oh My!

State FairOne of the favorite kid friendly attractions at the fair is the petting zoo. Take the proper steps to protect yourself when visiting all of the adorable baby animals. Close contact with animals can trigger an asthma attack because you may come in contact with proteins that are found in animal saliva, skin flakes, urine and feces.

Animal fur collects pollen, mold and other outdoor allergens that can be another trigger of your asthma symptoms. Remind your family members to wash their hands after visiting the petting zoo. Do not touch your eyes or any part of your face until you wash your hands!

Navigating Fair Food: Be Aware of Food Allergies

Each year the food vendors at the North Carolina State Fair come up with new and existing food offerings. In 2017 a few of the special treats on the menu were Deep Fried Key Lime Bites, Flamin’ Hot Cheetos Corn on the Cob, and the Blue Hawaii Funnel Cake. If you are unsure about what you are ordering, ask for an ingredients list. Those with severe food allergies may want to skip the fair food altogether and pack their own snacks. Always remember to keep food allergy medication on hand.

Watch for Exposure to Second Hand Smoke

Big crowds at outdoor venues can mean increased exposure to second hand smoke. If you are exposed to second hand smoke it is best to try to remove yourself from the area. Smoke will irate your airways and can cause them to swell and narrow. Secondhand smoke is harmful to children and adults with asthma and is a common trigger.

Travel with an extra inhaler and asthma medications. Everyone can enjoy their day out at the fair when they are prepared to manage asthma flare-ups.

Now that you’re prepared, what are you looking forward to seeing at the fair this year? Share this post with family and friends.

Additional Resources:

North Carolina State Fair Website
Best and Worst Foods for Asthmatics
Five Flu Myths Debunked


Surviving Summer Asthma Flare-Ups

Lisa Feierstein Asthma, Breathe EZ Leave a comment   , ,

summer asthma flare upsSummer is here! People with asthma should always be prepared for asthma triggers as the weather continues to get hotter.

You may experience triggers like coughing and shortness of breath due to the hot weather. Here are some tips for surviving summer asthma flare ups.

Tip 1: Exercise smart.

People with asthma may be more sensitive to extreme temperatures and the pollution that comes with it. That is why it is important to avoid outdoor exercising if air pollution is high. If you are going to work out, try to plan outdoor activities for early morning and late evening.

Tip 2: Check air quality

Always check the air quality before going outside. You can reduce the impact of your asthma triggers by being prepared and knowing your limits.

Sign up for air quality alerts by visiting airnow.gov.

Tip 3: Traveling Smart.

It is always best to plan ahead when you have asthma, especially before you take a trip. Whether you are traveling by airplane, train, or car it is always best to keep your asthma medications on hand at all times. Consider purchasing a portable nebulizer, which allows you to do treatments while traveling.

Tip 4: Talk to your Doctor.

If you are experiencing asthma symptoms and you cannot get your symptoms under control, it may be time to see your healthcare provider. Make sure to keep your asthma action plan up to date.

Tip 5: Exposure to Bad Environments

Change clothes and shower after outside work to remove allergens that could trigger an asthma attack. It is always best to be aware of what can be harmful to you and your asthma and take the proper steps to prevent yourself from having an attack.

Additional Resources

Ozone and Air Quality

AirNow – Air Quality Basics


Asthma Protection During Hurricane Season

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

Are You Prepared for Hurricane Season?

With June 1st being the beginning of hurricane season, what’s a better time to discuss how to protect yourself and your family from asthma triggers after a hurricane or tropical storm? Hurricanes produce high winds which blow pollen and mold spores into the air that can make asthma symptoms worse. During these times people with asthma can experience wheezing, coughing, tightness in the chest, and other complications with breathing. Here are a few tips to help prevent asthma attacks during the upcoming hurricane season.

hurricane season

Avoid Homes or Buildings with Suspected Mold Damage

Once any flooding clears and the cleanup process begins people with asthma are at risk of exposure to mold and dust. In extreme cases it is best to not even enter a building or home that has mold growth that you can see or smell. But if you have to be exposed to these conditions, protect yourself by wearing a filtering mask, rubber gloves, and eye protection.

Coping with Stress and Emotion

During the aftermath of a hurricane, stress levels are high and they can trigger an attack. That’s why it is best to take care of your emotional state of mind during these stressful times. Communicate and connect with other people and seek help if needed.

