What is nocturnal asthma

What can asthmatics do about night discomfort?


Asthmatics should definitely tell their pulmonologist if they have nocturnal asthma symptoms to find out the cause. The pulmonologists of the Federal Association of Pulmonologists (BdP) recommend this.

Asthma symptoms - such as chest tightness, shortness of breath, coughing and wheezing - interfere with sleep when they occur at night, lead to increased daytime sleepiness, impair the performance and quality of life of those affected and, in the long term, their general health. "Asthmatics should definitely tell their pulmonologist if they suffer from nocturnal asthma symptoms in order to find out the cause," advises Dr. Andreas Hellmann, chairman of the Federal Association of Pulmonologists (BdP) and practicing pulmonologist in a joint practice in Augsburg. “Basically, coughing attacks can occur at night, as the expansion of the bronchi is subject to a day-night rhythm and decreases during the night. This rhythm occurs in everyone, but asthma sufferers can make the symptoms worse. In addition, a lying position during sleep can increase breathing resistance because secretions, e.g. from the frontal and paranasal sinuses, accumulate in the airways. At the same time, when lying down, more blood flows into the lungs, so that the lung volume is reduced. Even lower temperatures at night, when you z. B. sleeping with the window open or with the air conditioning running, the cold stimulus with simultaneous dehumidification can lead to increased coughing. "

Heartburn or certain allergens can be the cause

First of all, it is necessary to check whether the patient has correctly adjusted the medication and whether his asthmatic disease is under good control. Asthmatic patients suffering from heartburn have a special problem. "When gastric juices enter the esophagus, the bronchi can become reflex-like spasms and the asthma exacerbated", explains Dr. Hellmann. This form of asthma due to GERD (abbreviated from English gastroesophageal reflux disease) may also be affected by certain asthma medications (such as theophylline, theophylline
This active ingredient relaxes the bronchial muscles, but only has a moderate bronchodilator effect. On the other hand, it also has anti-inflammatory and defensive effects (weakens the late asthmatic reaction) and protects the bronchi from stimuli that lead to cramping.
and other adrenaline-like medicinal substances, so-called beta-2 sympathomimetics) are strengthened because they can influence the movement processes of the esophagus. "In addition, some patients need to be clarified whether certain allergens are allergens
These are substances that are classified as "foreign" by the body's immune system and are therefore attacked, which leads to an excessive defense reaction (= allergy with over-sensitivity of the body to the respective allergen).
A distinction is made between animal, vegetable and chemical allergens, with almost any environmental substance triggering an allergy. A potential allergen is a substance that, due to its biochemical nature, can cause an allergic reaction more frequently than other substances.
trigger the nocturnal asthma. In addition to the immediate allergic reaction to allergens, a second reaction delayed by three to eight hours can occur, which is associated with an increased propensity for inflammation of the bronchial mucosa and prolonged narrowing of the airways, ”explains Dr. Hellmann.

Establish a plan to avoid potential triggers and triggers

Nocturnal asthma cannot be cured, but it can be alleviated. Various medications are available for this purpose, which either reduce inflammatory processes in the airways or widen the bronchi and thus counteract bronchial spasms. Asthmatic patients with GERD can also be helped by drugs that reduce the build-up of stomach acid. "Those affected should work with their pulmonologist to draw up a plan on how to avoid potential triggers and thus the nocturnal asthma symptoms," emphasizes Dr. Hellmann.

Source: äin-red

This is a press release from the Federal Association of Pulmonologists (BdP). This press release or parts of the article can be printed under the following source: http://www.lungenaerzte-im-netz.de/. In the case of publication in online media, this source is required (in the form of an active link either to the home page or to a subpage of the Pulmonary Doctors-on-the-Net website); in the case of publication in print media, a reference to this web address is also required.