BronchitisWhat are the Symptoms and Treatments

Bronchitis conditions are usually viral infections and are known for being contagious since it can be acquired through contact with a person suffering from such infection and it can travel by air. This infection can be a stepping stone for other branching infections or complications such as pneumonia and emphysema, not to mention that it can also lead to lung cancer should an individual not be treated and further exposed to factors that may worsen the condition of the patient.

This kind of respiratory disease is where the mucus membrane in the lungs’ bronchial passageway is inflamed. This causes the membrane to become irritated which will grow and swell thicker. In turn, the lungs’ tiny airways narrows down and/or shuts off, which results in breathlessness and coughing spells that is usually associated with thick phlegm.

There are a couple of treatments that are used to cure this condition, however because of the fast advancement of our technology, nowadays, the cure can now be found in just capsules or inhalers provided that you use the cure within the prescribed duration and should not be used without the consent of your doctor.

Some doctors advice their patients to use Albuterol and Ipratropium inhalers, these drugs are both by prescription. If the patient has fever and discolored phlegm, then the doctor may advise antibiotics. However, some persons who has experience such condition recommend a Z pack. It is usually taken 5 pills a day for not less than 5 days. It should stop the congestion but a cough will still be there so your doctor may write you a cough syrup that will help you get rid of the left cough and get you some rest.

Another solution to bronchitis is that if you are smoking the best treatment to the condition is to stop smoking although it is easier said than done, your doctor may also give you some Mucinex it is an over the counter kind of medicine at any drugstore and you will also have to take in more fluids like water, even sodas and juice will do but not coffee. Should a cough occur with your bronchitis, Codeine will help you stop it but if you are sick of tablets and capsules, you should try mixing lemon juice and honey, it works, not as well as Codeine though.

Meanwhile, if you have chronic bronchitis, what helps a lot is to have a cool mist steamer running while sleeping. You may also try some Chinese food remedies like the following:

1. 500 mg unpeeled pear or radish (crushed and soaked in honey).
2. Make a soup out of boiled licorice in water over low heat.
3. Put a peeled grapefruit inside the chicken cavity. Cook by steaming the chicken in a pan by adding a little water. Drink the chicken broth and eat the chicken.
4. For older patients with chronic bronchitis, It is recommended that they should eat seafoods and yam.

According to some sources there are so many ways to cure it, like by drinking onion juice mixed with honey, or onion decoction which is said to give relief from coughing that is usually associated with bronchitis. You can also try boiling pepper powder in milk and then drinking it or you can also lick pepper powder mixed with ghee and sugar. Bronchitis can also be cured by drinking a mixture of 2 teaspoons of green ginger juice and 1 teaspoon of honey.

Bronchitis is also cured by drinking roasted asafetida mixed in warm water. One should also try the combination of raisins and sugar kept ion mouth while sucked.

The condition can also be treated by sucking on pomegranate fruit skin. Eating some dates while drinking warm water can dilute and remove the cough, thereby relieving the symptoms of bronchitis. One should also try drinking mint juice or licking approximately one half tola honey up to four times a day; or drinking tulsi juice along with sugar. Tea also has its own curing substance that acts as bronchodilator. Here are more natural ways to cure bronchitis. Put warm castor oil planet leaves on a pan. Cool and spread on the chest for the night (Caution: castor oil planet is poisonous). You can also try mixing mustard powder and equal amount of flour and water, and then smear it on the chest. However some people may have sensitive skin that applying mustard might sting, test on a small area first to know whether you have sensitive skin or not.

There are yet more ways to cure bronchitis however, if we do not take good care of our bodies and continue to do things that may weaken our immune system, infections such as bronchitis will always be there to threaten us.

I smoked a pack a day for 26 years (1.5 packs for about 6 months prior to quitting) and am still coughing. Am I just being impatient or does it take this long for the lungs to clear up?