Washing Hands

Keeping your hands clean can help prevent the spread of germs. In many cases catching a cold or the flu can also trigger an asthma attack. If safe water is unavailable on a temporary basis use hand sanitizer.

Stock Up on Asthma Medications

Most importantly always have your asthma medication on hand and use as prescribed or when needed to control your asthma attacks. Consider storing medication and important documents in a waterproof container.

What About Climate Change?

Climate change may play a major factor in increasing allergies and asthma triggers. Rising temperatures lead to longer allergy seasons which can make the air quality worse. A warming climate also increases ground level ozone levels. This pollutant is considered to be one of the biggest hazards to people with asthma. It causes shortness of breath, coughing, aggravates lung diseases, and increases the frequency of asthma attacks.

Additional Resources

Helpful Links – Post Hurricane – Indoor Air Quality
What Climate Change Means for Allergy Season


Fun Kids Asthma Awareness Activities

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

What’s better than sharing a fun website with your kids? Here is one to help them learn more about asthma for Asthma Awareness month. The name of the website is NoAttacks.org which is sponsored by the EPA.

When you visit the website you will be drawn in by all of the bright colors and fun activities. You will see different sections that you and your child can click on to learn more about asthma attack prevention and also tips on how to come up with an asthma action plan.

asthma triggers

Kids’ Stuff

In this section you’ll find downloadable books to read and coloring books.
There are also other fun activities from crossword puzzles to seek and find that will help you and your child learn more about asthma and asthma awareness.

air quality

Media Center

In the media center, watch and sing along with The Breathe Easies. The group sings about how to stop your asthma triggers in your home.

The Breathe Easies songs are available in five different languages, English, Spanish, Lakota, Navajo, and Anishinaabe.

breathe easies


7 Asthma Myths for Asthma Awareness Month

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

Did you know that May is Asthma Awareness month? With spring in the air it is a perfect time to test your knowledge and learn more about asthma symptoms and triggers. Check out these seven asthma myths.

Myth: All Asthma is the same

There are several types of asthma but here are the most common ones. Allergic asthma is most commonly associated with grass, mold, and dust. In cough-variant asthma the number one symptom is coughing. This commonly flairs when there is dust, cold air or a strong smell. Exercise-induced asthma is when you have a hard time catching your breath during intensive physical activity. The effects can last five to twenty minutes after working out.

Myth: People with Asthma Should Not Exercise

Physical activity is beneficial to everyone, including those with asthma. Exercise can be easier for people with asthma when it is done in places of high humidity as this helps open the airways.

Read some tips about Exercising with Asthma

Myth: Pets cause Asthma

For some people, asthma is triggered by pet allergens. The protein found in pets’ saliva, skin flakes, urine, and feces can also cause allergic reactions. Surprisingly the fur of an animal is not always an asthma trigger. Animals with fur can also be a carrier of other triggers such as dust and other allergens.

Read more about how Puppies Can Reduce A Child’s Risk for Asthma

Myth: Don’t Worry about Exposure to Secondhand Smoke

Secondhand smoke and smoke in general is not good for anyone’s health. Exposure to smoke is one of the most common asthma triggers. Smoke irritates airways and causes them to swell and narrow. Irritated airways can more easily fill with mucus making breathing more difficult.

Myth: You can Outgrow Asthma

People who have asthma when they are very young may outgrow their symptoms as their lungs develop. However, in many cases, symptoms can reoccur in adulthood following exposure to smoke or respiratory viruses.

Myth: Asthma is Contagious

Asthma is not contagious but it can run in your family. The Centers for Disease Control report that three-fifths of all asthma cases are hereditary. If one of your parents have asthma you are three to six times more likely to develop it yourself.

Myth: Asthma has a Cure

There is no cure for asthma but with the right tools and knowledge, your asthma can be managed so you can live a healthy life.

So how did you do on the quiz? See the additional links below to expand your asthma knowledge. Why not share this post with friends and family who need to learn more about this chronic disease.

Additional resources:

Asthma and Allergy Foundation of America – Asthma Facts and Figures
Asthma Facts and Figures

Social Media – Asthma and Allergy Awareness Campaigns
Asthma and Allergy Awareness Campaigns


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


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.

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!


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!


