A Guide To Diagnosing Eosinophilic Asthma (E-Asthma)

A Guide To Diagnosing Eosinophilic Asthma (E-Asthma)


Eosinophilic asthma (or e-asthma) is one of the most common subtypes in adult asthma. Eosinophilic asthma occurs when countless eosinophils (a type of white platelet) kindle the lungs. It is not clear why this occurs. It is not easy to find lung tests, so elevated blood eosinophils can often be used as a proxy to diagnose patients with difficult to control asthma.1 Allergic and eosinophilic asthma are different. Eosinophilic asthma can occur in some patients with atopic tendencies (those who are more sensitive than others), but it can also happen in patients without an atopic tendency.

Eosinophilic asthma can cause irritation as part of a hypersensitive reaction or safe framework reaction that delivers a specific white platelet known as eosinophils. You will experience a fiery reaction if there is an increase in white platelets. This causes thickening of your airways. Your asthma side effects may include fits due to bodily fluid and liquid that results.


Asthma can be a serious problem for those who fly. One in 13 people suffers from the effects of asthma. Untreated asthma can lead to dangerous attacks.

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As long as your asthma is properly controlled, the vast majority of these intensifications can be avoided. Although asthma is often thought to be one issue, there are many subtypes of asthma that can affect how you can manage your asthma.

If you are older than 35 and are determined to be suffering from severe asthma, you have a greater chance of developing eosinophilic symptoms. No matter your orientation, your gamble is equal. You have a lower chance of having eosinophilic asthma based on your high school and growing up experiences.

Side effects

Many side effects of eosinophilic asthma are similar to other types of it.

  • Windedness
  • Hacking
  • You are wheezing
  • You feel snug in your chest


Eosinophilic asthma is often overlooked. Despite the fact that it is more common than previously accepted, it is not considered normal.

If eosinophilic asthma is suspected, it might be possible to treat your severe asthma.

A pulmonologist should be consulted if you have any concerns. In addition to a thorough assessment, allergists or immunologists might also be helpful.

Eosinophil cell count

It is difficult to obtain a cell count from incited sputum tests, but it is considered the best quality level of incendiary cells. This requires frequent use of a lab with experts.8

You must ensure that you are not collecting spit from the aircraft routes while you gather the sample. You can then dissect the hacker’s example in a laboratory to determine if the sputum count exceeds 3%.

Your medical provider or a specialist in respiratory medicine might give you some salbutamol or other effective bronchodilators to help with the production of sputum. The treatment continues with a nebulized hypertonic solution. Higher centralization of the saline inhaled causes irritation to the aviation routes. This can also lead to hacking.

Airplane route biopsy

Another way to determine if you have esophagitis is by performing an aviation route biopsy. This is done during a bronchoscopy. This technique can be used to identify unusual cells during the analysis of several lung diseases.

This strategy is not recommended as the first step in identifying eosinophilic aphasia.

Different Methods

There are many ways to diagnose e-asthma. To check for eosinophilia, your medical provider might order a complete blood count (CBC).

Your medical service supplier will view your blood eosinophils as a cautious translation. Raised levels in your blood do not necessarily mean that you have eosinophilic. It might be helpful for your medical provider to further separate any side effects.

Other possible conclusions that could be made if you suspect that your blood eosinophil levels are elevated include parasitic disease, hypereosinophilic conditions, immune system issues and adrenal deficiency.

What your CBC Test Results Tell You About Your Health

To diagnose asthma, there are a variety of tests that can be used. One test that can help diagnose asthma is the partial breath out nitric oxygen (FeNO) testing.8 This measures how much nitric dioxide your lungs produce when you exhale. Lung irritation can be caused by excessive amounts of nitric oxide, which could indicate an allergic reaction.

A FeNO test can have many variables that can affect its results, such as age, gender, and sex.

A blood test may be performed as part of an asthma evaluation to determine levels of periostin. This biomarker is found in the epithelial cells that line the airways. Periostin levels will usually rise in asthma cases that have specific resistant cells (TH2).

Periostin testing can be used to test sputum in some cases, but it has not been proven in all cases. As per the majority of clinicians and rules, periostin and FeNO are preferred to actuated sputum.


Your standard asthma treatment plan should be used as a first-line treatment for eosinophilic. Inhaling corticosteroids (ICS), as part of your standard asthma treatment plan, can often lead to excellent outcomes.

If your doctor has diagnosed you with eosinophilic asthma, they may change the method used to inhaled corticosteroids. Corticosteroid meds include:

If you have tried at least one dose of corticosteroids with no success, your doctor may recommend that your asthma treatment include long-acting bronchodilators (remembered to be blend inhalers like Symbicort and Advair HFA) and leukotriene modifications like Singulair (montelukast). If you are unable to control your asthma with the standard treatments, you may be able to discuss the possibility of a few of the more recent prescriptions that specifically target eosinophils.

These five medications have had positive results, assuming you are still suggesting of a corticosteroid regimen. Omalizumab is the most dangerous since it affects sensitivities more clearly than mepolizumab or reslizumab.

You may also experience minor side effects from these meds. You can also reduce the side effects of steroids, which can increase your personal satisfaction.

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