It takes about 2-3 weeks for the lungs to clear up. The good news is that if you haven't caused any permanent damage, your lungs will return to great shape. During this recouperative period, take 10 very deep breathes every hour or every two hours and try to expand your lungs and fill them with air with each breathe. COPD (Chronic Obstructive Pulmonary Disease) is the inability to EXHALE all of your inspired air. Inhalation should equal exhalation. So, in your pulmonary exercise (every hour or two hours) also try to exhale as much air as possible. Don't be surprised if this activity results in the urge to cough. God gave us the cough reflex to get junk out of the lungs. Cough up all the junk and spit it out. This exercise will speed your recovery, but you may feel it is unpleasant. Also, aerobic exercise will help your lungs. Aerobic means "with air" as opposed to anaerobic "without air." I can roller skate for 24 hours straight, which is an anaerobic exercise. But the minute I wave my arms up and down while skating, I become winded. This is an aerobic exercise. I confess here, that I am also a smoker. The lungs and heart are dependent upon each other. In COPD, if you're already at the point that you cannot climb a set of stairs, like 15 steps up without gasping, you're in deep, deep trouble. However, if you have spent your life smoking and exercising and you are not tons overweight, you have a great chance. I'm here to say that COPD is not a pretty sight. There are degrees, of course. The true diagnosis of COPD results in AIR HUNGER. Since this patient cannot expell their inspired air, they also have no room in their lungs for fresh air. This is probably all too technical for some…. The inhaled oxygen is attracked to red blood cells and help to deliver oxygen and nutrients to every one of your cells. The issue is compounded if you can't feed your cells properly. I think this is easy enough to understand: ALL LIVING THINGS NEED AIR AND WATER. This includes every one of the millions of cells in your body. My patients with COPD are easily identified. They are very anxious and they don't know why. They do not understand the disease process. All they know is that while they are AT REST they feel very anxious. Nurses I've worked with don't even get this. How would you feel if you had a plastic bag over your head, tied tightly around your neck and you can't get air? Commonly prescribed in this rather "late stage" is a benzodiazapine class of drug. This would be Ativan. Ativan is very good and it is very bad. Let me speak from personal experience on the subject of the class of benzodiazapines. This class is extremely addictive. EXTREMELY. My own mother received a 30 day supply from her Provider and insurance company. Well, because of the addictive qualities, she took all the doses in the first week or two and then she was in withdrawal for the last 3-4 weeks waiting to get the next prescription. The withdrawal was truly an ugly sight. Finally, there is no cure for COPD once it gets in later stages. Only to keep the patient as comfortable as possible by increasing amounts of benzodiazapines. Incidentally, this class of drug on the street is called a BENNIE. Your question was only about the coughing. There is so much more to it than that. If you have medical insurance (don't get me started on that subject), ask to be referred to a pulmonologist for a correct diagnosis and find out how far your disease has progressed. The pulmonologist will do a thorough work-up and determine your lung function. (Called Pulmonary Function Testing). Depending on the condition of your lungs, you may be prescribed hand-held inhaler/s, nebulizer treatments, oral medications, oxygen by nasal cannula (the tube in the nose). Hey, you just have a cough. Not to worry. Exercise, lose weight, continue cessation of smoking and you'll probably be just fine. …a registered nurse, happy to share with you. I don't mean to scare you to death! 26 years of smoking. COPD (Chronic Obstructive Pulmonary Disease) encompasses Emphysema and Asthma.
If you don't have medical insurance or you don't have the funds to pay for diagnosis and treatment out-of-pocket, I am sorry to say that the state of healthcare in this United States of America is deplorable. The rich keep getting richer. Don't get me started. How old are you? Have I alarmed you? Message me if you can't climb steps. I am currently unemployed and looking for a purpose in life. I don't know what I could do, but listen. I would try to help.
judyreardon@sbcglobal.net

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In the beginning, very few illnesses and diseases were known, people would suffer from different ailments mysterious to them. As time passed, the number of diseases cropping up continued to increase. Millions of people acquire illnesses at some point in their lives; from common colds, coughs, to cancers and heart ailments. Though these illnesses or diseases have medications, it’s still best to stay healthy. Prevention is still better than cure, as many people always say.

Perhaps you’ve heard about bronchitis. This is the irritation and inflammation of a human’s bronchial tubes and adjacent tissues and organs involved in the breathing process. Bronchial tubes filter the air before it reaches the lungs, and are covered with hair-like things called cilia. Prolonged exposure to irritants can break the defenses thereby causing infection and inflammation.

Asthmatic bronchitis is similar to bronchitis. This is a disease associated with the airways. If you have chronic bronchitis, it can develop into asthmatic bronchitis. This type of disease is quite difficult to identify and diagnose. The generated symptoms exhibited by an individual having asthmatic bronchitis are similar to other respiratory tract illnesses such as asthma, bronchitis, sinusitis, and emphysema.

