Asthma Treatment

Our team at Impact Medical can assist you in identifying your asthma and providing treatment to alleviate your symptoms.

What is Asthma?

Asthma is a chronic lung condition that is characterized by inflammation and narrowing of the airways. It is commonly referred to as “reactive airway disease” because patients’ airways overreact to different triggers.

Levels of Severity of Asthma

Asthma is a complex disease and can be categorized in many ways. The most used classification system is based on asthma severity. The level of severity of asthma determines treatment. The severities of asthma consist of the following categories:
Intermittent Asthma:
Mild Persistent Asthma:
Moderate Persistent Asthma:
Severe Persistent Asthma:

Types of Asthma

In addition to the levels of severity, asthma is often identified by who it impacts as well as its triggers. Types of asthma can be categorized as:

Pediatric Asthma

Asthma that affects children, characterized by recurrent breathing difficulties and airway inflammation.

Adult-Onset Asthma

Asthma that develops in adulthood, typically after the age of 20, with similar symptoms to childhood-onset asthma.

Exercise-Induced Asthma

Exercise-induced asthma is triggered by physical activity. This can occur during and after exercise. 

Allergy-Induced Asthma

Most asthma patients have an underlying allergy trigger. In these patients, identifying and controlling exposure to your triggers is one of the foundations of treatment. 

Eosinophilic Asthma

Eosinophilic asthma is associated with high levels of white blood cells called eosinophils. Eosinophils are often involved in causing the airway inflammation of asthma.  

Asthma Symptoms

Asthma symptoms encompass a wide range of respiratory distress indicators, often varying in intensity and duration. Patients do not need to present all these symptoms to have the diagnosis of asthma. Some common asthma symptoms include:

Shortness of Breath

A common symptom characterized by difficulty breathing and a feeling of not getting enough air

Coughing

Frequent coughing, especially at night or in the early morning, is a classic asthma symptom

Wheezing

High-pitched, whistling sounds while breathing, commonly associated with asthma due to narrowed airways

Chest Tightness

A sensation of pressure or constriction in the chest often associated with asthma, making breathing uncomfortable

Chest Pain

Discomfort or aching in the chest, which can occur during an asthma attack but may also have other causes

Chest Heaviness

A sense of weight or pressure in the chest, typically linked to asthma symptoms

Chest Squeezing

A gripping or constricting feeling in the chest, often experienced during an asthma attack

Shortness of Breath with Activity

Experiencing breathing difficulties during physical exertion or exercise due to asthma triggers

Decreased Endurance with Sports

A reduction in physical stamina and athletic performance due to asthma-related limitations

Diagnosing & Treating Asthma

At Impact Medical, we utilize the most modern diagnostic tools to accurately diagnose and manage asthma patients.

Medical History & Physical Exam

Gathering a thorough medical history and conducting a comprehensive physical examination are pivotal steps in diagnosing and managing asthma effectively.

Diagnostic Testing

Your medical provider will conduct pulmonary function tests including spirometry, lung volumes, and DLCO and fractional exhaled nitric oxide as diagnostics tests for asthma. If necessary, additional testing, such as a chest x-ray or a methacholine challenge may also be obtained.

Treatment

Asthma treatment recommendations will be determined based on the level of severity of your diagnosis.

Asthma Testing in New Jersey

Spirometry
Spirometry is a breathing test that evaluates the function of your lungs by measuring airflow in order to diagnose asthma.
Lung Volumes
This measures the volume of air in the lungs during different phases of respiratory cycle or with different maneuvers.
DLCO
Diffusing Capacity of the lungs for carbon monoxide. This is a measurement that assesses the lungs’ ability to transfer gas to and from the inhaled air into the capillaries that line the alveoli in the lungs.
Exhaled Nitric Oxide
Fractional Exhaled Nitric Oxide (FENO) is a test approved to help assess asthma control. It measures the gas called Nitric Oxide in your breath, which is a marker of inflammation in the lungs.

Asthma Treatment in New Jersey

At Impact Medical, treatment recommendations are based on practice parameters published by the American Academy of Allergy, Asthma, and Immunology.
Rescue Medications
Rescue Medications are only used as needed and provide temporary relief of asthma symptoms related to exacerbation. An asthma rescue inhaler should always be readily available for any patient who has an asthma diagnosis.
Allergen Immunotherapy
For patients with allergy-induced asthma who are not able to be taken off daily medications or remain poorly controlled despite the above medications, allergen immunotherapy (allergy shots) may be suitable treatment.
Maintenance Medications
Asthma maintenance medications are generally taken on a regular basis with the intention to decrease airway inflammation, minimize asthma symptoms and prevent asthma exacerbation.
Biologic Therapies
Biologic therapies are used for patients with moderate to severe asthma who remain poorly controlled despite conventional treatments. These newer targeted therapies have been designed to target immunologic triggers that drive asthma.

Asthma FAQs

Asthma is a heterogeneous disease – which means it can develop because of multiple reasons. For example, environmental allergies can be a risk factor for asthma. However, asthma can also result from adenoid hypertrophy or gastroesophageal reflux disease (GERD).

You should consult with an asthma specialist at Impact Medical to find out if you have asthma. The diagnosis of asthma is based on your clinical history, physical exam, allergy testing, and pulmonary function testing.

People can outgrow their asthma. The most likely explanation for asthma to resolve is when the underlying disease state is treated (i.e. Allergen Immunotherapy for underlying allergies).

The best treatment for asthma depends on what is causing your asthma and how severe your asthma is.

We consider a biologic medication for a patient when the asthma is moderate to severe and not well controlled with conventional asthma medications.

Yes. 80% of severe asthmatics have an underlying allergic trigger as the primary etiology.

Yes. The tightening of the airways in conjunction with mucus production from airway inflammation can increase the risk of lower respiratory tract infections.

Yes. Long standing uncontrolled asthma can lead to airway scarring called fibrosis. This can then result in asthma-COPD overlap syndrome (ACOS) or even worse COPD.

Take the first step towards a breath of fresh air.