Allergic Rhinitis and Asthma development in future : The facts by Pulmonology Professor Dr Kurian Thomas Asthma Allergy Centre Thrissur Kerala India.

Allergic Rhinitis and Asthma development in future : The facts by Pulmonology Professor Dr Kurian Thomas Asthma Allergy Centre Thrissur Kerala India.

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas No Comments
ASthma Allergy Pulmonology Centre Thrissur. Facts about Allergic Rhinitis

Is it dangerous to ignore Allergic Rhinitis ?

Asthma Allergy Pulmonology Centre  Thrissur Professor Dr Kurian Thomas is of the strong view that there is lot of scientific data to treat early, even mild forms of Allergic Sneezing (also called as Allergic Rhinitis ie AR). The obvious logical reason is that it is a real suffering for those with the allergic sneezing  disease on its own and merits as a disease which affects day to day activities as well as performance and mood. The more potentially dangerous issue is that untreated Allergic Rhinitis can lead on to the development of Asthma over a period of years in many patients with just Allergic rhinitis alone to start with.

In our Centre we see that lot of patients who develop severe type of Asthma initially had only AR to start with. They ignored it as an innocuous nuisance which need not be treated . After about 5 to 10  years it turned into mild asthma . Then only they went to a doctor . Then it was too late because asthma needs special treatment and Sneezing needed special treatment. It also took much more time to control asthma and AR when they occur together . So Dr Kurian Thomas Pulmonology Professor is of the opinion that Allergic rhinitis patients should take aggressive treatment the moment they develop sneezing at least once a week. Correct treatment will prevent the development of Asthma in future.

Treatment of Allergic Rhinitis is very easy and straightforward/ simple.

How is Allergic Sneezing ie Allergic Rhinitis treated ?

The treatment of Allergic rhinitis includes just 5 steps.

  1. Identify the culprit allergy which most often starts the sneezing and take measures to get away from exposure to the culprit allergen in food or environment as air borne allergen or as weather change or dust .
  2. Try to minimize the dust in the house or work environment
  3. Take anti allergic Antihistamines when there is sneezing or itching or running nose, or itching around the nose or throat or running nose. Ideally you can take montelukast separately as it prevents reemergence of Allergic rhinitis as well as defend us against the possibility of Asthma raising its ugly head in these Allergic rhinitis patients in future as already hinted.
  4. The gold standard for Allergic Rhinitis treatment is Nasal Spray containing Corticosteroids. They should be sprayed into the nose twice daily as shown from the Allergy Centre for 3 to  4 weeks. That is all it takes to get rid of Allergic Rhinitis sneezing.

How to deal with allergy ?

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas No Comments

Allergies can fail our entire life routine . Whether you have indoor allergies to dust and mold or hay fever caused by pollen, allergy symptoms can be equally miserable all year long. Coughing, sneezing, itchy eyes, and runny nose can make any day a challenge for who have indoor and outdoor allergies. The best way to deal with allergies is to know what triggers

Triggers of an allergic

  • Pet Dander
  • Certain Plants and Pollen
  • Bee stings / insects bites
  • Nuts
  • Shellfish
  • Certain medications


  • Hives (itchy red spots on the skin)
  • Nasal congestion
  • Itching
  • Rash
  • Abdominal pain
  • Diarrhea
  • Pain or tightness in the chest
  • Difficulty in swallowing
  • Dizziness (vertigo)
  • Swelling of the face, eyes, or tongue
  • Flushed face
  • Fear or anxiety
  • Nausea or vomiting
  • Heart palpitations
  • Wheezing
  • Difficulty in breathing
  • Unconsciousness

Identifying the triggers

An allergy specialist (allergist) can help find the exact cause of your allergy through:

  • Skin testing – the most common diagnostic method that involves exposing the skin to various substances and observing reactions over time.
  • Specific IgE (immunoglobulin E) blood tests to identify IgE antibodies that relate to specific antigens or triggers.
  • Tests involving removal of suspected allergens and then re-introducing them to see if a reaction occurs.
  • Blood test for allergy checks for antibodies against a possible allergen (An antibody is a protein the body produces to fight harmful substances)

How Is an Allergic Reaction Treated?

Allergies can be managed by consciously avoiding contact with suspected triggers and medical help. However, if a person shows symptoms of an allergy all of a sudden, immediate medical help is mandatory. Remember, some allergies can even prove fatal.

