MANAGING
ASTHMA & COPD

Please contact the surgery if you are experiencing asthma symptoms. If diagnosed, our team will put draw up a plan so that the condition can be managed and monitored. Our aim in asthma management is to eliminate symptoms.

Our call and recall system, monitors asthma and COPD and is carried-out by our doctors and nurses.

Asthma Management

• Asthma patients on regular medication should attend for a review at least annually or more frequently if their condition dictates.
• Regular clinic attendance allows monitoring and support so that the risk of emergency admission to hospital is minimised.
• When asthma symptoms are well controlled there is aminimum impact of the condition on everyday life,
• We strongly recommend annual flu jabs and immunisation against pneumococcus (a type of pneumonia).

What is Asthma

We  provide an easy to understand explanations of asthma and reach  a proper diagnosis through special practice tests. Information on asthma is readily available for patients - and this can easily be accessed on-line.

Diagnosis

Once asthma is diagnosed, we look to eradicate the symptoms. Through a treatment plan, our objective is to maintain the best possible long-term airway function and reduce the risk of severe attacks. 

Spirometry

Spirometry is a simple test used to help diagnose and monitor certain lung conditions by measuring how much air you can breath out in one forced breath. It's carried out using a device called a spirometer, which is a small machine attached by cable to a mouthpiece.

Spirometry may be carried out by a doctor or nurse at the surgery or during a visit to the hospital. See below for details of Spirometry testing through our Primary Care Network.
>> SPIROMETRY VENN PCN
>> WHAT IS SPIROMETRY?  NHS

FeNO Testing

Fractional exhaled nitric oxide (FeNO) is a non-invasive biomarker used in the diagnosis and management of airway inflammation, particularly in asthma. It measures the concentration of nitric oxide (NO) gas in the exhaled breath, which is produced by various cells in the respiratory tract, including epithelial cells, eosinophils, and macrophages.

The test is simple and easy to do and, alongside other diagnostic tests, can tell you and your asthma team what type of asthma you have A FeNO test is suitable for adults and most children over five.

Full details of FeNO testing is available on the PCN wesbite and appointments can be arranged through the GP practice.

ASTHMA

Asthma: Understanding the Condition, Causes, and Management

Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, leading to difficulty breathing. It can cause episodes of wheezing, shortness of breath, chest tightness, and coughing. Asthma can affect individuals of all ages and often requires ongoing management to control symptoms and prevent flare-ups.

Causes and Triggers of Asthma

Common Causes:

• Genetics: A family history of asthma or other allergic conditions can increase the likelihood of developing asthma.
• Environmental Factors: Exposure to allergens such as pollen, dust mites, mold, and pet dander can trigger asthma symptoms.

Common Triggers:

• Allergens: Common allergens include pollen, dust mites, mold spores, pet dander, and cockroach waste.
• Air Pollutants: Smoke, chemical fumes, and strong odors can exacerbate asthma symptoms.
• Respiratory Infections: Colds, flu, and other respiratory infections can trigger or worsen asthma symptoms.
• Physical Activity: Exercise-induced asthma occurs when physical exertion leads to shortness of breath and other symptoms.

Managing Asthma

Medication:

• Inhalers: Inhalers are the primary treatment for asthma. They deliver medication directly to the lungs to reduce inflammation and open airways.
• Long-term Control Medications: These include corticosteroids and other medications taken daily to prevent symptoms and manage chronic asthma.
• Quick-relief Medications: Also known as rescue inhalers, these provide rapid relief from acute asthma symptoms.

Lifestyle and Home Remedies:

• Avoid Triggers: Identify and avoid allergens and irritants that trigger your asthma symptoms.
• Maintain a Healthy Environment: Keep your living spaces clean, free from dust, and well-ventilated.
• Monitor Your Breathing: Use a peak flow meter to monitor your lung function and adjust your medication as needed.
• Follow an Asthma Action Plan: Work with your GP to develop a personalised asthma action plan that outlines how to manage your condition and respond to worsening symptoms.

