Asthma is considered as a common condition that affects millions of individuals all over the world. The condition can be properly managed but some are not able to effectively manage the condition. An individual with severe asthma is a type that is difficult to control despite using various asthma medications. Due to the effectiveness of asthma medications nowadays, those who have uncontrolled asthma who utilize multiple asthma controllers have no reason for concern.
The main issue for uncontrolled asthma is that the individual actually has asthma to start with. The usual diseases that can lead to symptoms similar to asthma such as emphysema, chronic bronchitis, bronchiectasis, congestive heart failure and idiopathic pulmonary fibrosis should be considered with uncontrolled asthma. It is important to bear in mind that asthma should be proven with lung testing such as spirometry, particularly if the individual is suffering from severe asthma that does not respond to any form of treatment.
Incorrect use of medications
This is one of the main reasons why asthma is difficult to control. The medications are effective in controlling the symptoms of the condition but the individual might not be using them correctly. This is why the condition could not be properly controlled. Always bear in mind that the doctor can only diagnose the condition, provide recommendations for treatment and discuss the risks and benefits of taking medications versus not taking any medications.
Uncontrolled allergies and chronic sinusitis
Due to the inflammation in the upper respiratory tract such as during chronic sinusitis and allergic rhinitis which affects asthma, it is common for individuals with uncontrolled allergies and sinus infections to have uncontrolled asthma.
Most of these individuals might not be aware of allergies or chronic sinus infections, thus trials involving the use of allergy medications such as nasal steroid sprays are considered. An X-ray of the sinuses is usually performed to rule out chronic sinus infection.
Gastroesophageal reflux disease (GERD)
GERD can be linked with uncontrolled asthma since the acid from the stomach can be inhaled into the lungs and leads to increased asthma symptoms. The symptoms of GERD such as acidic taste in the mouth, burping and rising sensation in the chest might not always be present.
Individuals who have uncontrolled asthma should undergo a therapy involving GERD medications. Any structural abnormalities such as hiatal hernias can lead to GERD refractory to medical therapies.
Vocal cord dysfunction
Oftentimes, uncontrolled asthma is not actually the condition which is why medications do not work in some individuals. Vocal cord dysfunction is a condition that strikingly mimics asthma but triggered by the vocal cords that close over the airway, resulting to wheezing and shortness of breath.
There are also less common diseases that should be considered by the doctor when an individual has uncontrolled asthma. These include Churg-Strauss syndrome, allergic bronchopulmonary aspergillos, primary immunodeficiencies and even cystic fibrosis in children.