Bronchial hyperactivity, immunologic abnormalities, and severe childhood infections can cause asthmatic bronchitis. Individuals suffering from serious chronic bronchitis and persistent asthma are susceptible to asthmatic bronchitis.

Bacterial infections lead to chronic bronchitis; but with asthmatic bronchitis, small particles that passes though the cilia in the bronchial tubes triggers this disease; the airways and bronchial tubes become obstructed. Mucus is produced by the bronchial tubes to cover the trachea, lungs, and soft tissues involved in the breathing process. Due to irritants, the bronchial tubes produce an excessive amount of mucus thereby blocking air access. Constant blocking of the tract is a common occurrence among patients having asthmatic bronchitis.

Prolonged smoking and exposure to irritants, pollutants, and toxins can lead to asthmatic bronchitis especially if the person already has chronic bronchitis. The reason behind this is still unknown according to experts; but they claim that some environmental factors influence such condition.

Symptoms

- wheezing
- cough
- difficulty breathing
- chest discomfort
- pain and soreness
- increased infection vulnerability

Individuals suffering from asthma exhibit the same symptoms, but those that have asthmatic bronchitis experience them in higher intensities.

Treatment includes bronchodilators, antibiotics, and steroids. You must be warned that these treatments are not that effective in treating the causes of the disease. Inhaled medicines and bronchodilators provide only temporary amelioration to symptoms because the airways are cleared. Improvement can be seen after an ongoing treatment.

Treatments

- Oral corticosteroids like prednisolone tablets
- Symptom controller like salmeterol
- Oral antibiotics
- Preventer-medication or anti-inflammatory like fluticasone
- Reliever medications or bronchodilation like salbutamol

Doctors will advice patients with asthmatic bronchitis to avoid irritants like dust, pollen, smoke, alcohol vapors, and chemicals. Some patients are even required to have flu vaccines and the necessary precaution should be undertaken against bacterial or viral infections.

Any disease when not treated at an early stage has a great chance of developing into other forms of illnesses. Clinical examinations, pulmonary testing, and laboratory analyses can establish the asthmatic bronchitis diagnosis. Although bronchitis is a common condition, misdiagnosis can occur since respiratory illnesses are somewhat similar with each other. Other doctors might require supplementary respiration tests and chest x-ray to prescribe a treatment or medication.

People of all ages may suffer from asthmatic bronchitis. This is already a major complication that needs professional medial attention. Now, you’re already susceptible to developing pneumonia.

If you want to heal permanently, you must first get an accurate diagnosis. Only then can you be given the appropriate medication and treatment. If you don’t want further complications to develop, then you’d better see your doctor. If you haven’t been diagnosed yet and you think you have the symptoms mentioned above, then try to seek medical help.

Addressing any disease immediately can prevent complications, and not only that, you get to save money on medical costs. If you let your condition worsen, then you’re bound to spend a huge amount of money in the future for medications alone.

So why wait before things get complicated? Act now and look for a doctor that can diagnose your condition. He or she is the best person to assess your condition and determine the right medication suited for you.

Generally, bronchitis is the irritation ad inflammation of the bronchial tubes as well as neighboring organs and tissues that are accessories in breathing. The main purpose of the bronchial tubes is to filter the air that passes through the respiratory tract as it sets out to the lungs. These tubes are covered with small hair-like projections that thwart irritants or dirt (such as dust or pollen) from entering the crucial parts of the respiratory tract. These hair-like projections are called cilia. But long term contact with chemicals, viruses, or even dust particles will facilitate these irritants to shatter the respiratory system’s natural defenses which will eventually cause infection and inflammation.

Asthmatic bronchitis is a category of COPD or chronic obstructive pulmonary disease. This type of pulmonary disease is typically acquired by individuals suffering from chronic bronchitis and it is also hard to differentiate from other lung diseases because their symptoms are quite similar. Other similar respiratory tract diseases are sinusitis, bronchitis, emphysema, and the common asthma.

