Asthma belongs to what department?

Written by Wang Xiang Yu
Pulmonology
Updated on September 05, 2024
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When we talk about asthma, we generally refer to bronchial asthma, which is a respiratory system disease. Therefore, the primary department to consult is, of course, the Department of Respiratory Medicine.

If an asthma patient's condition is relatively stable, they can see a respiratory specialist through outpatient services. In hospitals without a Department of Respiratory Medicine, such as community health service centers or township health clinics, they can choose to see a general practitioner, also known as an internist.

If an asthma patient suffers an acute attack of bronchial asthma and the condition is critical, they must then visit the Department of Emergency Medicine. The emergency department will decide based on the patient’s condition whether they should be kept for observation in the emergency room, be admitted to the general respiratory department, or be sent to the ICU for further emergency treatment. Additionally, there is another type of asthma known as cardiac asthma, which is a cardiovascular disease. The first choice for these patients is to see a cardiologist, although in severe cases, they should visit the Department of Emergency Medicine.

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Which is more severe, cough variant asthma or asthma?

There isn't a claim stating which is more severe between cough variant asthma and classic asthma. Cough variant asthma is a specific type of asthma characterized primarily by a dry cough, particularly noticeable at night. Patients usually do not exhibit significant symptoms of chest tightness, wheezing or difficulty in breathing. Typical asthma symptoms include paroxysmal coughing, chest tightness, wheezing, and difficulty in breathing. If respiratory failure occurs, along with cyanosis of the skin and mucous membranes, headaches, dizziness, or even coma, the condition is considered severe and immediate emergency treatment is necessary.

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Asthma: What to Avoid

Asthma is a chronic inflammatory disease of the airways involving various types of cells and cellular components, primarily eosinophils. This eosinophil-dominated inflammation is generally related to allergies. Substances that can trigger airway allergies include common allergens such as pet dander, pollen, dust mites, and mold. Therefore, it is generally recommended that individuals with asthma should avoid contact with these substances. Additionally, during the flu season, it is important to prevent colds by wearing masks to avoid viral infections.

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Is variant asthma allergic asthma?

Cough-variant asthma is not allergic asthma, although it is a type of allergic asthma. Generally speaking, there is a certain distinction between cough-variant asthma and allergic asthma. Clinically, cough-variant asthma is a special type of asthma, where the main symptom exhibited by patients is an irritative dry cough, typically quite severe, without other significant clinical discomforts. In contrast, patients with allergic asthma usually exhibit symptoms such as sneezing, nasal congestion, runny nose, itchy eyes, and itchy nose before the onset, triggered by exposure to certain allergens. Cough-variant asthma does not have these preliminary signs, marking a clear difference from allergic asthma.

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How to test for asthma?

Asthma is fully referred to as bronchial asthma. It is primarily due to the presence of inflammatory cells in the airways over a long period of time. These inflammatory cells render the trachea highly reactive. With this hyperreactivity, patients often experience wheezing, shortness of breath, chest tightness, and coughing, which typically occur in the early morning and at night. These symptoms can generally be alleviated with or without medication, and if a patient typically exhibits these symptoms, an asthma diagnosis can essentially be made. However, if the symptoms are atypical, such as having only coughing or wheezing, it may be necessary to perform some pulmonary function tests, chest X-rays, ultrasounds, or electrocardiograms on the patient to rule out other diseases that could cause wheezing and coughing. Therefore, doctors will arrange for these tests based on the patient's symptoms.

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What department should I go to for asthma?

What department should you visit for asthma? First, we need to clarify the definition of asthma. The term "asthma" most commonly refers to bronchial asthma, but also to cardiac asthma. Starting with bronchial asthma, it is a respiratory system disease, and the most appropriate department to visit is the Department of Respiratory Medicine. Of course, in the case of an acute attack of bronchial asthma, if the condition of the patient is very severe, then they may choose to visit the emergency department. Additionally, in some areas where there is no Department of Respiratory Medicine available, such as in rural areas or community health centers, patients can only visit a general internal medicine department. As for cardiac asthma, it is a concept that is gradually being phased out. Cardiac asthma, as the name suggests, is associated with cardiovascular system diseases. Under these circumstances, the most fitting department to visit is the Department of Cardiology. Of course, if the patient's condition is critical, then the most suitable choice is still the emergency department, where emergency physicians will decide how to handle the patient's condition based on their specific medical needs.