How Can Asthma With ABPA Be Treated?

Hi, Asthma is itself a allergic disease due to cold or dust or pollens or grass etc irrespective of the triggering factor and Allergic bronchopulmonary aspergillosis (ABPA) is a condition characterised by an exaggerated response of the immune system means a hypersensitivity response to the fungus Aspergillus (most commonly Aspergillus fumigatus) You can go for pulmonary function tests if not done. Here,the treatment is mainly symptomatic which might require inhalational steroids(fluticasone or budesonide),beta receptor agonists(salbutamol or terbutaline),anticholinergics(ipratropium bromide,aminophylline) as MDI or rotahaler as a regular treatment. Inhalers are comparatively safer than any other form of asthma treatment like oral or injectables. The medicine inside an inhaler goes straight into the airways when you breathe in. The airways and lungs are treated, but little of the medicine gets into the rest of the body leading to lesser and lesser side effects. The advantage of inhalers over other forms are that they are causing instant relief (bronchodilatation) by relaxing the muscle in the airways To decrease the inflammation of bronchi and bronchioles,you might be given oral antihistamines with mast cell stabilizers (montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation. The best way to cure any allergy is a complete avoidance of allergen or triggering factor. Consult your pulmonologist for further advise.