Best COPD Inhalers Inhalers are designed to deliver medication directly to the lungs, helping to open airways, reduce inflammation and make it easier to breathe. Zemaira is an injectable medication that helps people with alpha-1 antitrypsin deficiency (a genetic condition that can worsen COPD). 1. Zemaira (α1-proteinase inhibitor) By increasing levels of the α1-proteinase inhibitor in the body, Zemaira helps protect the lungs from further damage. It's not a traditional inhaler, but it is an important treatment for people with specific COPD-related conditions. 2. Spiriva (tiotropium) Spiriva is one of the most commonly prescribed inhalers for people with COPD. It helps relax and open up the airways, making it easier to breathe. It is a long-acting bronchodilator, meaning it works for up to 24 hours, providing day-long relief. This inhaler is typically used once a day. [youmaylike] 3. Advair (fluticasone/salmeterol) Advair is a combination inhaler that contains both a steroid and a long-acting bronchodilator. The steroid works to reduce swelling and inflammation in the airways, while the bronchodilator helps relax the muscles around the airways. This combination helps improve breathing and prevent flare-ups of COPD symptoms. It’s typically used twice a day. 4. Symbicort (budesonide/formoterol) Like Advair, Symbicort is another combination inhaler with a steroid and a bronchodilator. It helps reduce inflammation in the lungs and opens the airways. This inhaler is also used to treat asthma, but it’s a great option for managing COPD as well. It is taken twice a day for the best results. 5. Breo Ellipta (fluticasone/vilanterol) Breo Ellipta is a once-a-day inhaler that combines a steroid and a long-acting bronchodilator. It helps open the airways and reduces inflammation in the lungs. This inhaler is typically used for people with chronic COPD symptoms to help improve lung function. 6. Albuterol (ProAir, Ventolin, Proventil) Albuterol is a short-acting bronchodilator that provides fast relief for sudden breathing problems, like shortness of breath or wheezing. It works quickly to open the airways, helping you breathe easier. It is often used as a rescue inhaler during flare-ups and should be kept on hand for emergencies. 7. Atrovent (ipratropium) Atrovent is another short-acting bronchodilator. It helps relax the muscles around the airways and can be used in combination with other medications to treat COPD. Atrovent is often used multiple times a day and can help reduce coughing and wheezing. COPD Control and Relief There are many inhalers available to help manage COPD symptoms, but the best one for you depends on your specific condition and treatment needs. Zemaira is an important option for people with alpha-1 antitrypsin deficiency, while other inhalers like Spiriva and Symbicort help open the airways and reduce inflammation. Speak with your doctor to find the right inhaler for you, and remember that proper use of your inhaler is key to managing your COPD and improving your quality of life. Read on to learn about exercise induced asthma, and how you can cope with it.
What is Crohn's Disease?
Crohn's disease is an inflammatory bowel disease (IBD) characterized by mild or chronic inflammation of parts of the digestive tract. It is estimated that 780,000 U.S. citizens have Crohn’s disease. These statistics cause concern because researchers have yet to identify the causes of the disease, or a cure.
Although Crohn's disease is not life-threatening, it can cause fatal complications.
Causes and Symptoms of Crohn's Disease
There are common ecological, heredity, and immune system factors found amid patients with IBD.
People living in developed nations, urban, and northern climates are more likely to have IBD compared with the people in underdeveloped, rural, and Southern climates.
Research shows that Crohn's disease is common in families with a history of IBD. Up to 20% of patients with IBD have a parent, child, or sibling with Crohn's or an IBD type of disease.
A healthy person's immune system pushes white blood into the gastrointestinal tract to launch an attack on bacteria and other harmful microorganisms. During the attack, the immune system spares the beneficial bacteria in the digestive tract. Inflammation occur in periods when the immune system is on the defense.
However, with IBD patients, the immune system does not differentiate between harmful and beneficial bacteria. Further, the inflammation that occurs during the immune response does not subside. It becomes chronic and causes ulcers and the intestinal walls thicken.
The most common symptoms of Crohn's disease include:
- Fever
- Fatigue
- Blood in the stool
- Unexplained weight loss
- Abdominal cramps
- Loss of appetite
- Abdominal pain
- Frequent diarrhea
Smoking, poor nutrition, and stress increase the severity of Crohn’s symptoms.
Strictures
Because of frequent inflammation, scar tissues that form in the intestinal wall cause the intestines to become narrow and consequently form strictures. Repeated inflammation and scarring of the small intestines may cause the scars to rupture.
Ulcers
The main characteristic of Crohn's disease is an inflamed intestinal lining. The inflammation causes changes to the intestinal lining, the mucosa, and the thickness of the intestinal walls, which leads to ulcers. Inflamed stomach, mouth or intestinal walls make eating and feeding very hard for the patient.
Fistulas and Anal Fissures
Fistulas and fissures are among the severe symptoms of Crohn's disease. Fistulas are connections or holes between an organ and the intestines. At the same time, fissures are painful tears in the anal tissues, which can expose the patient to other infections or lead to fistulas.
How is Crohn's Disease Diagnosed?
Doctors diagnose Crohn's through a process of elimination. A doctor will use several tests to diagnose and rule out likely causes of your symptoms. These tests range from stool tests to look for blood in your gut, colonoscopy, imaging tests like MRIs and CT scans, biopsy, or endoscopy.
By looking at the gut inside out, the doctor can then rule out other causes of symptoms and confirm Crohn's disease.
How is Crohn's Disease Treated?
There is no cure for Crohn's disease, but doctors can manage the disease through various ways such as administering antibiotics, steroids, immunosuppressant drugs, and anti-inflammatory drugs.
Doctors may also take other surgical measures depending on the severity symptoms, the extent of flare-ups, and the damage left in the intestines.
These measures include:
- Abscess drainage
- Colostomy or ileostomy
- Bowel resection (removal of some bowel sections with fistulas)
- Reconstructive surgery
To reduce flares and mitigate the severity of Crohn's doctors advise a change in diet. It's essential that you make an appointment with a registered dietitian capable of advising on the best foods to eat and foods to avoid.
It is also vital to keep a food diary and take note of your trigger foods or any information likely to be useful during follow up doctor appointments.
You should also be sure to take note of any prescription or over the counter medications you ingest. A diary helps the doctor trace the cause of a flare. For instance, aspirin in medications causes fire in the gut for people with gastro-intestinal issues.
As a start, increase your water intake and limit excessive fats and dairy in your diet. Look at the spices you use to cook. Chances are if your intestines are inflamed, some spices will make the pain more intense.
Talk to your doctor or dietitian regarding which supplements are best for you. Having an inflamed gut means absorbing fewer nutrients, hence the weight loss. It's essential to have alternative sources of nutrients to ensure to keep up with the body's needs.