As an overview, asthma is persistent inflammatory disease of the respiratory tract that causes the airway passages to be extra sensitive, mucus production, and mucus edema. What differentiates asthma from other obstructive lung diseases is that it is mostly reversible, with or without treatment. Individuals afflicted with asthma may experience symptom-free episodes interchanging with acute asthmatic attacks which could last for as little as a few minutes to as long as days. Factors that set off asthmatic attacks are similar to that of asthmatic bronchitis (such as smoking, dust, etc.) but common asthma is primarily triggered by allergens. Common allergens may be due to the season (weed pollens or grass tree) or persistent (dust, roaches, or animal dander). Most asthmatic individuals are very sensitive to an assortment of triggers.

Meanwhile, the primary cause of bronchitis is bacterial infections, but asthmatic bronchitis is thought to be activated by tiny specks that break through the safety walls made of cilia of the bronchial tubes. And like other COPDs, asthmatic bronchitis also involves congestion of the respiratory tract. Bronchial tubes produce mucus under normal circumstances, this mucus covers the trachea, lungs and other organs in the respiratory system. Nonetheless, in the existence of irritants, an overproduction of mucus occurs, which consequently obstructs the airways. Continuous mucoid obstruction of the respiratory tract is fairly widespread among asthmatic bronchitis patients.

Causative factors that may have contributed to the development of asthmatic bronchitis are relentless childhood infections, hyperactivity of the bronchus or immunologic aberrations. Individuals who are either long suffering from asthma and/or other grave types of chronic bronchitis are also highly vulnerable to asthmatic bronchitis.

Furthermore, individuals who are suffering from chronic bronchitis eventually contracts asthmatic bronchitis due to long term exposure to pollutants or environmental toxins and mainly cigarette smoking. Although many medical professionals are still in the shadows of what the precise cause of asthmatic bronchitis, studies increasingly shows that it is primarily caused by environmental factors.

General symptoms of asthmatic bronchitis includes dyspnea or difficulty of breathing and shortness of breath, cough, chest discomforts, wheezing that lasts for several weeks, fatigue or general malaise, pain, weight loss, a general feeling of soreness, and high risk of susceptibility to infections. Although these are also observed among common asthmatic patients, individuals suffering from asthmatic bronchitis have symptoms that are more profound. These symptoms also have higher frequencies compared to the common asthma. An additional warning sign is the difficulty of reaching high or low notes when singing.

Medical treatment for asthmatic bronchitis is similar to that of chronic bronchitis. Medications include bronchodilators, steroids, and antibiotics. But these treatments do not really cure the illness; it helps in alleviating its symptoms and as much as possible give comfort to the patient.

A lot of asthmatic bronchitis sufferers are obliged to take long term treatments which help improve their health situation after an extensive time. Patients are counseled to steer clear from irritants like dust, pollen, smoke, chemicals, and alcohol fumes. They are also advised to avoid bacterial infection, thus they should avoid crowds as much as possible. If it is unavoidable, patients are obliged to wear masks to cover their nose and mouth to prevent bacteria from entering the respiratory tract.

Patients are also required to obtain influenza vaccines. They should also be educated about other precautionary measures to avoid further viral or bacterial infection.

There are quite a lot of people living today who are suffering from different kinds of respiratory illnesses. You have to consider that your respiratory health is one of the most important factors that you should consider. Many people have been disabled by chronic respiratory illnesses where the main cause is that they tend to neglect early signs and symptoms of the disease when it develops and becomes severe.

One kind of disease that is commonly neglected by people is called bronchitis. This particular disease is common in infants and children where their immune system is still at the developing stages. Tobacco smokers and people living in areas where there is a high level of air pollution is also commonly affected by bronchitis. Acute bronchitis is a respiratory illness where the bronchial tree is infected by either a virus or bacteria or in rare cases, fungus.  95% of acute bronchitis is caused by viral infection where no special treatment is necessary.

The treatment for acute bronchitis that is caused by viral infection only consists of getting a lot of rest, drinking a lot of water or juices during the duration of the infection. In bacterial infection, antibiotics are usually needed along with the basic treatments. If it is possible, it is recommended that the humidity in the house should be increased by using room humidifiers or by placing wet towels and blankets around the house.

Acute bronchitis, if properly treated, can last up to 10 to 12 days only and are usually followed by flu or cold. Sometimes, coughing can last for two to three weeks or during the duration of the healing process of the bronchioles. However, if the cough still persists, it is recommended that you should consult your physician immediately because there may be other conditions that is affecting your body.

