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    Dr. Rajesh Shah's advice on Asthma


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    Asthma Diagnosis

    Diagnosis of asthma is mostly clinical. Some investigations to assess the extent of asthma and association of other conditions is usually called for in most cases. A detailed medical history and physical examination is done to assess the presence or severity of the following symptoms.

    • Recurrent respiratory infections
    • Allergic cough worse at night
    • Sudden onset of wheezing and shortness of breath when exposed to allergens
    • Your family history of asthma and allergies
    • Medicines you may have used to help your breathing

    A physical examination of your respiratory system and a general examination is done to rule out other illness.

    After medical history and examination, pulmonary function test and other investigations may be included to complete the diagnosis.

    Tests include:

    Pulmonary function test:
    • Spirometry
    • Challenge test
    • Exhaled Nitric oxide test
    Complete Blood count
    Chest and Sinus X-rays
    CT scan (not done routinely)
    GERD assessment test (if associated gastric symptoms)
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