  • Consult a dermatologist
  • Consult a pulmonologist

Avoiding Allergies May Be Easier Than You Knew

There is no cure for most allergies, the situation is far from hopeless. “In addition to treatment, the best way to fight allergies is to learn ways to avoid them, Here are some simple tips that can help.

  • Kill Dust Mites With a Hot Wash – One of the biggest causes of indoor allergies is the dust mite. These microscopic insects love to live on your bedding and stuffed animals. Hong advises washing all of your bedding in hot water and drying it in a hot dryer to kill dust mites. Keep stuffed animals off the bed, and wash sheets and blankets at least once a week in water that’s 130° F or higher to limit the effects of this indoor-allergy culprit.
  • Adjust Home Humidity to Control Mold – Mold thrives in moisture. To help control indoor mold, use a dehumidifier or your air conditioner to keep your home humidity close to 50 percent. Take the guesswork out of measuring indoor humidity with a device called a hygrometer. It’s also important to clean up water spills promptly, fix any leaks, and change the filters in your air conditioner regularly.
  • Travel Wisely During Pollen and Mold Seasons – If you take a road trip when the pollen count is high, make sure to keep your car windows closed. Before you begin your trip, start the car and turn on the air conditioner, then get out and let the air inside the car cool. If you can, travel early in the morning or in the evening. Also avoid vacationing in a high-allergy destination.
  • Keep Outdoor Pollen Outside – Take some simple precautions to keep outdoor pollen out of your home. Wear a mask if you work outside, and remove your work clothes before entering the house. It’s also good to shower right after coming in from yard work. When you do laundry, use a dryer instead of hanging your clothes outside. Leave all windows in the house closed during allergy season, and rely on your air conditioner or dehumidifier to help protect you from indoor allergies.
  • Control Irritants Along With Allergens – If you have outdoor or indoor allergies, any substance that irritates your airways can make your symptoms worse. Don’t smoke in your home, kindly ask house guests to smoke outside, and avoid wood fires and wood-burning stoves. Strong odors such as perfumes, paint fumes, hair sprays, disinfectants, and air fresheners can also set off an allergy attack.
  • Get Rid of Roaches and Rats – Studies have shown that cockroaches are a surprisingly common cause of indoor allergy symptoms and asthma, especially in children. Remove water and food sources that may attract cockroaches, and if you see a cockroach, get professional help. If you or someone in your family is struggling with indoor allergies or hay fever, talk to your doctor. In addition to these smart strategies, there are many treatments to help ease symptoms.
  • Wear Sunglasses to Keep Pollen Out of Your Eyes – Many people experience hay fever caused by wind-borne pollen or mold spores. Wearing sunglasses outside can reduce the amount of pollen or spores that get into your eyes. Allergy-irritated eyes are also more sensitive to sunlight, so stylish shades may help your eyes feel better, too. The best kinds of sunglasses to wear are dark glasses that wrap around to block as much wind pollen as possible.

Asthma and the Monsoon of Kerala

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas 5 comments

Asthma is a chronic inflammatory disease of the airways or bronchi-oles resulting in difficult breathing. The inflammation of airways results in constriction and narrowing of the smooth muscles of airways causing difficult breathing, sputum production, cough and increased mucus secretion.

Asthma is a chronic inflammatory disease of the airways or bronchi-oles resulting in difficult breathing. The inflammation of airways results in constriction and narrowing of the smooth muscles of airways causing difficult breathing, sputum production, cough and increased mucus secretion.

Triggering Factors:

  • Allergens: the substances like pollen, molds, fungi, pet dander and dust act as a major triggering factors for Asthma.
  • Bronchial irritants present in the air: This includes smoke from vehicles, cigarette smoke, wood fire and pollution added by factories. Indoor bronchial irritants include strong odor of perfumes, paints, scented soaps and scented sticks most commonly used by Indian people during the prayers.
  • Excessive exercise: Excessive exercise causes aggravation of Asthma. It is called as Exercise Induced Asthma
  • Emotional turmoil: Sudden emotions like anger, fear, excitement or shock can cause attack of Asthma in the patient.
  • Weather changes: weather changes like cold windy weather and during monsoon the Asthma attacks are known to worsen.

