Chest Infections, Asthma & Allergy

Bronchitis is an infection/inflammation that can be caused by viral, bacterial, mycoplasmic, rickettsiae, parasitic or allergic reaction in origin. This affects the big, main air transportation tube systems of the lung all the way to the smallest tubal at the aveoli.

Pneumonia is the infective, inflammatory or obstructive process of the filling with anything such as fluid, pus, mucus, bacteria, or pollen of the millions of tiny microscopic air baggies (sacs.) The sacs, alveoli, are located at the tips of these tapering smaller and smaller into small tubes of the respiratory tube system. These tubes are used to transport air and the sacs are used for the diffusion of oxygen into the blood stream. It is the diffusion and transfer of carbon dioxide back into the sacs out of the bloodstream and respiration out of the body.

Asthma is an over sensitive airway disease. Asthma is a response of hyperactivity and hypersensivity inflammation, swelling, hyper mucus secretion, muscular constriction of the air carrying bronchial tubes. This stops transfer of gases to the alveolar sacs into the bloodstream. It is the closure of the inside opening of the tube from swelling and constriction bronchial tubes and respiration to the avioli sacs. It is the closure of the inside opening of the tube from swelling and constriction of the muscle in the tube wall. Excessive, very thick mucus production from the inside lining of the tube causes partial occlusion wheezing sounds, or total occlusion of the breathing passage way systems of the lungs. It is caused by inflammation and constriction of the bronchiole tubes. You must specifically fix the chronic problem instead of treating the acute symptoms for only immediate relief.

You can stay indoors and miss all the sunshine and the tulips. However, in order to enjoy the world, you can take medications that are available to let you comfortably exist in the real world with pollen and food allergies. Profile Allergy testing show many various types of allergies when and where they appear. Allergy can be sore throat, headache, fatigue, pneumonia, and many other symptoms. A Mast Cell, Basophile and Eosinophil are the body’s natural responses to defend from the stimulus of allergens or infection. These natural bodies produce chemical called histamine. When histamine is released it reacts like an acid to help fight infections and kill or defend the stimulus. Now in the 21st century with recent advantages with medical care you can do more of the things you need to do in your daily life. Enjoy living comfortable and mostly symptom free, and ease of breathing, and get your energy and health back.

It is a 365-day serious and significantly increasing health problem. With many flare ups there is still more mucous production, constriction, and swelling of the bronchial tubes in the lungs than a normal person. You must learn what your triggers you asthma and how to avoid them. Prevention can involve anti-inflammatory medication and specific treatment of the problem and not just the apparent seen or felt symptoms. Eating oranges, fish, crab, shrimp, or exposure to grasses, mold and animal dander can all cause respiratory asthma/bronchitis symptoms.

A bronchodialating inhaler is a temporary medicine that works by relaxing the tubular muscle constriction and opens the air tubes of bronchioles. You feel better right now. It does not get rid of the mucus in the lungs or the stimulus causing the constriction. It is only for immediate relief. This is a great medication when correctly used. Again, this is a temporary relief medication. This should not be a used as long-term treatment. If you use your bronchodialator more than 10 times a day, it is a true sign of trouble. The Peak Flow Meter- this is your best at home indicator for you and your doctor to measure the air speed and flow from your lips. This tool is designed specifically to measure your respiratory and lung function. The peak flow measures the maximum air velocity at your lips versus your height and age. Weight and other factors will have no effect on this measurement.

A spacer is for medication delivery and effectiveness used for inhalers. It prevents the wasting of money and medicine on the back of your throat. It can avoid unnecessary side effects of sore throat or throat ulcers from the medicine. The cold Freon effect often stops people inhaling the medicine. Therefore, most of the medicine goes to the back of the throat. At least eighty percent (80%) of the medication used from a regular inhaler are wasted. A spacer increases the effectiveness and use of the medications and decreases costs by ten times. Asthma is the excessive mucus, thickening, mucus plugging and tightly constricted mucosa airways. The spacer dissipates the medicine into the air to be more easily inhaled. More than fifty percent (50%) of people have poor inhaler technique and fifty percent regress in technique within one month of starting the use of medications.

Corticosteroids that are used for asthma control are not the same as anabolic steroids used by athletes for abuse. Many months of steroids can cause weight gain, upset stomach, stomach ulcers, and the thinning of the bones. Too few steroids can cause hospitalization, death, and mood changes. Corticosteroid inhalers are the best consistent daily prevention therapy. Steroids appropriately used are essential for exacerbations and must be carefully, consistently, and closely monitored by a physician.

