Wednesday, May 04, 2022

Watch Out! Sleep Hormone 'Melatonin' May Exarcebrate Asthma Symptoms At Night

Triggers of asthma can aggravate the symptoms of asthma and in turn, lead to dire repercussions. Asthma develops when the lungs' airways (bronchial tubes) become irritated and mucus-clogged, making breathing difficult. The chest constricts, and the lungs emit a wheezing sound.

While there are many factors that can worsen asthma symptoms, studies have shown that the condition can get worse for patients at night time. Now, researchers from Tohoku University have found that one major sleep hormone has been discovered to be the source of this problem.

Asthma Symptoms Are More Likely To Worsen At Night

According to the study published in the American Journal of Physiology Lung Cellular and Molecular Physiology, asthmatic patients frequently experience a worsening of asthmatic symptoms at night, a condition known as "nocturnal asthma." More than half of asthma deaths, according to statistics, occur at night, implying a relationship between nocturnal asthma symptoms and asthma deaths.

To the uninitiated, asthma sufferers have problems breathing due to a condition known as bronchoconstriction, in which the muscles that carry air to and from the lungs contract. Patients take bronchodilator medications in the form of asthma inhalers to assist expand this route and prevent it from contracting.

The increase in the frequency of asthma attacks at night has previously been attributed to sleeping positions, allergens, airway cooling, and other factors. The specific explanation was unknown until Kentaro Mizuta and his team from Tohoku University School of Dentistry revealed it.

Melatonin Sleep Hormone Exacerbates Asthma Symptoms

Melatonin, a sleep hormone, was discovered to be responsible for the aggravation of asthma. The hormone, which is commonly used as an oral medicine to treat insomnia for a brief period of time, acts by promoting bronchoconstriction.


Melatonin inhibits the relaxing action of a bronchodilator via activating the melatonin MT2 receptor protein, according to the findings of the study. The expression of this receptor was discovered in the smooth muscle of the human airway. They were able to show that activating this receptor with larger dosages of melatonin caused the bronchus to contract. Furthermore, the substance inhibited the relaxing effects of bronchodilators that stimulate beta-adrenoreceptors.

Other Triggers You Should Know About

There are many other asthma triggers, including:

Allergens: Steer clear of allergens that can increase the inflammation in your airways and might lead to an attack.

Smoking: Exposure to smoke can make asthma worse and trigger an attack.

Cold: If you come into close contact with someone who has a cold or the flu, your asthma symptoms will worsen. If you handle anything that someone with a respiratory infection may have touched, wash your hands thoroughly.

Not Getting Vaccination: Every year, get a flu vaccination to protect yourself from the flu virus, which can make your asthma worse for days or weeks. Asthma makes you more prone to develop flu complications, such as pneumonia, and to be hospitalised as a result.

Not Taking Prescribed Medications: Asthma drugs that are taken on a long-term basis are intended to avoid symptoms and attacks. Even if you don't have any symptoms, you should take them every day. They'll reduce airway inflammation and keep your asthma under control, making it less likely to flare up.

Not Following A Plan: Even when you feel alright, it is okay to take your meds. Talk to your doctor to lower the symptoms.

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

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World Asthma Day 2022: When Bronchodilators Are Required In Asthma Treatment

Bronchodilators for treatment of asthma are available in different forms, including nebulizer solutions, inhalers and tablets.

Asthma is a chronic respiratory disease that affects nearly 1-18 per cent of the population in various countries. In India, it is estimated that nearly 6 per cent of children and 2 per cent of adults have asthma. The disease is characterised by symptoms like shortness of breath, wheeziness, cough and/or chest tightness and rapid breathing. The symptoms tend to come and go and are often related to the extent of airway narrowing in the lungs. Various things can trigger asthma symptoms in people, including viral illnesses, exercise, allergens, medications or environmental conditions.

While living with the condition can be challenging, it is possible to manage the disease to a certain degree with the help of medications like bronchodilators. Bronchodilators assist in asthma by relaxing the muscles that surround the airways and by clearing mucus from the lungs. The medicines are available in different forms, including nebulizer solutions, inhalers and tablets.

Bronchodilators and its types

Bronchodilators help to relieve asthma symptoms by relaxing the muscles that tend to tighten around the airways. It opens up the airways which allow more air to enter and come out of the lungs thus improving breathing.

There are basically two types of bronchodilators:

  • Short-acting bronchodilators to stop or relieve asthma symptoms
  • Long-acting bronchodilators to control the symptoms by keeping the airways open for 12 hours

The short-acting bronchodilators are also referred to as "fast-acting inhalers" or "rescue inhalers" as they are able to treat symptoms that appear suddenly like chest tightness, shortness of breath and wheezing. They usually start working within a few minutes; however, their effects remain till 4-5 hours. Common short-acting bronchodilators are:

  • Levalbuterol
  • Albuterol
  • Pirbuterol

Long-acting bronchodilators do not provide immediate relief like short-acting bronchodilators and don't treat sudden symptoms. Their effects can last up to 24 hours, and people suffering from asthma take them on a daily basis to prevent symptoms from occurring.

Common long-acting bronchodilators include:

  • Formoterol
  • Salmeterol
  • Aclidinium
  • Tiotropium

How to treat asthma with bronchodilators

When it comes to the treatment of asthma, both the prevention of symptoms and treatment of sudden attacks are taken into consideration for adolescents as well as adults. The right medication depends on different things like age, asthma triggers, symptoms and what works best to keep asthma under control.

People usually prefer inhaled bronchodilators as it allows the medicine to reach the lungs quicker. It even allows a person to take smaller doses of the medicine and results in fewer side effects than when the medications are taken orally.

Some of the common ways of using bronchodilators include:

Nebulizer

It uses liquid bronchodilator medication which is turned into an aerosol which is exhaled through a mouthpiece.

Metered-dose inhalers

A metered-dose inhaler (MDI) happens to be a pressurised canister which contains the medicine. When the canister is pressed down, the medicine is released. A propellant in the MDI helps to carry the medicine into the lungs.

Soft mist inhaler

Soft mist inhalers help to supply an aerosol cloud into the lungs without the use of a propellant.

Other Forms

Other forms of bronchodilators include dry powder, syrups and tablets.

Final Words

Different types of bronchodilators work in different ways. Even though bronchodilators can lessen the symptoms of asthma, like wheezing and breathing trouble, they may also lead to side effects. For people with asthma, it is best to work with their physician to determine whether the advantages of bronchodilators outweigh the side effects.

 

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement

 

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