With asthma, the temperature rises in the evening. Climate in bronchial asthma. Factors of the onset of the disease

The temperature in bronchial asthma is quite rare and indicates the addition of secondary infections. For example, bronchitis, which may be accompanied by fever and bouts of severe coughing. If the cough is repeated often with the absence of hyperthermia, this may indicate an asthmatic course of the disease.

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

Symptoms of bronchial asthma

For uncomplicated asthma, the following symptoms are characteristic:

severe suffocation, which most often occurs after physical exertion;
sometimes obstructive bronchitis may appear;
sometimes during an asthma attack, the temperature rises to subfebrile numbers;
there is shortness of breath, in which exhalation is difficult;

the patient is worried about a strong, incessant cough with minimal sputum production;
on the part of the skin, urticaria, eczema, psoriasis are possible.

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

Causes of temperature

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

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

stress overvoltage, anemia;
often subfebrile temperatures (38 ° C - 38.5 ° C) are provoked by an acute allergic reaction and disruption of the endocrine organs. In addition, cases of bronchial asthma with subfebrile temperature, which occurs due to a chronic process caused by a non-infectious form of respiratory infections, have recently become more frequent.

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

The course of the disease

In a classic attack, asthma comes on suddenly. In this case, rapid breathing, difficult exhalation is observed. A person is forced to take the most gentle posture and perform superficial respiratory efforts. Difficulty exhaling leads to the accumulation of air in the chest area, due to which it swells, and if you put both hands on your chest, you can feel a tremor when exhaling.

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

The periods between attacks also differ. In some patients, it is almost asymptomatic, while others develop serious changes in respiratory function at this time.

Forms of bronchial asthma

In many patients, asthma occurs without pronounced attacks, and when exacerbated, they develop obstructive bronchitis, which is classified as an asthmatic form of bronchial asthma. Some patients, especially children, have a predisposition to a persistent nocturnal cough without characteristic dyspnea. This form of the disease is called asymptomatic, but over time it can take a typical form.

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

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

Stages of development of asthma

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

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

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

Treatment tactics

In case of a disease with a high temperature, it is important to undergo a diagnostic examination, after which the doctor prescribes a comprehensive treatment. It can be quite long. If the attack is prolonged and cannot be stopped with medication, it is recommended to contact a medical institution for treatment in a hospital.

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

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

Bronchial asthma is an unpleasant and dangerous chronic disease accompanied by constant inflammatory processes provoked by certain external or internal factors. The role of allergens is played by a variety of reasons: infections caused by bacteria or viruses entering the body, and irritants - chemicals or small particles. Sometimes the development of bronchial asthma can provoke even prolonged stress.

The main symptoms include frequent attacks of suffocation, sometimes independent of activity or time of day, characteristic shortness of breath with difficulty exiting, as well as a straining paroxysmal cough with the inability to get rid of sputum.

Many who first encountered such symptoms are wondering - is there a temperature with bronchial asthma?

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

Is it possible to confuse bronchial asthma and classic bronchitis?

Although sometimes the diagnosis of the disease can confuse even experienced doctors, in most cases it is the presence of fever that speaks in favor of bronchitis, not asthma.

Can temperature change in bronchial asthma?

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

With any vigorous activity, a person’s breathing quickens and a large volume of air enters the lungs, which is worse moistened and slowly warms up. This leads to cooling not only of the respiratory tract, but also of the whole organism as a whole - the body, as it were, “colds out” from the inside.

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

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

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

It is worth noting the difference in the nature of subfebrile condition:

infectious - poor tolerance in combination with a positive reaction to antipyretic drugs;
non-infectious - an almost imperceptible smooth course with no response to drugs.

Do I need to bring down subfebrile temperature?

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

Symptoms of what diseases are similar to bronchial asthma?

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

The normal or slightly lower temperature typical of asthmatic children may rise for the following reasons:

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

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

What temperature?

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

Does it crash or not?

The more important question here is do you need to hit. It depends on the cause that caused the temperature in bronchial asthma. On the recommendation of a doctor, antipyretics can be used from 38 ℃, and not from 38.5 ℃, as with a common cold. Especially if the child does not feel well when the temperature rises.

It is strictly forbidden to shoot down with acetylsalicylic acid. This medicine causes a special form of the disease - aspirin asthma. With it, you can not use any antipyretic, as well as non-steroidal anti-inflammatory, such as Nimesulide.