Reasons behind aggravation of Asthma in monsoon:

  • Monsoon is associated with exposure of large amount of pollen in the atmosphere.
  • During monsoon precipitation of toxic environmental gases like sulphur dioxide and nitrogen dioxide and sulphur takes place. This increases the bouts and severity of Asthma in Asthmatics.
  • There is increased production of fungus, moulds, house dust etc. which can cause Asthma.
  • Increased incidences of viral infections during monsoon aggravate the attack of Asthma.

How to manage Asthma in rainy season?

  • Take the medicines regularly: Patients of Asthma should not skip even a single dose of medication prescribed by the doctor. Some of the patients are advised inhalers by their doctors. Patients of Asthma must regularly take them to keep their airways open. Some patients are in habit of haphazardly stopping and starting inhalers. This practice is very harmful and should be stopped immediately.
  • Do not keep pet animals at home. If at all pets are already there in the house then they should not be allowed in the patient’s bedroom because the dander may stay in the bedroom even after the pet has left the room.
    As far as possible stay with the air-conditioner on in the house.
  • Keep the damp places like bathrooms free of mould by regularly cleaning them with bleach and detergents and disinfectants.
  • Do not keep plants in the bedrooms to avoid exposure to pollen.
  • When it is very windy do not step out of the house so as to avoid contact with pollen. In rainy seasons there are many pollen found in the atmosphere.
  • As far as possible do not use carpets. Because very minute dust particles, animal dander settle down on the carpets and cannot be removed easily.
  • Wash all pillow covers, bed sheets etc with warm water once a week.

These are the important suggestions about management of Asthma in rainy season.

Managing Weather-Related Triggers

Managing the symptoms of weather-related asthma is similar to managing asthma that is triggered by any cause, like pet dander. Whether the trigger is heat, pollen, or a fierce rainstorm, the best way to avoid climate-connected asthma is to first identify what your triggers are. “Just as you would with other triggers of asthma, avoid these triggers and control your exposure”.

Specific weather triggers will vary from individual to individual. “If lightning storms tend to set off your asthma attacks, then stay inside . If cold air is your trigger, use albuterol before going out in the cold and wear a face mask or scarf over your face.” If your asthma tends to worsen in hot summer months, use an air conditioner and try to stay in a controlled environment.

To stay on top of weather changes, monitor the weather forecasts — consider signing up for email and text updates from online services. Beyond temperature changes, watch the forecast for rain, humidity, air pressure changes, and ozone reports.

Another effective way to control weather-triggered asthma is by taking your prescribed asthma medications. “Regular use of controller meds is an important part of managing asthma”.

While it’s not possible to control the weather, you can take steps to limit asthma attacks. Identify your weather triggers and then do what you can to protect yourself from the elements.

Air pollution and Respiratory health, Some facts you need to know

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas 3 comments

Many of us experience some kind of air pollution-related symptoms such as watery eyes, coughing, or wheezing. Even for healthy people, polluted air can cause respiratory irritation or breathing difficulties during exercise or outdoor activities. Your actual risk depends on your current health status, the pollutant type and concentration, and the length of your exposure to the polluted air.

People most susceptible to severe health problems from air pollution are:

  • Individuals with heart disease – such as coronary artery disease or congestive heart failure
  • Individuals with lung disease – such as asthma, emphysema or chronic obstructive pulmonary disease (COPD)
  • Pregnant women
  • Outdoor workers
  • Children under age 14, whose lungs are still developing
  • Athletes who exercise vigorously outdoors

High air pollution levels can cause immediate health problems:

  • Aggravated cardiovascular and respiratory illness
  • Added stress to heart and lungs, which must work harder to supply the body with oxygen
  • Damaged cells in the respiratory system

Long-term exposure to polluted air can have permanent health effects:

  • Accelerated aging of the lungs
  • Loss of lung capacity
  • Decreased lung function
  • Development of diseases such as asthma, bronchitis, emphysema, and possibly cancer
  • Shortened life span

Health Effects from Specific Pollutants

Ground-level Ozone

Ground-level ozone is formed when volatile organic compounds (VOCs) and oxides of nitrogen (NOx) react with the sun’s ultraviolet rays. The primary source of VOCs and NOx is mobile sources, including cars, trucks, buses, construction equipment and agricultural equipment.