Local Honey Won’t Provide Sweet Relief from Allergies

Lisa Feierstein Allergies, Breathe EZ Leave a comment   ,
Photo by Sonja Langford, Unsplash

Photo by Sonja Langford, Unsplash

Lately I’ve noticed a lot of buzz about home remedies. I’ve read about eating coconut for stomach troubles, using milk of magnesia as deodorant, and I’ve noticed a movement growing surrounding the purported benefits of essential oils. One home remedy I hear about the most is the potential benefit of eating local honey to treat seasonal allergies caused by plant pollen.

The theory behind using local honey as an allergy treatment is that bees collect local pollen to make honey, so by eating local honey, you expose yourself to a little bit of what you’re allergic to desensitize yourself to it—this is called “immunotherapy.” Allergy shots are a form of immunotherapy—patients are exposed to larger and larger doses of an allergen to build up immunity to it.

Immunotherapy: Local Honey contains Local Pollen

On the surface, the theory behind using honey as immunotherapy seems like a sound one, but there’s no way to determine exactly which plants the bees are collecting pollen from to make the honey. Allergy shots target specific allergens, but eating local honey is a bit like rolling the dice. Bees also prefer collecting pollen from flowers but most allergies generate from the pollen of grasses, trees and weeds, not flowering plants. The honey that bees produce is from local pollen, but not necessarily from sources that cause common allergies and not in any targeted way like an allergy shot. A 2002 study in the Annals of Allergy, Asthma & Immunology showed that eating local honey didn’t improve allergy symptoms. Study participants that ate local honey didn’t fare any better than participants eating processed honey or taking a placebo.

There’s also a slight risk in consuming local honey that’s unprocessed—it can contain bacteria, mold, pollen and even bee parts that in rare cases, can cause an allergic reaction. Unfortunately, this home remedy doesn’t hold up, but the good news is that honey is still a great way to add a touch of sweetness to my afternoon cup of tea!

Additional Resources on Spring Allergies

Want to test your knowledge on other spring allergy myths? Check out this post, “Fact or Fiction? Spring Allergy Myths Debunked.”


What Climate Change Means for Allergy Season

Lisa Feierstein Allergies, Asthma, Breathe EZ Leave a comment   ,
There may be a link between climate change and an increase in seasonal allergies.

There may be a link between climate change and an increase in seasonal allergies.

One unique and popular way to usher in spring in the Triangle area is by attending a movie on the lawn at the North Carolina Museum of Art. Thousands turn out with picnic baskets in tow to enjoy a favorite snack while watching a film under the stars. That’s one of the best parts about spring—the ability to enjoy the outdoors in the deliciously warm weather. Whether it’s at a movie on the lawn, a walk on the greenway, or a game of Frisbee in the park, outdoor activities rule. One aspect of spring that I could do without though is the sneezing and the itchy, watery eyes caused by seasonal allergies.

Climate Change Can Effect Vegetation and Pollution

If you feel like your allergies have gotten worse in recent years, you’re not alone. Many scientists believe that there’s a link between climate change and an increase in seasonal allergies since plants have started blooming earlier in the season and continue releasing pollen longer. Scientific research suggests that one very common allergen—ragweed—has increased due to higher temperatures and increased levels of carbon dioxide. A warmer climate also means higher ozone levels. Ground-level ozone caused by pollution can exacerbate asthma symptoms, especially during the ozone forecast season that runs from April through October.

Yet many scientists are also hopeful that the pendulum may soon start to swing the other way on climate change. There’s been a lot of buzz in the media recently about the Paris climate change agreement. Many are hopeful that stronger environmental goals will combat global warming. This climate change deal in combination with the Clean Power Plan, which President Barack Obama announced in August 2015, could also be beneficial in reducing the impact of seasonal allergies on asthma sufferers. The goal of the Clean Power Plan is to reduce power plant emissions by 32% by 2030 which could reduce as many as 90,000 asthma attacks in children by 2030.

Allergy Season Tips

It’s of course going to take some time for these climate change plans to go into effect, but asthmatics can take some immediate steps to lessen the blow of seasonal allergies. If you have asthma, make sure you have an up-to-date asthma management plan that you’ve developed with your doctor. This plan should outline which medications to take on a regular basis and what to do in the event of an asthma attack. You can also use one of these five free apps, like EPA’s AIRNOW and Allery Alert, to track air quality and allergy forecasts so you can better prepare for days with high ozone levels and peak pollen counts.


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