Asthma is and excessive inflammation over-reactive and over-sensitivity of the lungs to stimulus with the production thick mucus and mucus plugging. Specific anti-inflammatory medications are a treatment. If left untreated, this will lead to permanent lung function loss. If silently you lose 2% of your lung function a year for 10 years, you have lost approximately 1/3 of your lung function. Asthma anti-inflammatory choices are: inhaled corticosteroids, leukotreine blockers, cromolyn, and others. Side effects of these medications must be carefully and consistently balanced with view to permanent lung damage and disability. Routine checkups are essential. All allergy patients should be seen at least every 2-3 months and immediately if severe reaction, infection, or more than a minimal problem arises.

There must be careful attention to triggers. Infections, sinus infections can and do often cause poor control of asthma, cigarette smoke, even passive and 2nd hand smoke, dust mite feces are all triggers. A typical mattress has more than 200,000 living dust mites, animal dander keep pets out of the bedroom, pollen and mold humidifiers can increase mold, cockroach parts and feces when it dries it turns into a powder, aspirin and ibuprofen about 10% of people with asthma are sensitive to aspirin and ibuprofen compounds, sulfates on food preservatives for fruit, grapes, cherries, wine and beer, cold air and exercise all are triggers Each year, about 5,000 people die of asthma. The majority of these people did not have severe disease.

Patients are very poor judges of their own wheezing, coughing, allergy, or shortness of breath. Patient’s monitoring daily their peak flow is essential. The elements of combination therapy, physician monitoring, and understanding are all very important to patient care, lung damage, and the quality of life.

Inhalers- you exhale all the air in your lungs, use a spacer, inhale the medicine, hold your breath for 10 seconds, breath out, and repeat. The Nebulizer machine delivers therapy for five to ten minutes and is much more powerful as an immediate rescue inhaler. Prevention of flu and pneumococcal vaccines are essential. Allergy testing and/or injections, antibiotics and antiviral are very important aids in the maintenance of these complex problems, potential complications and the quality of life.

John Laurusonis, MD
Doctors Medical Center

Author's Bio: 

Dr. Laurusonis was conferred his Doctor of Medicine degree in 1983 and has been actively taking care of patients since completing his Internal Medicine residency in 1987 in the Garden State of New Jersey. Dr. Laurusonis has been licensed in four states but ultimately chose to permanently relocate to Georgia with his family and begin a private practice. Through his extensive experience in Internal Medicine, as well as in Emergency Rooms throughout the United States, Dr. Laurusonis saw how traditional Emergency Rooms were often overwhelmed by patients suffering medical conditions that were urgent but may not need the traditional “Level I Trauma Center”. Patients often waited six to twelve hours to be seen by a physician, were riddled with thousands of dollars in medical bills, and were generally unhappy with the system.
Dr. Laurusonis decided to open an Urgent Care Center instead of a 9-5 doctor's office. Through the last fifteen years he has received accolades from the community and his patients. He has expanded his practice to include many cosmetic therapies that have previously been treated with painful and extensive plastic surgery. He has been invited to the White House numerous times, has been named Physician of the Year, as seen in the Wall Street Journal, and has served as Honorary Co-Chairman on the Congressional Physicians Advisory Board
Dr. Laurusonis and his practice, Doctors Medical Center, is open 7 days a week from 7:30 am to 9:30 pm offering such services as lab, x-ray, EKGs, aesthetics (Botox, dermabrasion, sclerotheraby and veins etc.), cold/flu, sore throats, fractures, sprains, lacerations, GYN, Pediatrics, Anxiety/Insomnia/Depression Treatment, skin tag/mole removal, veins, allergies, asthma, physicals--just to name a few. Dr. Laurusonis welcomes you to either make an appointment or just walk-in to see him. Dr. Laurusonis will take the time to speak with you about your concerns--no problem is too big or too small. If you need additional services we have specialist referrals available or we can refer you to the neighborhood hospital emergency room. Give Doctors Medical Center a call--Dr. Laurusonis will be happy to speak with you.

John Drew Laurusonis, MD
Doctors Medical Center
3455 Peachtree Industrial Blvd
Suite 110
Duluth, GA 30096