Ground-level ozone reaches its highest level during the afternoon and early evening hours. High levels occur most often during the summer months. It is a strong irritant that can cause constriction of the airways, forcing the respiratory system to work harder in order to provide oxygen. It can also cause other health problems:

  • Aggravated respiratory disease such as emphysema, bronchitis and asthma
  • Damage to deep portions of the lungs, even after symptoms such as coughing or a sore throat disappear
  • Wheezing, chest pain, dry throat, headache or nausea
  • Reduced resistance to infection
  • Increased fatigue
  • Weakened athletic performance

Particulate Matter (PM)

Particulate Matter is a complex mixture that may contain soot, smoke, metals, nitrates, sulfates, dust, water and tire rubber. It can be directly emitted, as in smoke from a fire, or it can form in the atmosphere from reactions of gases such as nitrogen oxides.

The size of particles is directly linked to their potential for causing health problems. Small particles (known as PM2.5 or fine particulate matter) pose the greatest problems because they can get deep into your lungs and some may even get into your bloodstream. Exposure to such particles can affect both your lungs and your heart.

Scientific studies have linked long-term particle pollution, especially fine particles, with significant health problems including:

  • Increased respiratory symptoms, such as irritation of the airways, coughing or difficulty breathing
  • Decreased lung function
  • Aggravated asthma
  • Development of chronic respiratory disease in children
  • Development of chronic bronchitis or chronic obstructive lung disease
  • Irregular heartbeat
  • Nonfatal heart attacks
  • Premature death in people with heart or lung disease, including death from lung cancer

Short-term exposure to particles (hours or days) can:

  • Aggravate lung disease causing asthma attacks and acute bronchitis
  • Increase susceptibility to respiratory infections
  • Cause heart attacks and arrhythmias in people with heart disease

Even if you are healthy, you may experience temporary symptoms, such as:

  • Irritation of the eyes, nose and throat
  • Coughing
  • Chest tightness
  • Shortness of breath

Asthma Allergy Pulmonology Chest and COPD Centre Thrissur Kerala . Our mission

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas No Comments
Asthma Allergy Pulmonology Centre Thrissur Patient Education Chart

Asthma Allergy Pulmonology Chest and COPD Centre Thrissur Kerala . Our mission

1.Asthma Allergy and Pulmonary Disease patients from Thrissur, Ernakulam,Kochi, Kozhikode , Malappuram and Palakkad districts in Kerala should be provided with the best but easy to follow and simplified clinical care and cure of their disease at this unique Centre .Adults and children with Asthma and Allergic Rhinitis ( sneezing ) under our care should lead an active life with no  restrictions. Asthma Allergy Centre Thrissur should be a unique and best Centre or Clinic to help all patients with asthma, allergy ,Pulmonary Diseases, COPD and related Chest Diseases for Thrissur and near by District of Ernakulam Kochi, Palakkad,Kozhikode and Malappuram .

2. Provide all needed educational materials for self learning for Asthma Allergy patients to take care of their-own  illness and lead a happy and  normal life.Provide  all the needed  best medications from the Centre itself . Teach each patient how to use each medication ;at each visit for all patients and families .Enable each allergy or Asthmatics child , adult and  family  to learn to  control their disease  by themselves .Give new hope to all with Pulmonary Diseases especially asthma  and allergy as well as COPD. Thrissur  and nearby District patients of all ages, including children and adults and Pregnant women and nursing mothers should be cured of their Asthma Allergy and Sneezing.

Each patient with

  • Asthma
  • Allergic diseases of the lung, nose, and also skin allergy
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Bronchiectasis
  • Sleep Disorders

should feel confident that they can form a winning team with our Asthma Allergy Pulmonology Centre Thrissur;  for leading a full life with no restrictions to their life because of asthma or allergy.

3. As a clinical researcher and Professor of Pulmonology constantly evaluate  new treatments for Asthma and Allergy  when available in Kerala .Evaluate and monitor lung function  by PFT and FENO test , and improve the health care delivery method to the Asthma Allergy community in and around Thrissur. The goal of this Centre is to improve the health of patients  by forming a team with each patient and family.

4.Asthma  Allergy, Pulmonary Medicine and Sleep Medicine treatment should be

  • curative
  • affordable
  • available easily
  • on an Outpatient basis for both
  • pediatric and
  • adult patients from
  • Thrisssur, Ernakulam, Kozhikode ,malappuram and Palakkad without going to a Major Hospital or getting admitted.

What are common allergic conditions, and what are allergy symptoms and signs?

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas No Comments
Asthma Allergy Centre for Thrissur, Palakkad , Malappuram .

