Key points in the treatment of bronchial asthma

Written by Yuan Qing
Pulmonology
Updated on March 19, 2025
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Bronchial asthma, commonly referred to as asthma, is a chronic inflammatory disease of the airways involving various granulocytes and cell mediators. This airway inflammation can cause heightened airway reactivity, with patients experiencing episodic wheezing, shortness of breath, chest tightness, and coughing. Symptoms can usually be relieved with or without medication. The key points in the treatment of bronchial asthma include avoiding allergens and ensuring that patients breathe fresh, clean air. Additionally, long-term inhalation of asthma control medications and drugs to reduce airway inflammation is necessary. With these measures, bronchial asthma can be well managed.

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Written by Zeng Xiang Bo
Respiratory and Critical Care Medicine
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Treatment for mild bronchial asthma

For the treatment of mild bronchial asthma, the purpose of treatment is to prevent the repeated exacerbation of the condition and to prevent deterioration, as well as to control current symptoms. Regardless of whether the symptoms are present or absent, mild or severe, standardized treatment is needed for these asthma patients. The main treatments are inhaled corticosteroids and long-acting bronchodilators to control the progression of the disease and prevent acute asthma attacks. Of course, we will have an assessment of the condition, whether controlled or not, and based on the grading of the condition, different levels will require different medications for treatment.

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Written by Yuan Qing
Pulmonology
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Bronchial asthma X-ray manifestations

Bronchial asthma is primarily caused by inflammation in the airways due to various inflammatory cells, leading to the narrowing and spasm of the bronchi. This impedes the effective expulsion of gases from the lungs through the bronchi, resulting in a disease characterized by symptoms such as wheezing, shortness of breath, chest tightness, and coughing. In patients with bronchial asthma, because of a large amount of gas remaining in the lungs, X-ray manifestations primarily include sparse lung markings, increased translucency, as well as some signs of widened intercostal spaces and lowered diaphragm. Generally, these signs are not specific and cannot be solely relied upon to diagnose or exclude bronchial asthma. It is also necessary to consider the patient's medical history and lung function tests for a comprehensive assessment.

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Written by Wang Xiang Yu
Pulmonology
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How to completely cure bronchial asthma?

How can bronchial asthma be cured? First, we need to recognize that once bronchial asthma is diagnosed, it is a lifelong disease and is recurrent throughout one's life. So far, it cannot be cured. Many people on television or in magazines claim that traditional Chinese medicine, ancient secret recipes, or other means can cure bronchial asthma, suggesting various treatments. However, these are false advertisements and should not be trusted. Bronchial asthma can be controlled, meaning that it is currently incurable and can only be managed with medication. There are now many treatment options for bronchial asthma. As long as patients seek standardized treatment at legitimate hospitals, the majority of those with bronchial asthma can receive proper treatment and management.

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Written by Yuan Qing
Pulmonology
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Is oxygen inhalation useful for bronchial asthma?

Administering appropriate oxygen therapy can have certain benefits for patients with bronchial asthma. The onset of bronchial asthma is mainly due to the edema of the bronchial mucosa and the constriction of the smooth muscles outside the bronchi leading to the narrowing of the lumen. This makes it difficult for gases to pass normally through the airway into the alveoli. Patients may experience symptoms such as coughing, chest congestion, breathlessness, or wheezing, which are primarily due to the pathophysiology of bronchial asthma. Of course, providing patients with appropriate oxygen therapy during an asthma attack can be beneficial, temporarily solving the problem of hypoxia. However, it is important to understand that asthma patients are not primarily suffering from a lack of oxygen but from ventilation dysfunction, which leads to the inability to expel carbon dioxide, the waste gas, from the body. Therefore, the fundamental treatment should focus on improving airway spasms and narrowing to enhance ventilation.

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Written by An Yong Peng
Pulmonology
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Does bronchial asthma have wheezing sounds?

During an acute attack of bronchial asthma, patients often have wheezing sounds in their lungs, but it's important to note that some patients may not exhibit wheezing, such as those with chest tightness or cough variant asthma, who only show symptoms of chest tightness and typically do not have wheezing on auscultation. However, administering inhaled corticosteroids and bronchodilators can relieve their condition. Additionally, during a severe acute attack of bronchial asthma, severe airway spasms can occur, leading to a situation where the patient might not have any wheezing sounds, a condition referred to as "silent lung." In such cases, patients often experience difficulty breathing or even respiratory distress, which is usually quite serious and requires active intervention.