Without consultation with the attending physician, an asthmatic child should not be given any unprescribed medications, even Paracetamol.

Ibuprofen should not be used for this disease either. Asthma is included in the list of cases of contraindications.

If Dexamethasone and Nedocromil sodium are used to treat the underlying disease, then their additional effect will be a decrease in temperature.

What are the other symptoms?

All signs of bronchial asthma appear during an attack. This is:

A short, slow and weak expiration during normal inspiration is measured with a simple peak flow meter.
Shortness of breath, especially after physical exertion, and even suffocation.
Whistling sounds on coughing and labored breathing.
Sensation of constriction in the chest.
Tachycardia is a rapid heartbeat.
In severe cases, cyanosis is a blue discoloration of the skin.

Many of these signs are seen in bronchitis and other respiratory infections. The main difference between asthma and bronchitis is the absence of

2013-03-14 06:20:18

Diana asks:

Hello, please help. IM 33 years old. The last three years have been completely tortured by relapses - herpetic keratitis in both eyes, corneal erosion, while visual acuity itself is not reduced, but cloudy scars remain on the cornea itself from the disease. Very painful relapses happen 20 times a year!!! (treatment: "acyclovir" tablets, interferon drops / eyes, "vegamox" drops for eyes, "Virgan" gel for eyes, "Systain-ultra" drops for eyes - at each relapse "Neovir" intramuscularly twice a year, "Cycloferon" intramuscularly for the last time in February of this year.began in 2004 with single relapses once or twice a year.ophthalmologists, ENTs and others cannot understand the reason.To date, relapses have reached the number of three times a month!!!
From chronic diseases - bronchial asthma of a mixed form of moderate severity, under control, is not particularly disturbing (which appeared after pneumonia suffered in 2004 outside the hospital), allergic rhinitis (allergy tests are carried out once a year - nothing has been detected, and eosinophils in the blood fluctuate from 3 to 11, regardless of the time of year), migraine, in recent years, acute respiratory viral infections have become more frequent with a constant temperature of 37.5 for a long time. All HIV tests are negative, according to gynecology everything is normal - she gave birth to two children, there are no infections of the urinary-genital system and there never was.
ELISA studies to detect immunoglobulins to viruses are negative (oddly enough). The big request to decipher an immunogram. I will write out those results that are "out of the norm":
result is normal
Lymphocytes (abs.) 2.0 1.7-1.9
T-lymphocytes (E-ROK) (abs.) 1.32 0.80-1.20
T-lymphocytes active 50 24-30
T-lymphocytes active (abs.) 1.04 0.40-0.57
B-lymphocytes (EAC-ROK) 29 12-26
B-lymphocytes (EAC-ROK) (abs.) 0.60 0.20-0.49
HCT 45.4 34.1-45.0
MCV 98.1 79.4-95.0
MONO 0.62 0.24-0.36
ESR - 3
Hemoglobin - 146
Thanks in advance!

Responsible Medical laboratory consultant "Synevo Ukraine":

Good afternoon, Diana.
Those data which you have provided, on an immunogram do not pull. At least they indicated that you are normal, tk. I don't know for what indicators you did the immunogram. The same story with antibodies to viruses, what kind?
Judging by the described clinic, there are problems with the immune system. You should probably be screened for autoimmune, hematological, and infectious diseases as well.
In addition, going to a good classic homeopath does not hurt either.
Lymphocytosis is observed in a number of bacterial and viral infections, in hyperthyroidism, diseases of the lymphatic system, rheumatic diseases. An increase in B-lymphocytes is observed in acute and chronic infections, lymphocytic leukemia, myeloma, etc.
In any case, you need to understand the internal reception.
Be healthy!

2012-11-02 13:17:58

Maria asks:

Hello! For 2 months, she has had a dry cough, a feeling of a lump somewhere in the trachea, just below the throat. She underwent an examination, did an analysis for IgE - the norm, eosinophils in the blood are normal (2). No changes on chest x-ray. FVD revealed latent bronchospasm. Based on this, the doctor diagnosed me with bronchial asthma. I bought a peak flow meter, I have been taking measurements in the morning and in the evening every day for 8 days now. For my age and weight, the norm is 393, my indicators are usually 450-470. There are no so-called "morning dips" in the peak flow chart. Please tell me, maybe I just did the FVD wrong? Recently, the cough has greatly decreased, but there is a feeling of wheezing in the left lung at the bottom when coughing, with a simple inhalation and exhalation it is gone. I was advised to contact a psychologist, I began to consult with him. There were no asthma attacks. Prolonged rise in temperature 37-37.2. What could it be?