This is for learning by Asthma Allergy Patients attending Asthma Allergy Pulmonology Centre Thrissur .Your allergy is actually   an exaggerated reaction by your own body’s immune system in response to exposure to certain foreign substances entering your body. Substances can enter human body mainly as

  1. Allergic inhaled particles as we breath air  like Pollen,dust,
  2. Allergic food substances as we eat various food types.
  3. Allergic medicines which we take .
  4. Allergic substances coming into contact with our skin

The response is said to be  exaggerated because these substances are normally seen by the body as harmless in nonallergic individuals and do not cause a response in most humans. In allergic individuals, because of some genetic predisposition ;the body recognizes these above normal dust or food or medicines as  foreign substance, and the allergic part of the immune system generates a response.

Allergy-producing substances are called “allergens.” Examples of allergens include pollen, dust mites, molds, animal proteins, foods, and medications. When an allergic individual comes in contact with an allergen, the immune system mounts a response through the IgE antibody. People who are prone to allergies are said to be allergic or “atopic.” This is a genetic trait seen in about 20% of humans.

Allergy prevalence

  • Study Among Patients from Thrissur, Ernakulam Kochi, Kozhikode ,Palakkad and Malappuram who attend Asthma Allergy Pulmonology Centre approximately 10%-30% of individuals or one family member is  affected by allergic conditions. World over this number is increasing.
  • Allergic rhinitis (nasal allergy manifesting as sneezing running nose and nose block) affects roughly 20% of Kerala. Most Allergic Rhinitis patients.
  • Asthma affects roughly 10% of any population. The incidence is 20% in children but half of them get cured with or even without treatment when they reach adults.The cost of Asthma care is huge in India due to the medications, emergency visits to casualty ;and work days lost and school days lost.
  • Food allergies affect roughly 5% of children and that also reduces in prevalence as they reach adulthood.
  • The prevalence of allergic conditions has increased significantly over the last two decades and continues to rise.

Let us see how the whole process of allergy takes root in a child .A new cat comes to our house and stays in our house compound for a few months.Everybody is playing with the cat and fondling it.  A few months after the new cat’s arrival in the house, dad begins to have itchy eyes and episodes of sneezing. One of the three children develops coughing and wheezing. The mom and the other two children experience no reaction whatsoever despite the presence of the cat. How can this occur?

The immune system is the body’s organized defense mechanism against foreign invaders, particularly infections. Its job is to recognize and react to these foreign substances, which are called antigens. Antigens often lead to an immune response through the production of antibodies, which are protective proteins that are specifically targeted against particular antigens. These antibodies, or immunoglobulins (IgG, IgM, and IgA), are protective and help destroy a foreign particle by attaching to its surface, thereby making it easier for other immune cells to destroy it. The allergic person however, develops a specific type of antibody called immunoglobulin E, or IgE, in response to certain normally harmless foreign substances, such as cat dander. Other antigens, such as bacteria, do not lead to production of IgE, and therefore do not cause allergic reactions. Once IgE is formed, it can recognize the antigen, such as cat dander, and can then trigger an allergic response.

In the pet cat example, the dad and the youngest daughter developed IgE antibodies in large amounts that were aimed against the cat allergen. The dad and daughter are now sensitized or prone to develop allergic reactions on repeated exposures to cat allergen. Typically, there is a period of “sensitization” ranging from days to years prior to an allergic response. Although it might occasionally appear that an allergic reaction has occurred on the first exposure to the allergen, there needs to be prior exposure in order for the immune system to react. It is important to realize that it is impossible to be allergic to something that an individual has truly never been exposed to before, though the first exposure may be subtle or unknown. The first exposure can even occur in a baby in the womb, through breast milk, or through the skin.

IgE is an antibody that all of us have in small amounts. Allergic individuals, however, generally produce IgE in larger quantities. Historically, this antibody was important in protecting us from parasites. In the example above, during a sensitization period, cat dander IgE is overproduced and coats other cells involved in the allergic response, such as mast cells and basophils, which contain various mediators, such as histamine. These cells are capable of leading to an allergic reaction on subsequent exposures to the cat allergen (cat dander). The cat protein is recognized by the IgE, leading to activation of the cells, which leads to the release of the allergic mediators mentioned above. These chemicals cause typical allergic symptoms, such as localized swelling, inflammation, itching, and mucus production. Once primed, or sensitized, the immune system is capable of mounting this exaggerated response with subsequent exposures to the allergen.

