Pulmonology · Jaipur Hospital
Asthma Treatment in Jaipur
You wheeze, cough at night and fear the next attack. We offer a clear assessment, the right tests and a plan you can follow.
- Serving Jaipur since 1991 (35 years)
- NABH accredited
- 24×7 emergency & ICU
- Cashless: RGHS, MAA Yojana, CGHS + 22 insurers
- Session length
- 30 to 45 minutes
- Anaesthesia
- Not needed
- Recovery
- Immediate, regular follow-ups needed
- Price
- ₹1,500 to ₹5,000 per consultation₹8,000 to ₹20,000 for spirometry and allergy panel packagetypical range in India; ask us for an estimate
It can happen any night
You never know when the next attack will come
Asthma means your symptoms and your airflow change from day to day. You may feel fine in the afternoon and tight-chested by midnight. Dust, pollen or smoke can set it off. Some people keep having attacks even after treatment is stepped up.
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Wheeze and tight chest
Your chest feels tight and you hear a whistle when you breathe out. It can ease and return the same day.
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Nights without sleep
Symptoms often get worse at night or early morning, and allergens near your bed can add to it.
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Triggers all around you
Pollen, dust mites, mould, smoke or something at your workplace can set off your symptoms.
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Days off work and school
Flare-ups mean clinic visits, emergency trips and time away from work or school.
Asthma is a long-term condition with variable symptoms and variable airflow limitation.
Why Jaipur Hospital
You may be tired of waking up wheezy, worried about another night in the emergency room, and unsure whether the medicines are worth the cost.
Your care plan
Your first steps with us
- 1 Call us or walk in to the OPD
- 2 Meet a pulmonologist and explain your symptoms
- 3 Take spirometry or allergy tests in-house
- 4 Start your plan and come for follow-up
How assessment and treatment are done
There is usually no anaesthesia and no hospital stay. A session takes 30 to 45 minutes. Your pulmonologist will discuss which tests and medicines suit you, then adjust the plan until your symptoms are controlled.
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Spirometry with reversibility
You blow into a machine before and after a reliever inhaler. It confirms the diagnosis and shows how severe it is.
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Fractional exhaled nitric oxide (FeNO)
A simple breath test that measures airway inflammation and helps your pulmonologist adjust steroid treatment.
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Skin prick test or serum IgE
Small skin pricks or a blood test show which allergens, such as dust or pollen, set off your symptoms.
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Biologic therapy
For severe asthma that stays uncontrolled, injectable medicines target specific inflammation pathways. Your pulmonologist will discuss whether this fits you.
Why patients trust us
- 1991 Serving Jaipur for 35 years
- NABH Accredited hospital
- 1 Pulmonology consultants
- 24×7 Emergency, ICU and ambulance
- 25 Cashless schemes and insurers
What research shows about treatment
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47%
In one study of people with severe asthma, an injectable medicine lowered the rate of flare-ups by this much.
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50%
Median reduction in daily oral steroid dose among patients on mepolizumab who needed steroids to keep control.
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0.32 litres
Average rise in FEV1, a measure of lung function, in one dupilumab study group after treatment.
If it is left untreated
Left untreated, asthma can flare into episodes that need oral steroids, admission or an emergency visit. Repeated flares and time off work add up, and the lost productivity often costs more than the medical bills. Allergic rhinitis, which often travels with asthma, can affect school and work performance.
Life after treatment
With regular follow-up, many people with asthma keep symptoms low and stay active. The aim is fewer flare-ups, better sleep and fewer missed days at work or school.
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Sleep through the night
Knowing your night-time triggers and following your plan can help you rest better.
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Exercise with confidence
A reliever before activity, regular training and warm-ups may help prevent symptoms.
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Fewer missed days
Fewer flare-ups usually mean fewer clinic trips and less time away from work or school.
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A plan you understand
Your action plan tells you what to do when symptoms start and when to seek help.