If acute bronchitis is left untreated, it can develop into chronic bronchitis where the disease can remain in long duration that can last up to 3 months to 2 years. Chronic bronchitis has permanent damages into your respiratory system. This is why it is important that you should know all about bronchitis and the signs and symptoms associated with it. If you neglect the signs and symptoms of acute bronchitis, it will develop into chronic bronchitis that can cause permanent damage in your respiratory system and can interfere with your normal movements and activities.

The signs and symptoms associated with acute bronchitis will include shortness of breath, mild pain on chest, mild case of fever, persistent coughing with mucus, chills, tightness in the chest, wheezing, and headache. As you can see, the symptoms associated with acute bronchitis have similar symptoms associated with the common cold disease. This is why it is important that if you experience the mentioned signs and symptoms, you should immediately consult your physician about it.

They will conduct a series of test that will include physical examination by listening to your breathing through a stethoscope and chest X-rays. Laboratory tests will also include examination of your mucus to determine whether you have acute bronchitis caused by virus, bacteria, or fungus infection.

During the recovery phase in acute bronchitis, it is important that you should stop smoking if you are a smoker, or avoid inhaling cigarette or tobacco smoke blown by smokers. It is also recommended that you should install air purifiers inside your home in order to breathe clean air.

Acute bronchitis is also easy to prevent. By constantly washing your hands and by quitting smoking, you will be able to maintain your respiratory health and avoid getting infected by viruses and bacteria that causes acute bronchitis.

Always remember that acute bronchitis is treatable. As soon as the signs and symptoms show up, you should consult your doctor about it. You have to consider that it may not be a simple cold that you are suffering from but acute bronchitis.

By taking the necessary precautions and by knowing about the signs and symptoms of acute bronchitis, you will be able to prevent it from getting worse and let it develop into chronic bronchitis. By effectively managing the illness and with the proper treatment, you can be sure that you will never have to suffer from chronic bronchitis.

Your health is one of the most important factors that you should consider in today’s world. It is important that you should maintain a perfectly healthy body in order for you to function normally and productively in today’s society. It is also important that you should know how to take care of your health in order to prevent certain illnesses from becoming worse.

Respiratory illnesses are very common nowadays. From asthma to other forms of respiratory illnesses, there are a millions of people suffering from different kinds of respiratory disorders. You have to consider the fact that your respiratory system is one of the vital systems that you need in your body. This is why you should know how to take care of your respiratory system in order to enjoy and live a normal and productive life.

However, there are some cases where people can suffer from respiratory illnesses, such as bronchitis. Bronchitis is a respiratory illness that affects the bronchial tree where the bronchi of the lungs become inflamed. Tobacco smokers and people living in areas where there is a high level of air pollution are mainly affected by this disease. If you are one of this people, you have to know how to prevent bronchitis from affecting you.

Firstly, you have to understand that there are two kinds of bronchitis. The first one is called acute bronchitis where it can last for only 10 to 12 days. The second kind of bronchitis is called chronic bronchitis where it can last up to three months to two years.

In acute bronchitis, it is fairly easy to prevent this particular respiratory illness from affecting you. Acute bronchitis is mainly caused by virus and bacterial infections. However, there are some rare cases where bronchitis can be caused by fungus. The person suffering from acute bronchitis may experience persistent coughing with mucus, feeling of fatigue, shortness of breath, mild chest pains, mild fever, vibration inside the chest when breathing, and they will also experience a feeling of coldness.

The virus that causes bronchitis can be the same virus that causes the common cold. In acute bronchitis that is caused by virus infection, no special medications are usually needed. All you need is plenty of rest, and drink a lot non caffeinated and non alcoholic beverages.

However, if the acute bronchitis is caused by bacterial infection, there will usually be antibiotic medications involved along with the mentioned treatments. If it is possible, the house where the patient is staying should have increased humidity by using room humidifiers.

Usually, acute bronchitis lasts only about 10 to 12 days. However, it may be closely followed or associated with flu or cold. Sometimes, coughing will continue during the healing process of the bronchi in your lungs. However, if the coughing lasts longer a month, it is recommended that you should consult your physician immediately as conditions other than bronchitis may cause the coughing.