On exposure to cat dander, whereas the dad and daughter produce IgE, the mom and the other two children produce other classes of antibodies, which do not cause allergic reactions. In these nonallergic members of the family, the cat protein is eliminated uneventfully by the immune system and the cat has no effect on them.

Another part of the immune system, the T-cell, may be involved in allergic responses in the skin, as occurs from the oils of plants, such as poison ivy, poison oak, poison sumac, or reactions to metal, such as nickel. The T-cell may recognize a certain allergen in a substance contacting the skin and cause an inflammatory response. This inflammatory response can cause itching, rash, and discomfort.

Who is at risk for allergies and why?

Allergies can develop at any age, but most food allergies begin at a young age, and many are outgrown. Environmental allergies can develop at any time. The initial exposure or sensitization period may even begin before birth. Individuals can also outgrow allergies over time. It is not fully understood why one person develops allergies and another does not, but there are several risk factors for allergic conditions. Family history, or genetics, plays a large role, with a higher risk for allergies if parents or siblings have allergies. There are numerous other risk factors for developing allergic conditions. Children born via Cesarean section have a higher risk of allergy as compared to children who are delivered vaginally. Exposure to tobacco smoke and air pollution increases the risk of allergy. Boys are more likely to be allergic than girls. Allergies are more common in westernized countries, and less common in those with a farming lifestyle. Exposures to antigens, use of antibiotics, and numerous other factors, some of which are not yet known, also contribute to the development of allergies. This complicated process continues to be an area of medical research.

The parts of the body that are prone to allergic symptoms include the eyes, nose, lungs, skin, and gastrointestinal tract. Although the various allergic diseases may appear different, they all result from an exaggerated immune response to foreign substances in sensitive individuals. The following are brief descriptions of common allergic disorders.

Allergic rhinitis (“hay fever”) is the most common of the allergic diseases and refers to nasal symptoms that are due to aeroallergens. Year-round, or perennial, allergic rhinitis is usually caused by indoor allergens, such as dust mites, animal dander, or molds. Seasonal allergic rhinitis is typically caused by tree, grass, or weed pollens. Many individuals have a combination of both seasonal and perennial allergies. Symptoms result from the inflammation of the tissues that line the inside of the nose after exposure to allergens. The eyes, ears, sinuses, and throat can also be involved. The most common symptoms include the following:

  • Runny nose
  • Stuffy nose
  • Sneezing
  • Itchy nose, eyes, ears, and throat
  • Postnasal drip (throat clearing

In 1819, an English physician, John Bostock, first described hay fever by detailing his own seasonal nasal symptoms, which he called “summer catarrh.” The condition was called hay fever because it was thought to be caused by “new hay.”

Asthma is a respiratory condition that results from inflammation and hyperreactivity of the airways, leading to recurrent, reversible narrowing of the airways. Asthma can often coexist with allergic rhinitis. Other common triggers include respiratory viral infections and exercise. Common symptoms include the following:

  • Shortness of breath
  • Wheezing
  • Coughing
  • Chest tightness

For detailed TV interview about Asthma Allergy by Asianet TV channel with Dr Kurian Thomas Pulmonary Medicine Professor in charge of Asthma Allergy and Pulmonology Centre Thrissur Kerala

Why is Asthma and Allergy not getting cured even when the best treatment is available in Kerala and most cities world wide?

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas 62 comments
Asthma Allergy Centre for Thrissur, Palakkad , Malappuram .

Can Asthma Allergy related Pulmonary Diseases be cured by Treatment  in Kerala India?

Asthma Allergy patients  from Thrissur, Malappuram, Palakkad, Ernakulam and Kozhikode (seen at  ) and Asthma Allergy patients from all over  Kerala  (India) invariably ask me in their first visit itself to Asthma Allergy Centre Thrissur ;

“Will my Asthma Allergy and Sneezing ever get cured permanently ?”.

The same question should also be,  being thrown at  their Asthma doctor or Pulmonologist or nurse all over the world , by asthma patients both adults and children ( -through their parents).

The simple answer is “yes” . The complicated answer is  “Yes ;almost 90% of your suffering and symptoms would be well controlled,but it will take a few months and you will have to follow a plan which doctor dictates “. Treatment of both Asthma and Sneezing is now very advanced,very  rewarding   and  fruitful; and with remarkable results , measureable easily by both the patient and doctor. The reason for this very hopeful  outlook for Asthma and Allergic Rhinitis patients( ie wheezing patients and sneezing patients both young and old ) in the last 20 years is because all the best tablets ,Medicines, Inhalers and Devices to treat asthma and Allergy (which were only available in Europe and America) are now  available in India in 2017; and   may be in all developing nations and even underdeveloped nations  as well.

