FCAAIA Notes: Weight loss and good physical conditioning are so important in virtually every aspect of health that we should not just concentrate on asthma. It is pretty clear that obesity contributes to diminished respiratory status with more shortness of breath and so on. My interpretation of the data are that at least some of that is because of other factors such as increased incidence of GE reflux, increased “work of breathing” because of the very thick and stiff chest wall, and overall de-conditioning resulting in worse exercise tolerance.
If you are overweight or obese, work hard to lose weight. Your ideal body mass index (BMI) should be 18.5-24.9. Curious? Continue reading “IS THERE A ROLE FOR WEIGHT LOSS IN OBESE PATIENTS WITH ASTHMA?”
FCAAIA Notes: As I’ve written before, “The nose bone’s connected to the lung bone.” Asthma is part of “allergic airway disease” and control of the lower airway (lungs) always requires that we consider the upper air way (nose) as well. So, we treat nasal allergies even if the symptoms are relatively mild and not bothersome.
Here it also becomes clear that patients with asthma who also have sleep apnea (do you snore loudly, a lot, and sometimes startle awake gasping for a breath?) should address the apnea Continue reading “OBSTRUCTIVE SLEEP APNEA ACCELERATES FEV1 DECLINE IN ASTHMATIC PATIENTS”
FCAAIA Notes: Children drink less milk than they did a generation or so ago. Even children without milk allergy have a very high rate of vitamin D insufficiency and deficiency as was the case in this study. However, the cow’s milk allergic patients in this study had lower bone mineral density than non-allergic controls. Their calcium intake was significantly lower.
If your child has cow’s milk allergy, check with your pediatrician about supplements Continue reading “MILK ALLERGY TIED TO LOWER BONE DENSITY IN CHILDREN”
FCAAIA Notes: Patients with immune deficiency disease do get any more viral upper respiratory tract infections than anyone else. What they do get, is more frequent complications of those infections (ear and sinus infections and pneumonia). Most patients with recurrent ear, sinus, and lung infections do not have immune deficiency, but it is always a consideration. Those infections are often “over-treated” and are not bacterial at all or are complications of allergic rhinitis or asthma. So, other factors as described below need to be considered. Continue reading “IN RECURRENT UPPER RESPIRATORY INFECTIONS, DON’T ORDER THAT IMMUNE TEST JUST YET”