How is asthma diagnosed?

Written in association with: Professor Suveer Singh
Published:
Edited by: Conor Lynch

Top Doctors recently spoke to Professor Suveer Singh, an esteemed respiratory, sleep, and critical care consultant, to speak about the causes of asthma, the main risk factors, and how it can be treated and managed effectively.

What causes asthma?

The causes of asthma, unfortunately, are not yet fully understood. Occasionally, an allergen (e.g. pollen, dust mites, certain foods, insect bites and stings etc) can come into contact with your immune system, which can lead to asthma.

 

When this occurs, the immune system can react strongly, leading to inflammation. Inflammation is a protective response, and can typically result in your airways becoming swollen and narrow. In addition, specialised cells that line the airways may, as a result of the narrowing and swelling, begin to produce more mucus.

 

Inflammation in one’s airways can inevitably make breathing more difficult and causes the muscles in and around your respiratory tract to tighten. If someone experiences this on a consistent basis, or if they have suffered from a more serious viral infection during early childhood, research suggests that this can lead to the development of asthma.

 

What are the main associated risk factors?

There are quite the number of risk factors which can impact the likelihood of you developing asthma. They include the following:

 

  • being exposed to cigarette smoke in the womb or very early childhood
  • coming into contact with particular microbes in the air
  • the workplace environment
  • exposure to atmospheric pollution, pollen, dust and other allergens
  • having a large number of allergies
  • obesity
  • underlying lung conditions
  • genetic factors

 

Are asthma triggers the same for all sufferers?

The triggers and asthmatic response differ on a case-by-case basis.

 

How is asthma diagnosed?

If asthma is suspected based on the patient’s symptoms, a range of tests will be carried out to confirm this. Firstly, the doctor will perform a physical exam in order to evaluate the patient’s breathing.

 

A spirometry test may also be carried out, which will assess how fast and how much air is entering and exiting the patient’s lungs when they take a large breath and forcefully exhale with specialised equipment.

 

Where necessary, a doctor can also perform certain tests that are designed to determine whether particular allergens or irritants cause a reaction in the airway of the patient being assessed. These are referred to as bronchoprovocation tests. Allergy tests can also be performed to investigate and confirm any allergies.

 

What does treatment involve?

The treatment of asthma typically involves a number of different medicines, which will of course depend on the patient’s particular circumstance.

 

Professor Suveer Singh is a highly regarded and experienced respiratory, sleep, and critical care consultant who is an expert when it comes to asthma. Consult with him today via his Top Doctors profile.

By Professor Suveer Singh
Pulmonology & respiratory medicine

Professor Suveer Singh is a prominent, award-winning respiratory, sleep and critical care consultant based in central London, who specialises in bronchoscopy, respiratory infection and chronic cough alongside respiratory diseases, respiratory failure and chest pain. He privately practices at Cromwell Hospital, The Sloane Hospital and Shirley Oaks Hospital as well as London Bridge Hospital and Chelsea Outpatient Centre.  His NHS bases are Royal Brompton & Harefield, and the Chelsea and Westminster NHS Foundation Trusts, London.

Professor Singh, who is also professor of practice at Imperial College, London, is also an experienced specialist in sleep apnoea and other sleep disorders like insomnia, alongside acute respiratory infection including COVID-19 and post-ITU recovery. Furthermore, he also has consultant experience in cardiac and burns intensive care, and he is a member of the national, platinum-marked Royal Brompton ECMO-SARF service and lead of the SARF/ECMO follow-up clinic, most recently during the COVID-19 pandemic.

He has an BSc and MBBC from Guys & St. Thomas' Hospitals Medical School, and underwent further postgraduate training at Royal Brompton Hospital, King's College, Chelsea and Westminster and Hammersmith Hospitals in London. He undertook a PhD in the mechanism of microvascular dysfunction at the National Heart and Lung Institute, London.

Professor Singh, who is active researcher with interests in early diagnostic markers for ventilator pneumonia and Burns inhalation injury, bronchoscopy (EBUS and interventional) and respiratory infection alongside post intensive care syndrome and microcirculatory disorders, is a decorated clinical teacher. In 2013 he was awarded the Imperial NHS Teacher's award, while he has been the Distinguished Teacher nominee for the trust in 2014, 17 and 18.

He is also the lead for Year 5 Critical Care Medicine, examiner for the Royal College of Physicians MRCP and the European Society and Faculty of Intensive Care Medicine EDIC courses, as well as for international fellowship programmes. He has been tutor for the intensive care faculty FICM. He supervises PhD, MD and BSc fellows involved in critical care and respiratory medicine academic research and has held grants from the National Institute of Academic Anaesthesia and the Westminster Medical School Joint Research committee for MD studies. 

He is a fellow of the Higher Education Academy, frequently lectures nationally and internationally on Respiratory and sLDoee and examines internally and externally for MD and PhD awards.

Professor Singh is also chief and principal investigator for multicentre trials of early diagnostic markers in pulmonary infection and sepsis, weaning from ECMO and bronchoscopic sampling lung-volume reduction studies. He is also a respected academic who has published over 100 peer-reviewed articles, is the editor of the Oxford textbook Respiratory Critical Care and Respiratory Section editor and Editorial Board member of Medicine International. He is also an associate editor of Respiration, and reviewer for several international intensive care and respiratory journals.

Find out more about Professor Singh's work via his personal website, Respiratory Doctor.                       

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