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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What to do for asthma problem?

Hi,

My name is Anup. I am from mumbai, India.

I have asthma for last 3 years. i have been doing expriements by doing breathing exercises.

I have tried doing anulom vilom & kapalbhati pranayam, but it triggered the asthma aatcaks more by doing this pranayam. I am

very confused about this. Because it is said that only Pranayam can cure the Asthma permanently.

Then recently i found a technique on google names Buteyko breathing technique. I found a article from Jill Macgowan(Ashtma

specialist), she have written that mouth breathing is the major cause for asthma. After reading this article i done an expriement, the

whole day i breathed from nose & concentrated on not to breath with mouth. Firstly i felt better by doing this. But after doing this 1 & half day, asthma attack triggered. Before doing this technique it was all good. SO again i am in confusion. WHy these breathing exercises are trigerring my asthma rather than curing it.

Can anybody consult & show me the way.

Thank u.....!!
Mon, 11 Aug 2014
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Allergist and Immunologist 's  Response
Hello Anup,

Thank you for asking at HCM.

I went through your history and would like to make following suggestions for you:

1. Breathing exercises, Yoga and Pranayam have now scientific back up for improving lung capacity in asthma patients. But they should be learned under professional guidance. I would suggest you to be trained by a qualified person.

2. First of all, I would personally suggest you to take regular medicines (montelukast and/or inhaled corticosteroids) after consulting your doctor.

This is because, as you are having repeated asthma attacks, they need to be controlled first. Breathing exercises & Pranayama cannot be used alone to treat asthma. They take time to be effective and they need to be performed regularly for long time.

Once your asthma is under good control, your drugs can safely be decreased under guidance of doctor.

3. I would also suggest you to get allergy testing done which will help you to know the substances you are allergic to and also to know the measures to avoid them.

4. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) and avoidance of stress (both physical and psychological) are also very important to strengthen your immunity and will be helpful in a long run.

5. In general, please avoid exposure to dusts, smokes & air pollution as much as possible.

6. Please be sure that asthma is not a disorder of airways, it has a deep relation with immune system.

Hope above suggestions and information will be helpful to you.

Should you have any further query, please feel free to ask at HCM.

Wish you the best of the health.

Thank you & Regards.
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello
How many misconceptions are in your mind about asthma . Let me explain , what is asthma and how it happens .
First of all triggering factors of asthma ( predisposing factors) .
Dust , fine dusting powder, hay , fodder, sudden fall and rise of temperature , pollen , smoking ( smokes ) , mold , humidity , cold & clammy damp atmosphere .
Symptoms & signs of asthma.
Airways hyper responsiveness that is secondary to inflammatory airways disease that results in recurrent or chronic episode of wheeze , shortness of breath, chest tightness & /or cough particularly at night or early in the morning.
Diagnosis .
--Physical examination.
--genetic history .
measurement of pulmonary function test.
Allergy is the main reason of asthma . This causes bronchoconstriction , hence all these symptoms .
So , now the answer of your question when there occurs or someone come in contact with these allergen ( as mentioned above) antigen antibody reaction happens and there develops bronchoconstriction , hence all symptoms .
So , how respiration with mouth or through nose will not produces these symptoms .
If contact with allergen you will develop allergy and bronchoconstriction and all these symptoms .
When such patient visit I advise them to take monteleukast+ bambuterol tablet once or twice in day , till complete relief.
Hope this information help.
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What to do for asthma problem?

Hello Anup, Thank you for asking at HCM. I went through your history and would like to make following suggestions for you: 1. Breathing exercises, Yoga and Pranayam have now scientific back up for improving lung capacity in asthma patients. But they should be learned under professional guidance. I would suggest you to be trained by a qualified person. 2. First of all, I would personally suggest you to take regular medicines (montelukast and/or inhaled corticosteroids) after consulting your doctor. This is because, as you are having repeated asthma attacks, they need to be controlled first. Breathing exercises & Pranayama cannot be used alone to treat asthma. They take time to be effective and they need to be performed regularly for long time. Once your asthma is under good control, your drugs can safely be decreased under guidance of doctor. 3. I would also suggest you to get allergy testing done which will help you to know the substances you are allergic to and also to know the measures to avoid them. 4. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) and avoidance of stress (both physical and psychological) are also very important to strengthen your immunity and will be helpful in a long run. 5. In general, please avoid exposure to dusts, smokes & air pollution as much as possible. 6. Please be sure that asthma is not a disorder of airways, it has a deep relation with immune system. Hope above suggestions and information will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.