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Tuesday, June 10, 2008

 

MEN & EVENTS
By Alito L. Malinao
Living with asthma


About 10 years ago, when I was in my mid-50s, I had this chronic cough that refused to go away despite bottles after bottles of cough syrup and antibiotics. Finally, our family physician advised me to see a specialist on pulmonary medicine and that was when I discovered I had asthma.

The first thing that my new doctor asked me was if I was a smoker. When I said “No,” he asked me if my parents had asthma. When I also said “No,” he told me that I could have acquired my asthma from passive smoking or from other pollutants in the air.

My doctor explained that when you have asthma when you are young, chances are it will disappear when you grow older. But in my case, since I became asthmatic when I was already old, he said that this could no longer be cured and I have to live with it.

What is asthma?

Asthma is a chronic lung disease characterized by difficulty of breathing, wheezing, coughing, and increased mucus production. These symptoms can cause death depending on the severity of the amount of allergens involved and the extent of the blockage in the airways to the lungs.

Asthma sufferers like me have very sensitive bronchial tubes. Foreign molecules or particles can inflame and tighten these tubes due to allergens or irritants. As the tubes tightened, extra mucus is produced that makes breathing difficult. Symptoms can be so severe that breathing is labored. This is when asthma becomes life threatening.

I don’t know if this is a consolation but according to the World Health Organization there are from 100 million to 150 million people worldwide suffering from asthma or chronic obstructive pulmonary disease.

In the Philippines, asthma is the eighth leading cause of death. There are now approximately 5.5 million Filipinos affected with asthma. Unfortunately, I am one of them.

My first attack

During my first severe asthma attack, I was rushed to the hospital in the middle of the night because I was gasping for breath. I thought I would not reach the hospital alive.

But thank God I was still breathing, although heavily, when we reached the hospital. I was immediately attached to an oxygen tank and injected with steroids. I was also asked to inhale fumes from a Nebulizer (a machine that pumps air with anti-asthma medicines into your lungs) every 15 minutes. It was only after the steroids and with the aid of the oxygen that my breathing became less labored. I stayed in the hospital for three days.

I had five other severe attacks that required hospitalization. In other instances, my doctor would just prescribe antibiotics and Medrol for early symptoms.

Asthma as allergy

From a medical point of view, asthma is a type of allergy. Allergy is defined as a change in the body’s biological activity due to the presence of one or more types of allergens, or substances that trigger the attack like dust, fumes, certain chemicals, scents and odors, and abrupt change in temperature.

There are a lot of misconceptions and myths about the disease. A medical report posted in the Internet listed the following:

1. Asthma is a psychological problem. While it’s true that emotional stress may aggravate your asthma, this doesn’t mean you should dismiss your condition as simply psychological. Asthma is very real and can be serious enough to kill you, if you don’t consult your doctor.

2. Asthmatics should maintain a strict non-allergenic diet. Since very few attacks are caused by food allergies, there’s no need to starve to death. Simply observe what foods trigger an attack and avoid them. Eat the rest.

3. Asthma medicines make the disease worse. Modern medications prescribed by your doctor are safe and designed to help you live a normal life. You may even need less medicine in the future.

4. Eating lizards will relieve asthma. Although lizards have ephedrine, a bronchodilator once used for asthma, you shouldn’t eat them. This drug has many serious side effects such as blood pressure elevation and nausea and is no longer recommended.

Any physician would tell you that the best way to avoid an asthma attack is to look for the source of allergens and to avoid it.

My doctor has prescribed a maintenance medicine for me, an inhaled steroid, which, according to him, is harmless because it is goes direct to the lungs and not through the blood vessels.

My last asthma attack, although mild, was about a month ago brought about by the cold weather. At the moment, I live like any normal person but I know it will only be a matter of weeks until my next attack. I guess I will just have to accept this fate.

opinion@manilatimes.net

   
 

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