Frequently asked questions
Questions patients ask about asthma treatment
Which problems are assessed under asthma and allergic airway disease?
In short
At Jaipur Hospital, our pulmonology team assesses asthma and allergic airway disease. This includes variable respiratory symptoms, airflow limitation, and type 2 inflammation. We evaluate allergic rhinitis, exercise-induced asthma, occupational asthma, and severe eosinophilic asthma. The assessment covers trigger identification, symptom control, and exacerbation risk.
In detail
Asthma is a chronic immunological disease characterised by variable respiratory symptoms and airflow limitation. It involves complex gene-environment interactions and type 2 inflammation in many patients. Allergic rhinitis affects 10% to 40% of the population and reduces quality of life.
Our team evaluates specific phenotypes such as exercise-induced symptoms, occupational triggers, and severe asthma defined by frequent exacerbations despite high-dose inhaled glucocorticoids. Skin prick tests or serum IgE identify allergic triggers, while spirometry with reversibility confirms diagnosis and severity. FeNO measures airway inflammation for steroid titration.
A common belief
Many people think asthma is only wheezing.
What actually happens
In fact, it includes night-time cough, chest tightness, and symptoms triggered by allergens, exercise, or workplace exposures. Proper assessment identifies your specific phenotype for targeted treatment.
Your next step at Jaipur Hospital
You can book a 30 to 45 minute consultation at Jaipur Hospital. The doctor will review your history, perform spirometry, and may order allergy panels. A typical consultation costs ₹1,500 to ₹5,000; a spirometry and allergy panel package ranges from ₹8,000 to ₹20,000. Regular follow-ups are needed for long-term management. Please call us to schedule your visit.
How will the doctor decide which tests I need?
In short
At Jaipur Hospital, the pulmonologist selects tests based on your symptom pattern, age, previous treatment response, and suspected triggers. Spirometry with reversibility is the standard first test to confirm variable airflow limitation. FeNO is added when eosinophilic inflammation is suspected to guide steroid dosing. Skin prick or serum IgE tests are chosen if allergic triggers are likely from your history.
In detail
Diagnosis relies on demonstrating variable airflow limitation and identifying the inflammatory phenotype. Spirometry with reversibility confirms the diagnosis and assesses severity. FeNO measures airway inflammation and helps titrate inhaled corticosteroids.
Skin prick tests or serum IgE identify specific allergens such as dust mites, pollen, or mould. In studies, biologic eligibility requires blood eosinophil counts of at least 300 cells per microlitre and a history of exacerbations despite high-dose inhaled corticosteroids and long-acting beta2-agonists.
The doctor follows a cycle of assessment, treatment, and re-evaluation, using shared decision-making to choose the most appropriate investigations for your phenotype.
A common belief
Patients often expect every test at once.
What actually happens
Guidelines recommend a stepwise approach: confirm airflow limitation first, then phenotype the inflammation, then identify triggers. This avoids unnecessary tests and targets treatment.
Your next step at Jaipur Hospital
Tests are done as outpatients. Spirometry takes about 30 minutes; FeNO takes a few minutes; allergy panels may need a blood draw or skin testing session. The combined spirometry and allergy package typically costs ₹8,000 to ₹20,000.
Results are usually available the same day or next day. The doctor will explain findings and update your asthma action plan.
How soon should I expect improvement after the chosen asthma treatment?
In short
At Jaipur Hospital, the time to feel improvement depends on the treatment type and your asthma severity. Reliever inhalers usually work within minutes. Preventer inhalers typically need days to weeks of daily use before you notice fewer symptoms. Biologic therapy for severe asthma may take several weeks to show a clear change in exacerbation rate and lung function.
In detail
Evidence shows that inhaled short-acting beta2-agonists open the airways quickly to relieve acute symptoms. Inhaled corticosteroids reduce airway inflammation, but their full effect builds over weeks of regular use.