The problem of Asthma Allergy and similar Pulmonary Diseases not getting fully cured ,whether in Thrissur Kerala India or elsewhere in the world , is actually due to the  lack of proper health education to most patients ;about their disease. They are  “not willing to take the best treatment ; for the full period” ; due to their wrong beliefs about their illness and their medications’ safety. The reasons for this self defeating  behavior on the part of many Asthma Allergy patients  can be grouped   mainly into two .

  1. Majority of these patients have baseless fear about the safety of  modern Allopathy  Medicines. Asthma Allergy patients have fear  especially about Inhaled medications given through the nose -Nasal Spray( for Allergic Rhinitis or sneezing ) or given  through the Mouth straight into the airways  (for Asthma) . These are given for Asthma as Inhalers with or without a spacer or mask ( for Children); and as many types of Dry Powder inhalations .This fear is due to baseless rumors about the disease and its treatment ;spread by people and media ;with absolutely no scientific knowledge and credentials.
  2. Most patients wrongly  fear  that these safe  medicines are indeed bad for their health;especially if used for a long period !. They  wrongly fear that these medicines may be habit forming and once started cannot be stopped later. This is a totally base less and wrong belief. Inhalers and sprays are given either to the airways and to the nose. Both methods are  very safe and reach directly to the lungs or nose. So only about 10% of the strength of a swallowed tablet is required to give the patient the same effect and relief  . So side effects are almost absent as the medicine enters straight to the nose or the airways without reaching the body or blood at all . Effect of inhaled drugs are  almost 20 times that of Tablets taken by mouth. Once we start the best medicines as Inhalers to the mouth or nose ; the symptoms will be controlled fast in 1 to 4 months. Then we can slowly step down the strength of each medicines one by one and in most cases stop the medicines fully.The total treatment is over in 4 to 8 months time in almost all patients with  Asthma and Allergic Rhinitis.
  3. Another major wrong belief on the part of most Asthma and Allergic Rhinitis patients that we see; ( personally seen in our Asthma Allergy Centre Thrissur Kerala India )  is that patients in Kerala (personal experience from patients from  Thrissur, Malappuram, Kozhikode, Palakkad and Ernakulam Kochi ) think that  Allopathy medicines are dangerous compared to Ayurvedic medicines and other indigenous medicines . But  the proven scientific fact is that allopathy medicines are very well researched and all medicines used in Asthma and Allergy are absolutely safe both for adults and Children.
  4. Asthma Allergy patients do not study about their own disease in detail from their doctors’ or from any scientific website. So ,once the symptoms are partially controlled; they wrongly assume that the disease is fully cured and turn lazy with regard to finishing the treatment.They opt out of the long drawn  marathon race against asthma  after running half way. So they forget to come to the Asthma Allergy Clinic  for the regular  review and follow up and stepping down of the treatment under a Pulmonologist’s guidance. So what happens!.On the next allergen exposure ,viral fever or change in weather;alas!; their  disease comes back.This is  partially because they had not fully taken the duration or course of treatment which the doctor had in his Asthma Action Plan for that patient. Asthma and allergy disease needs individualized  slowly stepping down of their treatment dose which vary from one patient to the next patient ; even when the disease seems to the patients, to be fully gone. Roots of the disease remain hidden in the airways and nose (as  inflammation/ swelling in the airways or nose); and will raise its ugly head later when the appropriate triggers again occur .We have to see our Asthma Allergy Doctor regularly and step down the treatment and stop the treatment and inhalers only when the disease is fully controlled as verified by the treating doctor.
  5. Asthma Allergy Patients also fear that Corticosteroids are dangerous for our body. Corticosteroids in the Inhaled form; given as a puff inhaler or as a Dry powder ; go directly to our nose or our airways and do not reach our body at all .They reach the nose or airways straight. That is exactly the correct organs,  where the drug is required, to reduce the allergic swelling ( Inflammation.). So also one should learn the simple  fact that Corticosteroids are normally produced in our body itself,  by our Adrenal glands . So it is obvious that it cannot  produce any damage; if carefully used under doctors’ guidance ,as mentioned above, through a spacer or a mask .All Asthma Allergy medications especially Inhalers are safe in Children, elderly,adults , pregnant mothers, and in breast feeding mothers also .