When to Seek Medical Help

Asthma can usually be managed effectively with proper treatment and lifestyle adjustments. However, you should seek medical help if you experience any of the following:

• Severe shortness of breath that does not improve with your usual medications.
• Difficulty speaking due to breathlessness.
• Blue lips or face, indicating a lack of oxygen.
• Worsening symptoms despite following your asthma action plan.

Resources and Advice

Shortness of breath can be a medical emergency requiring a 999 response. If unsure consult our Emergencies page or ring 111. In case of medical emergency dial 999. If you have any concerns or persistent symptoms, do not hesitate to contact our GP surgery for a consultation and professional advice. Proper diagnosis and treatment are essential for managing breathlessness effectively.

Shortness of Breath (Breathlessness): Causes and What to Do

Shortness of breath, also known as dyspnea or breathlessness, is a common symptom that can be caused by a variety of conditions. It is characterised by an intense tightening in the chest, difficulty breathing, or a feeling of suffocation. Understanding the potential causes and knowing when to seek medical help is essential for effective management.

Common Causes of Shortness of Breath

Respiratory Conditions:

• Asthma: This chronic condition causes inflammation and narrowing of the airways, leading to episodes of wheezing, breathlessness, and chest tightness.
• Chronic Obstructive Pulmonary Disease (COPD): COPD, which includes emphysema and chronic bronchitis, is often caused by long-term smoking and results in progressively worsening breathlessness.
• Pneumonia: An infection of the lungs, pneumonia can cause severe breathlessness, fever, and cough with phlegm.

Cardiovascular Issues:

• Heart Failure: When the heart is unable to pump blood effectively, fluid can build up in the lungs, causing shortness of breath, especially when lying down or exerting oneself.
• Pulmonary Embolism: A blood clot in the lungs can block blood flow and lead to sudden, severe breathlessness, chest pain, and sometimes coughing up blood.

Other Causes:

• Anxiety and Panic Attacks: These can cause rapid, shallow breathing and a feeling of being unable to get enough air.
• Anemia: A low red blood cell count can reduce oxygen transport in the body, leading to fatigue and breathlessness.
• Obesity: Excess weight can put pressure on the lungs and diaphragm, making breathing more difficult.

What to Do When Experiencing Shortness of Breath

Immediate Measures:

• Stay Calm: Panic can worsen breathlessness. Try to stay calm and take slow, deep breaths.
• Sit Upright: Sitting upright can help open the airways. Avoid lying down, which can make breathing more difficult.
• Use Medication: If you have asthma or another condition with prescribed medications, use your inhaler or other prescribed treatments as directed.

When to Seek Medical Help:

• Sudden Onset: Seek immediate medical attention if breathlessness comes on suddenly and is severe.
• Associated Symptoms: If you experience chest pain, fainting, nausea, a bluish tinge to lips or fingers, or a significant change in alertness, call emergency services.
• Persistent or Worsening Symptoms: If your breathlessness persists or worsens over time, consult your GP to determine the underlying cause and appropriate treatment.

Resources and Advice

Shortness of breath can be a medical emergency requiring a 999 response. If unsure consult our Emergencies page or ring 111. In case of medical emergency dial 999. If you have any concerns or persistent symptoms, do not hesitate to contact our GP surgery for a consultation and professional advice. Proper diagnosis and treatment are essential for managing breathlessness effectively.

Chronic Obstructive Pulmonary Disease (COPD): Understanding the Condition, Causes, and Management

Chronic Obstructive Pulmonary Disease (COPD) is a chronic inflammatory lung disease that obstructs airflow from the lungs. It includes conditions such as emphysema and chronic bronchitis, leading to breathing difficulties. COPD is a progressive disease that requires proper management to improve the quality of life for those affected.