For severe eosinophilic or allergic asthma, biologic medicines such as anti-IL5 or anti-IgE antibodies are given by injection every few weeks; studies report significant reductions in exacerbation rates and improvements in FEV1 by week 12 to 48. Your response also depends on trigger avoidance, correct inhaler technique, and treating co-existing allergic rhinitis.
A common belief
Many people stop a preventer after a few days because they feel no change, but the medicine needs time to calm airway inflammation.
What actually happens
Stopping early leads to more flare-ups.
Your next step at Jaipur Hospital
Your pulmonologist will set a review timeline, usually after two to four weeks for a new preventer, and at each biologic infusion visit. Keep a symptom diary and peak flow record to share at follow-up. If you see no change after the expected period, your dose or device may need adjustment.
How is asthma confirmed rather than assumed from symptoms alone?
In short
At Jaipur Hospital, asthma is confirmed with objective lung function tests, not symptoms alone. Spirometry with reversibility testing shows variable airflow limitation that improves after a bronchodilator, which is the hallmark of asthma. Fractional exhaled nitric oxide (FeNO) measures airway inflammation to support the diagnosis and guide steroid use. Skin prick tests or serum IgE identify allergic triggers that may drive symptoms.
In detail
Symptoms such as wheeze, cough, and breathlessness can also occur in other conditions, so guidelines recommend objective confirmation before long-term treatment.
Spirometry measures forced expiratory volume in one second (FEV1) and forced vital capacity (FVC); an increase in FEV1 of more than 12% and 200 ml after a bronchodilator confirms reversible obstruction.
FeNO levels above 25 parts per billion in adults suggest eosinophilic inflammation responsive to inhaled corticosteroids. Allergy testing helps define phenotype and avoid specific triggers. These tests together distinguish asthma from COPD, vocal cord dysfunction, or cardiac causes.
A common belief
Treating based on symptoms alone can miss other conditions or lead to unnecessary inhalers.
What actually happens
Objective tests confirm the diagnosis, guide the right medicine, and avoid over-treatment.
Your next step at Jaipur Hospital
The tests are done in the pulmonary function lab during an OPD visit and take about 30 to 45 minutes. No anaesthesia is needed and you can resume normal activity immediately. Bring any previous reports and a list of current inhalers.
How can I decide whether to seek advice about asthma diagnosis and control plan?
In short
You should seek advice if you have recurring wheeze, cough, chest tightness or shortness of breath that changes over time or wakes you at night. Jaipur Hospital offers spirometry with reversibility and FeNO testing to confirm asthma and assess severity. A written asthma action plan is then created with your doctor to guide daily treatment and flare-up response.
In detail
Asthma is a chronic inflammatory airway disease with variable symptoms and airflow limitation. Diagnosis relies on demonstrating variable obstruction that improves with bronchodilator, which spirometry with reversibility provides. FeNO measures eosinophilic airway inflammation and helps decide if inhaled corticosteroids are needed and at what dose.
Evidence shows treatment follows a cycle of assessment, adjustment and shared decision-making to minimise symptom burden and exacerbation risk. Identifying triggers such as allergens, smoke or exercise allows targeted avoidance.
An asthma action plan tells you how to recognise worsening control, when to increase reliever use, when to start oral steroids and when to seek emergency care.
A common belief
Many people treat asthma only when symptoms appear, using a reliever inhaler alone.
What actually happens
That approach misses the underlying inflammation and leads to more flare-ups. Guidelines stress a cycle of regular review, controller medication adjustment and a written plan so you know exactly what to do when symptoms worsen.
Your next step at Jaipur Hospital
Book a 30 to 45 minute consultation at Jaipur Hospital. Bring any previous prescriptions, inhalers or test reports. The doctor will perform spirometry and may order FeNO or allergy tests. You will leave with a personalised action plan and follow-up schedule.
Which changes in breathing, chest symptoms, or oxygen levels need urgent help?