So Asthma Allergy patients world around should make all out effort to learn the following :

  •  About their disease in detail.

  • About its treatment methods.

  • Why the treatment requires Inhalers and Dry powders and about its safety..

  • Why there is stepping down treatment.

  • Why the treatment is prolonged for a few months.

  • Why regular follow up with a specialist doctor at least  once in 1 or 2 or 3 months is required.

    Thus we can win in  our battle against Asthma and Allergy .

But for this victory over Asthma and Allergy a good batting partnership between  Asthma Allergy doctor and Asthma Allergy patient is required. Patients should be ready always to run with the doctor for each run they score together.  Many patients do nor run with their doctor. So the Asthma allergy disease  is able to runout the patient due to their hesitancy to run across the batting pitch when the doctor asks them “run with me; do not be afraid; we will complete the run against  the throw aimed at the wicket ( our healthy airways) by Asthma Allergy the disease “.

Asthma Allergy Pulmonology Centre Thrissur Patient Education Chart

Asthma Allergy Pulmonology Centre Thrissur Kerala Patient Education Facts to clear doubts about modern treatment.

A detailed educational video  programme about how to control Asthma telecast in Malayalam by Asianet Suprabhatham as an interview with Dr Kurian Thomas Pulmonology Professor of Asthma Allergy Centre Thrissur can be viewed  at

Is Asthma and allergy increasing in Thrissur Kerala

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas No Comments

Asthma Allergy and related diseases : are they increasing in Kerala ?

Asthma and  Allergy diseases which cause wheezing and sneezing  are increasing in severity in children and adults world around. We do not have any data about patients from Thrissur Malappuram Ernakulam and Palakkad districts seen at   The exact situation in Kerala  is also unknown.

Asthma Allergy and Pulmonary and Chest Allergies are being reported  in more and more children and adults  in the last 10 years. These can be explained by the changing modern life style changes , changing food habits and environmental changes to which all are exposed especially in childhood. So naturally in Kerala also there should be increase in Childhood Asthma and Adult Asthma and Allergy ; ie wheezing ,cough as well as sneezing , ie Allergic Rhinitis.

Thrissur (as in most places especially towns and cities in Kerala) has the added problem of urbanization and very close housing facilities  and Air pollution due to many vehicles on the roads. Only a study spread over 10 to 20 years will prove the suspicion that Asthma and Allergic Rhinitis is increasing in its occurrence. Such a study can also confirm whether Asthma as a disease is becoming more severe when it occurs in a person compared to 20 years back. Such studies are done in Europe and USA but we do not have the data about Thrissur; Kerala or  India.

 Pulmonology specialists are of the opinion that it should be true in Kerala and India also as Asthma Allergy do not have much difference between nations and states.

Asthma Allergy Centre Thrissur

To learn more about Asthma Allergy COPD and Chest Diseases patients in Thrissur Kerala …..




Allergy Asthma Diagnosis explained by Asthma Allergy Centre Thrissur Pulmonology Professor Dr Kurian Thomas

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas No Comments

To Diagnose Asthma and Allergy first  Pulmonologist will ask detailed questions about patients symptoms.

Then patient is examined  to confirm the diagnosis and exclude other diseases like COPD and Tuberculosis which can mimic Asthma.

Allergy skin testing is confirmatory, highly sensitive, reproducible, rapid and cost effective method to screen existing IgE sensitivities that may be responsible for clinical symptoms.But it is not routinely done at Asthma Allergy Centre Thrissur Kerala as most patients from Thrissur, Ernakulam, Malappuram, Palakkad and Kozhikode are relieved and almost cured of their Asthma Allergy in 6 months. So the cumbersome testing by skin pricks and the 2 year injection are not very cost effective for most patients. Before the availabilty of Inhaled Medications ; ie in the 1990s Allergy testing was done in the Centre. It still can be done in selective cases.


Allergy symptoms

Asthma Allergy Chest Pulmonology and COPD Specialist and Professor Dr Kurian Thomas No Comments

Common symptoms of an allergic reaction to inhaled or skin allergens include:

  • Itchy, watery eyes
  • Sneezing
  • Itchy, runny nose
  • Rashes
  • Feeling tired or ill
  • Hives (a rash with raised red patches)
  • Wheezing,breathlessness,cough,dry cough,symptoms of asthma