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ASTHMA PROGRAM

Asthma
 * About Asthma
 * Diagnosing Asthma
 * Asthma Self-Assessment Quiz
 * Asthma Treatments
 * Asthma FAQs
 * Meet Our Asthma Specialists

The Mount Sinai Health System has partnered with the nation’s leading
respiratory hospital, National Jewish Health, to create the Mount Sinai–National
Jewish Health Respiratory Institute. Our teams of specialists provide you, our
patients, with exceptional, personalized care so you can live your healthiest
life.

Our asthma program doctors have expertise in all aspects of asthma care. We
evaluate and treat the most complicated asthma cases and use the latest research
and most advanced treatments. Our doctors also address health issues that can
make asthma worse. We refer to specialists as needed. In addition, we provide
you with the education and support you need to stay healthy and manage your
asthma. 


SERVICES WE OFFER

Our comprehensive program includes the following services:

 * Advanced diagnostic testing
 * Asthma education and inhaler training
 * Consultation with pulmonary specialist
 * Consultation with an allergy specialist
 * Coordination of treatment with all current advanced therapies for asthma
   including biological therapies and bronchial thermoplasty
 * Personalized self-management strategy
 * Environmental assessment
 * Referral to a gastroenterologist, otolaryngologist, occupational and
   environmental specialist, referral to mental health care resources, physical
   therapist and pulmonary rehabilitation, and social worker as needed

In addition, the Asthma Program collaborates with the Mount Sinai World Trade
Center Worker and Volunteer Medical Screening Program to treat asthma in
individuals who worked or volunteered at Ground Zero and other sites on 9/11.

We offer care for special forms of the condition, including:

 * Allergic asthma
 * Allergic bronchopulmonary aspergillosis
 * Aspirin-sensitive asthma
 * Asthma in pregnancy
 * Asthma with fungal sensitization
 * Asthma worsened by sinonasal disease
 * Exercise-induced asthma
 * Severe eosinophilic asthma
 * Steroid dependent  asthma


CAUSES OF ASTHMA

The causes of asthma can be due to environmental and/or genetic factors.
Environmental factors that can trigger asthma symptoms include:

 * Animal dander
 * Dust mites
 * Mold
 * Pests (cockroaches, rodents)
 * Strong odors and fumes
 * Sudden changes in temperature or climate
 * Tree, grass, and weed pollen

In order for a person to experience symptoms of asthma, several processes must
take place. First, there is inflammation in the inner linings of the airways.
These airways experience swelling, resulting in less room for air to pass
through. Second, the airway muscles tighten, thus causing the airways to close
further. Airways produce mucus due to inflammation, which clogs the airways.
Finally, the combination of inflammation, reactive airways, and mucus
proliferation can be associated with structural changes in airways that can
cause persistent limitation of airflow and reduced lung function

People can also experience an asthma from something they swallow rather than
breathe. These triggers can include medications and foods:

 * Anti-inflammatory medications (aspirin, ibuprofen, naproxen and others)
 * Food allergies
 * Food preservatives like sulfites
 * Heart medications such as beta blockers (atenolol, Lopressor, carvedilol and
   others)

While most people develop asthma as children, adults can also develop
asthma. People who work with the following products may be at increased risk of
developing asthma:

 * Animals
 * Antibiotics
 * Construction material
 * Detergents
 * Domestic and non-domestic cleaners
 * Fabrics
 * Grains (such as wheat, barley, and corn)
 * Insulation
 * Packaging materials
 * Textile workers
 * Other work places with exposures to dusts or fumes

Asthma can also be triggered by non-allergic irritants, such as:

 * Exercise
 * Exposure to high heat and humidity
 * Laughing hard, crying, shouting, strong emotions
 * Smog and smoke
 * Strong smells (such as paint fumes, perfumes, cleaning products)
 * Sudden exposure to cold air
 * Viral infections such as a cold or the flu


SYMPTOMS OF ASTHMA

Asthma symptoms should be taken very seriously and treated immediately. Symptoms
that awaken you at night or result in you needing rescue medication such as
albuterol multiple times daily should prompt you to seek medical attention
urgently.An asthma flare-up or attack can happen at any time. Mild symptoms may
only occur for short periods of time, while more severe asthma symptoms can last
hours or days.

 * Chest tightness
 * Excessive coughing
 * Shortness of breath
 * Wheezing


TREATMENTS FOR ASTHMA

Although there is no cure for asthma, your doctors at Mount Sinai can keep it
under control. Since each asthma case is different, you and your specialist need
to create a personalized asthma treatment plan. Your treatment plan may include
some or all of the following:

 * Anti-inflammatory drugs (including steroids)
 * Bronchial thermoplasty
 * Bronchodilators
 * Immunotherapy
 * Inhalers
 * Nebulizers
 * Prednisone
 * Modifying your environment to reduce exposure to specific allergic and
   non-allergic triggers

The Mount Sinai – National Jewish Health Respiratory Institute is conducting a
number of research studies and clinical trials to improve the diagnosis and
treatment. Find available clinical trials


WHY MOUNT SINAI–NATIONAL JEWISH HEALTH RESPIRATORY INSTITUTE

National Jewish Health, the nation’s leading respiratory hospital, has partnered
with the Mount Sinai Health System to create the Mount Sinai – National Jewish
Health Respiratory Institute. Our Asthma Program doctors have expertise in all
aspects of asthma diagnosis and treatment. If standard inhaled therapy does not
work for you, we have other options, including injectable biological therapies
(such as anti-IL5, anti-IGE, anti-IL4 receptor, and alpha) at our infusion
center. We can also assess any other conditions you may have that can cause
coughing, wheezing, and breathlessness. We perform bronchoscopy to evaluate
complicated asthma and offer bronchial thermoplasty if your asthma is not
controlled by other measures. Our clinical trials provide the latest asthma
therapies, if appropriate.

In addition, we emphasize patient education and support. Our nurses teach you
how to use your inhaler for best results. We help you learn how to minimize
allergic and non-allergic triggers. We can also help with the social issues that
can complicate asthma. Our social worker is here to help and we also have an
asthma support group that meets every six weeks.

Request an Appointment Find an Asthma Specialist View Our Locations
Asthma
 * About Asthma
 * Diagnosing Asthma
 * Asthma Self-Assessment Quiz
 * Asthma Treatments
 * Asthma FAQs
 * Meet Our Asthma Specialists

Contact Info

Mount Sinai - National Jewish Health Respiratory Institute

Address:
10 East 102nd Street, Fifth Floor New York, NY 10029
10 East 102nd Street, Fifth Floor New York, NY 10029

Phone: 212-241-5656212-241-5656

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