Thursday, June 6, 2013


Understanding Asthma
Paul Honan, M.D.

 

Shortness of breath with inability to take a deep breath is uncomfortable, distressing and fearfully depressing to a person suffering from asthma.  Air is restricted from easy flow into the lungs through constricted or narrowed bronchial tubes.  Large bronchial tubes branch out into smaller and smaller tubes as they go deeper and deeper into the lungs.  The bronchial tree might be likened to an upside down tree in the forest.  Larger diameter branches are near the top and smaller branches are down lower.

Asthma is described as a reversible restricted airway disease.  This indicates that the narrowed and constricted bronchial tubes are only temporarily constricted. 

Most cases of asthma are triggered by allergies.  Several years ago some articles in the New England Journal of Medicine indicated that if a doctor has been unable to determine to what substances to a person with asthma is allergic, he must be more diligent in his search.  Most people with asthma have allergic asthma.  Yes, non-allergic asthma can occur.  The adrenal glands are small glands on top of each of the two kidneys.  They produce cortisol and adrenaline that are anti-inflammatory and help the spastic bronchial tubes in asthma to dilate or open up and allow relief of the spastic constriction.  Prednisone used to treat asthma can destroy some adrenal gland cells.  Most cases of non-allergic asthma are the result of excessive destruction of adrenal cells by prednisone.  Some doctors refer to it as adrenal burn-out.

It is not known why some people with allergic tendency develop asthma.  Allergies in others may result in hives, eczema, inflammatory bowel syndrome, Crohn’s disease, hay fever etc.

The response of body tissues to allergy is to develop inflammation.  This is obvious in a person with hay fever with red and inflamed nose and eyes.  The same inflamed allergic response occurs in the bronchial tubes of a person with asthma. 

As mentioned above Cortisol and adrenaline from the adrenal glands help dilate or open up constricted bronchial tubes of an asthmatic person.  There are different amounts of adrenal output during the 24 hour daily period.  Asthmatics usually experience less asthma in the afternoon.  Least amounts of adrenalin are produced early in the morning when asthma is worse.  This writer was in the general practice of medicine in the late 1940’s when doctors made house calls.  Many times phone calls at 1 to 3 AM from worried parents requested help for children with and attacks of asthma.  The usual treatment was an injection of adrenaline (epinephrine).  The shortness of breath was relieved in a few minutes and the child would return to sleep.

In medical school in the early 1940’s asthma was taught as a bothersome condition that rarely was serious.  For some reason as yet unknown asthma became a serious disease during the later quarter of the 1900’s.  In the general practice of medicine 1948-1955 I did not find it necessary to hospitalize any asthmatic child.  Later asthma developed into a serious and sometimes fatal disease.

Exercise induced asthma is asthma may occur during strenuous exercise as in running.  Conventional treatment is to suppress the symptoms with medication.  Removing allergies from the body with Nambudripad Allergy Elimination technique (NAET) has been found to prevent exercise induced asthma.

Avoidance of the substances to which an asthmatic person is allergic is one method of treating asthma.  Allergists use skin testing (injections or scratch tests) to identify substances to which a person is allergic.  Laboratories have methods to test blood specimens to identify substances to which people are allergic.  The NAET system identifies allergic substances without the use of needles.

Food causing allergens can be avoided.  It is difficult.  Outside airborne pollens can be avoided temporarily in air conditioned buildings.  Attempts to avoid house dust mites include removing rugs and curtains, covering mattresses with plastic covers, washing bed linens daily, etc.  It is nearly impossible to avoid dust mites.  Some people have moved to mountain areas.  Dust mites cannot live above 5000 ft elevation.  In a few years some of these people develop allergies to mountain plants and foliage.  As discussed later in this article it is more practical to remove allergy from the body with NAET than to attempt to avoid substances causing allergies. 

Imminotherapy or desentization is a method of reducing the sensitivity of the body to an allergic substance by introducing a very diluted dose to the body and gradually increasing it.  It can be administered by skin injection or by drops under the tongue.  The method may require months or years to obtain results.  Results can be variable.  When younger this writer had “allergy shots” for 30 years.

 Medications can relieve the symptoms of asthmatic bronchospasm.  Inhaled bronchodilating medications can relieve the shortness of breath.  They can be very effective.  In other cases they are not sufficient to afford  complete relief.

In very mild cases of asthma antihistamine medications can provide relief.

Prednisone type medications are available by inhalation, tablets and injection to counter act and relieve the inflammation caused by allergic substances.

The above methods suppress the symptoms of asthma.  Another method is to removed the allergy to allergic substances from the body so they no longer cause asthma.  Nambudripad Allergy Elimination Technique (NAET) has been observed to eliminate the need for medications and to prevent asthma.