Causes and Risk Factors of COPD

Common Causes:

• Smoking: Long-term cigarette smoking is the leading cause of COPD. It damages the airways and the air sacs in the lungs, leading to breathing difficulties.
• Environmental Exposures: Long-term exposure to air pollutants, chemical fumes, and dust can contribute to the development of COPD.

Risk Factors:

• Genetics: A rare genetic disorder called alpha-1 antitrypsin deficiency can cause COPD.
• Age: COPD is most commonly diagnosed in people aged 40 and older.
• Asthma: People with asthma who smoke have a higher risk of developing COPD.

Symptoms of COPD

• Chronic Cough: A persistent cough that produces mucus.
• Shortness of Breath: Especially during physical activities.
• Wheezing: A whistling or squeaky sound when breathing.
• Chest Tightness: A feeling of constriction in the chest.
• Frequent Respiratory Infections: Increased susceptibility to colds and the flu.

Managing COPD

Medication:

• Bronchodilators: These medications help relax the muscles around the airways, making breathing easier.
• Inhaled Steroids: These reduce airway inflammation and help prevent exacerbations.
• Combination Inhalers: These include both bronchodilators and steroids for more effective symptom control.

Lifestyle and Home Remedies:

• Quit Smoking: The most crucial step in managing COPD is to stop smoking.
• Stay Active: Regular exercise can improve overall strength and respiratory function.
• Healthy Diet: A balanced diet helps maintain overall health and supports the immune system.
• Breathing Exercises: Techniques such as pursed-lip breathing can help manage shortness of breath.
• Stay Vaccinated: Keeping up with vaccinations, including the flu and pneumonia vaccines, can prevent infections that exacerbate COPD.

When to Seek Medical Help

While COPD can often be managed with medication and lifestyle changes, it is important to seek medical help if you experience:

• Severe shortness of breath that does not improve with medication.
• Rapid or irregular heartbeat.
• Confusion or drowsiness.
• Worsening symptoms or signs of a respiratory infection.

Resources and Advice

Shortness of breath can be a medical emergency requiring a 999 response. If unsure consult our Emergencies page or ring 111. In case of medical emergency dial 999. If you have any concerns or persistent symptoms, do not hesitate to contact our GP surgery for a consultation and professional advice.

Living Well with Asthma and COPD

Living well with asthma or Chronic Obstructive Pulmonary Disease (COPD) involves adopting healthy lifestyle habits that can help manage symptoms and improve quality of life. Here are some essential tips:

Stop Smoking

Stopping smoking is the most critical step you can take to improve your lung health. Smoking damages the airways and lungs, exacerbates symptoms, and accelerates the progression of both asthma and COPD. Seek support from healthcare providers, smoking cessation programs, or nicotine replacement therapies to help you quit.

Stay Physically Active

Regular exercise strengthens your respiratory muscles, improves overall fitness, and boosts your immune system. Choose activities like walking, swimming, or cycling, and consult your doctor to create a safe and effective exercise plan tailored to your condition.

Maintain a Healthy Diet

A balanced diet rich in fruits, vegetables, whole grains, and lean proteins supports your overall health and helps manage your condition. Staying hydrated and maintaining a healthy weight can also improve breathing and reduce strain on your lungs.

Avoid Triggers

Identify and avoid environmental triggers that can worsen your symptoms. Common triggers include tobacco smoke, air pollution, dust mites, pet dander, and strong odors. Keep your living environment clean and well-ventilated.

Follow Your Treatment Plan

Adhere to your prescribed medication regimen and use inhalers as directed by your doctor. Regular check-ups with your healthcare provider are essential to monitor your condition and adjust treatments as needed. Use a peak flow meter to track your lung function and manage your symptoms proactively.

Get Vaccinated

Vaccinations can prevent respiratory infections that can worsen asthma and COPD. Ensure you receive annual flu shots and stay up to date with pneumonia vaccines and other recommended immunisations.

For more advice on living well with asthma and COPD, and to access support services, visit our website or contact our GP surgery. Taking proactive steps can help you manage your condition effectively and lead a healthier life.