​Difficult Asthma: why some patients with asthma do not get better?

Posted at 3:25 pm on 01/21/2015 by Powlin V. Manuel
In my experience of treating asthma for the last 35 years, some asthmatics have difficulty in getting better, despite what we assume to be an ideal treatment. With new information now available about gene expression we are getting a better understanding of the type of patients who are difficult to treat.
However, most often the following are the reasons why some patients do not achieve satisfactory control: not taking medications as prescribed, continued exposure to allergens, presence of sinus infection, presence of gastro-esophageal reflux disease, presence of nasal polyp, and presence of certain genetic setup including obesity, and smoking. Patients and physicians need to be aware of the reasons why patients do not get better despite a “good treatment." The more we know, the better we can take care of ourselves.

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