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Asthma

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Asthma is a complex disorder characterized by variable and recurring symptoms, airflow obstruction, bronchial hyper-responsiveness, and underlying inflammation. Affecting more than 22 million Americans, including nearly 6 million children, asthma is the most common chronic childhood disease. In every person, asthma has different variations of symptoms, signs, and severity.

The pulmonologists at Kamelhar-Teller Pulmonology will be able to assess the severity of your asthma conditions and prescribe an effective plan of care.

Symptoms of Asthma

Asthma Treatment - Manhattan, NY
  • Episodic symptoms of airflow obstruction or hyper-responsiveness present

  • Wheezing

  • Cough that worsens at night

  • Fatigue or weakness when exercising

  • Shortness of breath or losing your breath easily

  • Tiredness or irritability

  • Cold or allergy symptoms (sneezing, runny nose, cough, nasal congestion, sore throat, headache)

  • Difficulty sleeping

If you are experiencing any of these symptoms, call Dr. Teller and Dr. Kamelhar for an examination.

Causes of Asthma

  • Innate Immunity: known as the “hygiene hypothesis,” exposure to certain infections early in life could cause the onset of asthma

  • Genetics

  • Environmental Factors: exposure to airborne allergens and viral respiratory infections affect the development, persistence, and severity of asthma

Managing Asthma

There is no cure for asthma, but treatment is very effective in controlling symptoms and asthma attacks. Long-term medication and therapies are implemented to pro-actively manage the severity of asthma and control the condition over time. For quick relief, inhaled Short-Acting Beta Agonists (SABAs) for sudden exacerbations, commonly known as “asthma attacks” are prescribed.

The goals of asthma therapy:

Reduce Impairment

  • Prevent chronic or troublesome symptoms (e.g. coughing at night, shortness of breath during the day)

  • Reduce the need for frequent use of inhaled SABA for asthma attacks

  • Maintain (nearly) normal pulmonary function

  • Maintain normal activity levels (e.g. exercise or other physical activity, attendance at school /work)

Reduce Risk

  • Prevent recurrent exacerbations (asthma attacks), minimize ER visits or hospitalizations

  • Prevent loss of lung function and fixed airway obstruction

  • Provide optimal pharmacotherapy with minimal/no adverse effects

Diagnosing Asthma

If you suspect you have asthma, call Kamelhar-Teller Pulmonology for an appointment today. During your exam, the pulmonologists will review your symptoms and determine if you should be tested for asthma. Because symptoms of the disease are variable and signs may be absent between episodes, several tests and further examinations may be required to determine if asthma is probable. A physical exam of the upper respiratory tract, chest, and skin will either rule out or reveal an asthma diagnosis. Once key indicators of asthma are identified, Dr. Kamelhar or Dr. Teller will administer a spirometry test to measure airflow obstruction. It is not until a spirometry test is done that asthma can be accurately diagnosed.

Managing Asthma Special Situations

Asthma patients may encounter situations that will require adjustments to their asthma management. Exercise-induced bronchospasm (EIB), pregnancy, and surgery can affect your asthma severity and treatment.

EIB should be anticipated in all patients with asthma. A history of cough, shortness of breath, chest pain or tightness, wheezing, or endurance problems during exercise suggests EIB. Recommended treatment for EIB includes long-term control therapy paired with pretreatment before exercise.

For pregnant women, maintaining control of asthma is important for the health of both mother and baby. Asthma medication is considered safe during pregnancy when a continuous supply of oxygen to the fetus is top priority. Uncontrolled asthma during pregnancy increases the risk of perinatal mortality, pre-eclampsia, preterm birth, and low birth weight. If you are pregnant, be sure your asthma control and lung function are monitored during prenatal visits.

Asthma patients may be at risk for complications during and after surgery. If you are having surgery, review your level of asthma control, medication use, and pulmonary function with the pulmonologists at Kamelhar-Teller Pulmonology. If asthma is not well controlled, Dr. Kamelhar or Dr. Teller will prescribe other medications before the surgery. Management and control of your asthma is the best way to avoid the complications of surgery.

Call 212-685-6611 to make your appointment at Kamelhar-Teller Pulmonology today.

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Address

38 East 32 Street,

Suite 601 (at Park Avenue South)

New York, NY 10016

Contact numbers

Tel: 212-685-6611

Fax: 212-685-6626

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Monday • 7:00am - 6:00pm

Tuesday 9:00am - 5:00pm

Wednesday 7:00am - 7:00pm

Thursday 9:00am - 5:00pm

Friday 7:00am - 3:00pm

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