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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Regular Usage Of Nebuliser Reduce Asthma Attacks?

Hi I have suffered with asthma since I was a child I m now 23 and my asthma is still bad I ve been to the asthma clinics regularly and they have told me it isn t as well controlled as it should be. I have asthma attacks now and again and would find it really helpful to have a nebuliser at home. Can a gp prescribe this ?
Wed, 8 Oct 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your history and can understand your concern. I would like to make suggestions for you as follows:

1. Personally I do not suggest any of my adult patients to have a nebulizer at home. There are many reasons.

a. Fist of all, there are many good inhaler portable devices are available (Metered dose inhalers, rotahalers, etc) which are very efficient, convenient and as good (sometimes even better) as nebulizer.

b. Nebulizer has problems with maintenance, also requires electricity, also chance of cross-infections.

In my opinion, nebulizers are good for young children and very old patients who cannot breath good by themselves.

2. Were I treating you, I would suggest you regular montelukast and controller type of inhalers like inhaled corticosteroids for at least 3 months.

3. I would also suggest you allergy testing which will help you identify the substances that you may be allergic to and to know the measures to avoid them.

Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which slowly improves your immune system to improve allergy symptoms.

4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.

5. Personally I would suggest you daily breathing exercises, Yoga & Pranayama which gradually improves immunity and lung capacity.

6. I would also suggest you a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) which are very important for overall health and immunity. (Allergies & asthma are basically immunity related disorders).

Hope above suggestions will be helpful to you.

Should you have any further query, please feel free to ask at HCM.

Wish you the best of the health.

Thank you & Regards.
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General & Family Physician Dr. Michelle Gibson James's  Response
HI, thanks for using healthcare magic

A GP should be able to prescribe your nebuliser for you to keep at home. You can speak to your GP about obtaining one.

In terms of your recurrent asthma attacks you would need to look at your triggers to see if it is possible to reduce your exposure.
GERD and allergic rhinosinusitis can also trigger asthma attacks so if these are present then you would need to consider treatment.

It would be important to use the medication as prescribed by your doctor.

I hope this helps
I find this answer helpful

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
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Can Regular Usage Of Nebuliser Reduce Asthma Attacks?

Hello. Thank you for asking at HCM. I went through your history and can understand your concern. I would like to make suggestions for you as follows: 1. Personally I do not suggest any of my adult patients to have a nebulizer at home. There are many reasons. a. Fist of all, there are many good inhaler portable devices are available (Metered dose inhalers, rotahalers, etc) which are very efficient, convenient and as good (sometimes even better) as nebulizer. b. Nebulizer has problems with maintenance, also requires electricity, also chance of cross-infections. In my opinion, nebulizers are good for young children and very old patients who cannot breath good by themselves. 2. Were I treating you, I would suggest you regular montelukast and controller type of inhalers like inhaled corticosteroids for at least 3 months. 3. I would also suggest you allergy testing which will help you identify the substances that you may be allergic to and to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which slowly improves your immune system to improve allergy symptoms. 4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. 5. Personally I would suggest you daily breathing exercises, Yoga & Pranayama which gradually improves immunity and lung capacity. 6. I would also suggest you a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) which are very important for overall health and immunity. (Allergies & asthma are basically immunity related disorders). Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.