2012-05-05 17:34:00

Svetlana asks:

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

Responsible Strizh Vera Alexandrovna:

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

2012-02-16 21:34:40

Gregory asks:

Hello! I am 30 years old. My disease appeared 1 year ago. It started with the fact that I began to feel dizzy, severe weakness, feelings of loss of consciousness. When an ambulance was called, an increase in pressure up to 170/120 was established and tachycardia (130 bpm) was then treated in cardiology (having diagnosed IRR). After discharge, the state of health improved slightly. But a week later it all started back (general weakness, dizziness, tachycardia when walking) turned to a therapist - they began to treat SARS, they closed the hospital with hedgehog symptoms (14 days have passed). Two weeks later, he was again on sick leave (again they put ARVI). I myself went to the doctors - a neuropathologist, an endocrinologist and an infectious disease specialist. Passed examinations: tests for hormones, blood (deployed, for potassium, etc.), hormones, REG, EEG, HIV, cardiogram, x-ray, ultrasound of the thyroid gland and abdominal cavity, swallowed a probe. everything is normal except - they found me hepatitis B, I also suffer from bronchial asthma and hron. gastroduodenitis - all this was normal at the time of the examination.
With these results, the neuropathologist sent me to the regional hospital, where I was diagnosed with vegetative dysfunction of the mixed type. Upon arrival back to the doctor, he told me that it was not him and sent me to an endocrinologist who, in turn, said the same thing and sent me back (but advised me to drink a note). After that, I went back to the therapist (about 2 weeks later), but I also had other symptoms: pain, tingling in the region of the heart; nausea in the morning; feelings of fear, fear of losing consciousness, etc.; he appointed new examinations of the stomach and another neuropathologist - who sent me to the hospital (saying that she had no time to mess with me), where they instilled me with mildronate, adoptal, caventon, neurovitan, actovegin. After discharge, there were no recommendations and they were discharged with a temperature of 37.4 (which I periodically have) with headache and slight dizziness. Although I felt much better, but alas, 14 days of sick leave. Two weeks later, I went to another neurologist (already through acquaintances), because I started having all the symptoms again (tremor in the hands, feelings of fear, temperature 37.1, weakness, pressure 170/100 (caused an ambulance pricked magnesia), tachycardia etc. She said that these were panic attacks and prescribed myosern 0.5 tablets before bed. It became easier, but the temperature rose periodically, indigestion, and fatigue, dizziness. As a rule, this happens in the afternoon after sunset, I feel better I drank for 1.5 months as prescribed, but after stopping after two weeks, everything intensified again, I went to her and again prescribed myosern.After drinking for a month, I suffered a strong emotional shock and my blood pressure increased and at the slightest excitement, pressure, tachycardia, pre fainting. By coincidence, my mother was in neurology and I took a consultation there.The head of the department advised me to drink afobozol 1-3r and bisoprolol 0.5 in the morning, having diagnosed GB I-II DE with died ny astheno-neurotic syndrome, and sent for a consultation with a cardiologist with a cardiogram. In cardiology, they said that the cardiogram was good and that it was nervous, but they prescribed the same medicine to drink for a month. I drank 1.5 months. and after the cessation, the head began to feel dizzy again, to hurt between the shoulder blades, but less often. I turned to a massage therapist who advised me to first turn to a homeopath. After 2 weeks, the attacks began to become more frequent. I again began to drink myosern. he skill was in the presence of the house. To a homeopathist while did not go cold.
Please tell me what I need to do and for what to be treated?
Thanks in advance.

Responsible Yatsenko Ekaterina Valentinovna:

Dear Gregory, judging by the symptoms you describe, your main doctor should be a neuropathologist. I recommend finding a competent doctor and continuing therapy (this pathology needs long-term methodical treatment).

