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Asthma - Status Asthmaticus


Causes of asthma. Duration of an asthma attack.

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Asthma is a chronic respiratory disorder in which a person experiences difficulty in breathing, accompanied by wheezing and a “tight” chest. Additional symptoms can be a dry cough and vomiting (usually in children). An asthma attack may start suddenly; the fear and worry that this causes can prolong the attack.


Question: What causes asthma attacks?


Asthma attacks are caused by a narrowing of the small bronchial tubes in the lungs. The most common kind of asthma (allergic bronchial asthma) is caused by an allergic reaction. Many pollens, molds, dusts (especially dust containing the house mite), and animal hair and dander can cause allergic-type asthma attacks.

Asthmatic symptoms are sometimes associated with hay fever. Infection in the respiratory system, exposure to cold, exercise, fatigue, irritating fumes, and certain emotional and psychological states can all trigger an asthma attack. These conditions may also serve as secondary factors that increase the severity or frequency of attacks. Asthma from these causes may occur in people who have no history of allergic reactions, as well as in those who do.


Question: How does asthma interfere with breathing?


Air passes through the lungs via tubes (called bronchi) and smaller vessels (bronchioles). With asthma, the smaller bronchi and bronchioles become swollen and clogged with mucus, and the muscles surrounding the bronchioles contract so that the air that should pass through is unable to do so. The body reacts to the lack of oxygen, and the patient forces more and more air into the lungs. But, because of the blockages, there is difficulty in exhaling it. The wheezing noise is caused by air being forcibly exhaled through the narrowed bronchi.


Question: How long does an asthma attack last?


An attack of asthma may last for a few minutes, but most go on for several hours. A severe, prolonged attack (a form of asthma known as status asthmaticus) may last for a number of hours or even days. A person with status asthmaticus requires hospitalization.

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