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Severe Asthma - asthma service


Severe Asthma

Problematic Severe Asthma

A minority of children and young people have asthma symptoms which remain uncontrolled despite being prescribed high doses of conventional therapy. These children and young people are considered to have problematic severe asthma and need specialist evaluation and treatment by a multi-disciplinary team.

Difficult asthma

Often there are reasons for asthma being difficult to control. These reasons might relate to other medical conditions being confused with asthma or making asthma symptoms worse, or problems with the medication prescribed, for example it is complicated or time consuming to take.

Severe Asthma

Children and young people who have on-going poor symptom control despite attention to the basics of asthma management have severe asthma and might benefit from specialised investigation and targeted specialist therapy.

Specialist investigations and treatments:

In addition to lung function and allergy tests we can offer further testing in the severe asthma service including radiological investigations and, if necessary, bronchoscopy. This is usually done under a general anaesthetic and involves looking into the airways with a flexible camera. If conventional inhaled medications do not control asthma symptoms additional medications are available, this might include biologic therapies which are injected under the skin on a 2-4 weekly basis.

What to expect at your appointment

Our clinic is on Wednesday morning. You will see a specialist nurse and doctor and at most appointments we would like you to do lung function tests to check your breathing. Your appointment will last 45 minutes. It is very helpful if you bring all your medications and devices such as spacers with you. It also helps to bring your asthma plan if you have one and any letters you might have from recent hospital visits. Please let us know as soon as you can if you would like to change your appointment date or time.