2012-01-10 18:41:12

Elena asks:

From the end of October 2011, a slight pain in the middle of the chest suddenly appeared, dry cough, weakness, temperature 37-37.2. The therapist prescribed an X-ray of the OGK, issued a referral for a consultation with an allergist. The result of the chest x-ray: infiltrative, focal shadows are not determined, the pulmonary pattern is somewhat enhanced, the roots are taut, the sinuses are b/o, the heart is not enlarged in size. Complete blood count: WBC 7.6; RBC 4.48; HGB 143; HCT 0.418; MCV 93.3; MCH 31.9; MCHC 342; PLT S 318. Treatment was prescribed: ambroxol, ventolin, lorano, travesil, erespal, ascorutin. The allergist issued a referral to the bacteriological laboratory for sowing from the nose and throat, as well as for total IgE. The result of bacterial culture: abundant growth of golden staphyloccus in the throat, no pathogenic bacteria were found from the nose; fungi were not found. The result of a blood test for IgE is 9.77 IU / ml, reference intervals are up to 87.0.
The treatment by the therapist did not give any result, a week after the outpatient treatment, the state of health worsened. In addition to pain in the chest, heaviness appeared, the cough intensified (without sputum), weakness became stronger, an incomprehensible painful spasm appeared (feeling as if a ball was rolling from the middle of the chest and into the throat) - only during the day, the lower part of the ribs hurt and the feeling was that the ribs one size larger, there was no choking, no coughing at night.
On November 18, 2011, she was referred to the regional hospital for a consultation with a pulmonologist, who gave a referral for bronchoscopy, based on the results of which treatment will be prescribed. I refused bronchoscopy due to side effects after it. She underwent spirography using 200mcg of salbutamol. Spirometry without salbutamol: FVC- 3.52, should-3.46; FEV1 - 3.41 should-3.0; PEF L / s- 7.28 should-6.86; FEV 1% -96.9 should-82.5. Conclusion: spirometry is normal. Spirometry 15 minutes after salbutamol inhalation: FVC POST - 3.72 PRE -3.52; FEV1 POST - 3.44 PRE -3.41; PEF L/s CONST – 6.64 PRE- 7.28; FEV 1% FAST - 92.5% PRE - 95.5. Conclusion - the test is negative.
On November 24, 2011, she went to a private clinic for a consultation with a pulmonologist. The pulmonologist gave a referral for fluoroscopy. The result of fluoroscopy: the lungs are without focal and infiltrative opacities, normal airiness, the pulmonary pattern is enhanced, moderately deformed in the basal regions, the roots are lowered in structure, the diaphragm is clear, the sinuses free, heart and aorta normal; conclusion: radical pneumofibrosis. The pulmonologist, based on the conclusion of fluoroscopy, diagnosed an exacerbation of chronic bronchitis aggravated by osteochondrosis. Treatment was prescribed: lazolvan intravenously 10 injections; serrata 10 days; erespal syrup 14 days; rapitus -10 days; bronchomunal - 10 days; breathing exercises; chest massage. Lasolvan was able to pierce only 6 injections, she did not take rapitus due to the lack of pharmacies in the city, she did 10 massage sessions per cell. Feeling a little better.
On December 13, 2011, she went to the hospital of the pulmonology department for treatment. The doctor diagnosed COPD stage 1 exacerbation of LIO. Treatment: intravenous latren (droppers), lazolvan 10 injections, dexamethasone 3 droppers, buffer soda, thiotriazoline, amplipulse per gr.cell 10 days; inhalation with flixotide 7 days. There are no improvements. In the course of treatment, the following tests were made: 12/20/2011 urinalysis: specific gravity 1021, protein was not detected, sugar was not detected, Ep pl unit in p / z; alpha 4-7 in p / sp; phosphates; 12/14/2011 detailed blood test: Ht -0.39; hemoglobin148; erythrocytes 4.4; color index 1.0; mean erythrocyte volume 89; platelets 288; leukocytes 14.3; segmented neutrophils 74; lymphocytes 22; monocytes 4; erythrocyte sedimentation rate 7. Detailed blood test 20.12.2011: Ht 0.47; hemoglobin155; erythrocytes 4.8; color index 0.97; mean erythrocyte volume 88; platelets 331; leukocytes 9.3; neutrophils stab 2, segmented 59; eosinophils 1; lymphocytes 26; monocytes 12; erythrocyte sedimentation rate 5. She underwent ultrasound of the thyroid gland - there are no deviations from the norm.
On December 23, 2011, she was referred for a consultation with an allergist at the regional hospital. The allergist diagnoses her with bronchial asthma, possibly with an allergic bias. Has appointed or nominated to accept symbicort 2 r a day within 3 months.
On December 23, 2011, a tomography of the ph. cell was performed, scanning mode - spiral, contrast enhancement - ultravist 300 - 100 ml IV bolus. Results of tomography: the lungs are completely expanded, uniform pneumatization, without focal and infiltrative changes, the pulmonary pattern is not changed, trachea and bronchi I-V passable, without intraluminal pathology, in the areas of the pulmonary trunk, pulmonary arteries and their branches accessible to inspection, intraluminal contrast defects were not detected, the mediastinum was not expanded, no pathological formations were found in the mediastinum, the lymph nodes of the roots of the lungs and mediastinum were not enlarged, fluid accumulation in the pleural cavities and not found in the pericardial sac, the pleura and pericardium are not thickened; There were no bone-destructive changes in the thoracic spine, ribs and sternum.
Treatment at the pulmonology hospital did not give significant results: the spasm almost disappeared (sometimes it appears but not as painful as before), heaviness in the chest did not go away, the cough did not go away (no sputum), the ribs periodically hurt. I can only sleep on my back if I lie down on on the side or on the stomach, the heaviness intensifies, while the sensation is as if some kind of vessel is being compressed inside.
Help with specification of the diagnosis and treatment. I will be grateful for your help.