Some people say that prevention is better than cure. This is very true. Just ask yourself on why suffer from bronchitis and getting it treated instead of preventing it to happen.  Bronchitis can be prevented. All you need to do is constantly wash your hands thoroughly.  If you are a smoker, quit smoking in order to prevent bronchitis from happening. It is also recommended that if you are living in an area where there are high levels of air pollution, you should try and install some curtains or air conditioners and filters inside your home in order for you to breathe clean air.

Bronchitis is a respiratory illness that can cause discomfort in your life. This is why it is important that you should know about the signs and symptoms of bronchitis in order for you to know if you have it and also for you to know if it is time for you to consult your doctor about it.

Always remember that bronchitis is a preventable illness. All you need to do is establish a good and proper hygiene inside your home, try to reduce or quit smoking, and install air filters around your home to let you breathe fresh and clean air. These are some of the things you should remember in order for you to know about bronchitis and also know how to prevent it from affecting you.

Breathing or respiratory disorders are one of the most common problems facing society today. You have to consider that there are quite a lot of respiratory ailments, which include asthma, bronchitis and emphysema to name a few. These respiratory ailments can be troublesome as it can affect your breathing, which can be very uncomfortable.

Today, there are millions of Americans who are affected with asthma. Asthma is a chronic disease of the lungs where your airway will become constricted and inflamed. The airway will also be lined with excessive amounts of mucus. The main causes that can trigger asthma attacks are exposure to the environmental stimulant or allergens. However, there are some cases where asthma can also be triggered by excessive exercise, cold air and even emotional stress.

During asthma attacks, you will experience shortness of breath, wheezing, coughing, and chest tightness. Between episodes of asthma attacks, most people who suffer from this disease feel fine. The best way to treat asthma is by identifying the allergen that causes it. It can be your pet or it can be medications, such as aspirin. By limiting or eliminating exposure to these allergens, you can effectively manage your illness.

Another kind of respiratory illness is called bronchitis. Bronchitis is a respiratory disorder where the bronchi of the lungs become inflamed. Most people who suffer from this illness are people who are habitual tobacco or cigarette smokers. Also, people who live in cities with heavy air pollution are also affected. There are two classifications of bronchitis, one is acute bronchitis and the other is acute bronchitis. The chronic bronchitis is considered as a long-term illness where it is accompanied by symptoms of persistent coughing that produces sputum.

Acute and chronic bronchitis have the same signs and symptoms, such as persistent coughing, shortness of breath, mild fever, fatigue, mild chest pains, vibrations in chest while breathing, and coldness.

In most cases, acute bronchitis is caused by viruses where it will go away on its own after a few days. The only thing that you have to do is get plenty of rest and plenty water or non-alcoholic and non-caffeine beverages. However, with bronchitis that is caused by bacteria, you may need to take some antibiotics.

Another form of respiratory ailments is called emphysema. This particular respiratory illness is chronic obstructive lung disease that is caused by long-term exposure to tobacco smoke and exposure to toxic chemicals. This particular disease is characterized by losing the elasticity of the lung tissue. Symptoms will include shortness of breath after a light exercise or by simply climbing the stairs.

This respiratory disease is irreversible and degenerative condition. This means that in order to prevent the condition to grow worse, it is important that you should prevent yourself from being exposed to toxic chemicals and also by quitting smoking or staying away from cigarette or tobacco smoke.

Today, there is a program that will be able to help you in the treatment for the mentioned conditions and other respiratory illness. The World Asthma Day provides treatments and informing people about the new and revolutionary treatment for certain lung disorders which may include asthma, bronchitis, and even emphysema. There will be a lot of activities in this program that can help you cope with your respiratory illness. It will also include new technologies and medicines available that can effectively treat different kinds of respiratory conditions and many organizations around the world will participate. You will see that the World Asthma Day will be comprised of different medical organizations that are dedicated on researching about the different kinds of respiratory illness.

So, if you are suffering from a respiratory disorder, you should try and join the World Asthma Day as it can provide you a lot of benefits. There are different kinds of organizations that will help you to become more informed about the breakthrough in medical technology for treating various respiratory illnesses. There will also be seminars conducted on prevention of respiratory diseases.

Whether you have asthma, bronchitis or emphysema, you can seek free medical assistance with the World Asthma Day. Prevent respiratory illnesses from taking control of your life by being informed about it and knowing how to prevent it or treat it if you are suffering from the respiratory conditions.