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One of the potential triggers of asthma is animals, such as cats and dogs. They can cause an attack of bronchial asthma, namely their fur, saliva, and epidermis. Dust mites are enemies for a person with bronchial asthma; they thrive in mattresses, carpets, upholstered furniture, bedding, clothing, and soft toys (Dharmage et al., 2019). Tobacco smoke is a pollutant of indoor air and a trigger in developing asthma symptoms. Chemicals in the workplace and dust can cause occupational asthma, so it is necessary to be careful with industrial irritants and chemicals, gases, aerosols, paints, smoke, perfumes, and food odors (Kuruvilla et al., 2019). In addition, aspirin and other nonsteroidal anti-inflammatory drugs can cause asthma.
Some people suffer from more severe aspirin intolerance, and exposure can lead to severe life-threatening asthma attacks. To reduce the frequency of asthma attacks in children, schools and parents can take, for example, the use of humidifiers and air purifiers (Kuruvilla et al., 2019). In addition, wet cleaning should be carried out frequently, carpets should be removed, and feather bedding should not be purchased (Dharmage et al., 2019). Also, mold should be eliminated promptly, and careful prevention of its appearance should be carried out. It is necessary to periodically ventilate the premises and generally eliminate allergens, which can cause seizures.
J45.0 is asthma with a predominance of an allergic component. In the clinical picture, expiratory type attacks of suffocation caused by bronchospasm, hypersecretion, and edema of the bronchial mucosa occupy a central place. J45.1 is a non-allergic called asthma, which develops without contact with any allergen (Kuruvilla et al., 2019). Frequently, non-allergic asthma occurs against the background of concomitant diseases of the respiratory tract. J45.8 is mixed asthma, a respiratory tract disease provoked by exogenous and endogenous factors (Dharmage et al., 2019). The internal aspects of its occurrence usually include a genetic predisposition.
In coding the diagnosis of asthma, some difficulties arose, particularly recognition of the type of triggers and the choice of the therapy method. In addition, it was problematic to determine the type of asthma since the symptoms seemed similar for all types of this disease. The patient had episodic shortness of breath, wheezing, chest tightness, and coughing, especially at night or early in the morning. However, these symptoms themselves could not be the only diagnostic criterion, nor could they be the basis for determining the severity of the disease.
References
Dharmage, S. C., Perret, J. L., & Custovic, A. (2019). Epidemiology of asthma in children and adults. Frontiers in pediatrics, 7, 246. Web.
Kuruvilla, M. E., Lee, F. E. H., & Lee, G. B. (2019). Understanding asthma phenotypes, endotypes, and mechanisms of disease. Clinical reviews in allergy & immunology, 56(2), 219-233. Web.
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