Responsible Bondaruk Olga Sergeevna:

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

News on the topic: temperature in bronchial asthma

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

An elevated temperature in bronchial asthma is a rather atypical symptom, which indicates that an asthma attack has occurred against the background of a cold. Most often, fever in asthma is caused by SARS. In order to find out exactly what infection high fever indicates, you need to contact a pulmonologist.

Bronchitis and asthma

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

Viruses: influenza, rhinoviruses, influenza, adenovirus, respiratory-interstitial.

Bacteria: staphylococcus aureus, streptococcus, moraxella catarrhalis, Pseudomonas aeruginosa and Haemophilus influenzae.

The simplest: chlamydia, legionella, mycoplasma.

In very rare cases, a fungal infection, such as fungi of the genus Candida, is to blame for the occurrence of bronchitis.

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

hair and excretions of animals, both wild and domestic;
household dust mites and their excrement;
certain types of food, such as fish;
some types of plants, for example, ragweed, flowering plants.

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

It is possible that the same victim has both bronchitis and asthma at the same time. In this case, the disease is called infectious-allergic asthma, that is, it is a chronic inflammatory process in the bronchi, which leads to an increased reaction to any external stimuli. Most often, infectious-allergic asthma affects the elderly, it is very rare to find this kind of asthma in those who are not yet 45.

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

Signs of infectious-allergic asthma

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

malnutrition, prolonged feeling of hunger;
insufficient amount of sleep;
chronic fatigue, overwork;
any other disease;
hypothermia and heat stroke;
stress, extreme situation, strong excitement;
hormonal changes, menopause, pregnancy;
the appointment of new hormonal contraceptives or drugs, for example, for skin allergies.

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

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

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

Without medical assistance, the patient's condition worsens.

Various complications begin to arise very quickly, after 2-3 years the victim can get emphysema.

Comorbidities begin to develop, most often polyposis of the nose and sinuses.

Attacks significantly impair the quality of life of the patient and can lead to disability.

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

Treatment of infectious-allergic asthma

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

Remedies are prescribed to alleviate the symptoms: expand the bronchi and reduce the allergic reaction. These can be hormonal drugs for inhalation, antihistamines, or relieve spasm of the respiratory muscles. The choice of the direction of treatment is determined by the pulmonologist in each case.

Means to eliminate the inflammatory process are recommended. To do this, you need to determine which type of pathogenic microorganisms caused bronchitis, and choose a therapy. Antibiotics are most often used in tablets and solutions for inhalation. In severe cases, antibiotics are given by injection. Sanitation of the oral cavity and sinuses, respiratory tract is carried out. The treatment can be carried out by the victim himself by inhalation or by the attending physician on an outpatient basis. If the condition becomes life-threatening and there is a risk of respiratory failure, the person is hospitalized in an inpatient pulmonology department.

Sputum discharge and airway clearance are stimulated with bronchodilator and mucolytic drugs in the same way as in obstructive bronchitis.

The immune status increases. Often, instead of immunomodulators and immunostimulants, the doctor prescribes physiotherapy, massage and exercise therapy, since a direct increase in immunity will exacerbate the allergic reaction.

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

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

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

It is necessary to provide yourself with a sufficient amount of sleep and rest, to avoid overwork. Food should be varied and complete.

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