In short
Seek urgent help if you cannot complete sentences due to breathlessness, your reliever inhaler gives no relief after 10 to 15 minutes, your lips or fingertips turn blue, you feel drowsy or confused, or your peak flow drops below 50% of your personal most suitable. Jaipur Hospital has a 24×7 emergency department for acute asthma attacks.
In detail
Clinically significant asthma exacerbations are defined as episodes requiring oral corticosteroids, admission, or an emergency department visit.
Warning signs include worsening wheeze despite reliever use, inability to lie flat, use of accessory neck muscles, respiratory rate over 30 breaths per minute, silent chest (no wheeze because air movement is too low), and oxygen saturation below 92% on a home pulse oximeter.
Night‑time worsening is common; being around allergens while you sleep may worsen symptoms. An asthma action plan tells you exactly when to start oral steroids, increase reliever frequency, and call for help.
A common belief
Some people try to manage a severe attack at home by taking more puffs of their reliever.
What actually happens
Delaying emergency care can lead to respiratory failure. Your asthma action plan lists the exact peak flow or symptom thresholds that mean go now.
Your next step at Jaipur Hospital
Keep your written asthma action plan at home and share it with your attendant. If any red‑flag sign appears, go to the emergency department immediately; do not wait for an OPD appointment. The hospital’s 24×7 ambulance service can be reached on the listed numbers. After stabilisation, book a follow‑up within 48 hours to review your controller therapy and prevent recurrence.
Which symptoms should prompt me to see a specialist?
In short
At Jaipur Hospital, you should see a specialist if you have recurrent wheezing, breathlessness, chest tightness, or cough that varies over time. Night-time or early morning symptoms, symptoms triggered by allergens, exercise, or workplace exposures, and frequent reliever inhaler use also warrant a specialist review.
In detail
Asthma symptoms include variable respiratory symptoms and airflow limitation. It is common for symptoms to worsen at night or early morning. Allergens such as pollens, dust mites, or mould can trigger breathing difficulty. Exercise-induced asthma causes symptoms during physical activity.
Occupational asthma develops or worsens with workplace sensitising agents. If you need a reliever inhaler often, or if symptoms limit your daily activities or sleep, your asthma may not be well controlled. Allergic rhinitis commonly coexists and reduces quality of life. A specialist can confirm the diagnosis with spirometry, assess severity, and create a written asthma action plan.
A common belief
People often ignore night-time cough or assume breathlessness is just being unfit.
What actually happens
Frequent reliever inhaler use is a sign of poor control, not normal. A specialist can identify your triggers and give you a written action plan.
Your next step at Jaipur Hospital
Schedule a 30 to 45 minute consultation at Jaipur Hospital. The doctor will take a detailed history, perform spirometry with reversibility, and may order FeNO or allergy testing. Consultation fees are typically ₹1,500 to ₹5,000. Bring any previous prescriptions or test reports. Regular follow-ups help adjust treatment and prevent exacerbations.
How will the results change my care plan?
In short
Test results directly shape your asthma care plan at Jaipur Hospital. Spirometry confirms diagnosis and grades severity, which sets the starting treatment step. FeNO levels guide inhaled corticosteroid dose adjustments. Positive allergy tests trigger allergen avoidance advice and may lead to immunotherapy. High blood eosinophils with uncontrolled symptoms open eligibility for biologic therapy.
In detail
Treatment follows a cycle of assessment and re-evaluation. Spirometry with reversibility establishes variable airflow limitation and its severity, placing you on the appropriate step of controller therapy.
FeNO helps titrate inhaled corticosteroids — high FeNO suggests eosinophilic inflammation responsive to steroids; low FeNO may prompt a different approach. Skin prick or serum IgE results identify specific triggers: avoidance reduces flare-ups, and subcutaneous immunotherapy (allergy shots) can desensitise you over time.
For severe uncontrolled eosinophilic asthma (blood eosinophils ≥300 cells/μL, frequent exacerbations on high-dose inhaled corticosteroids plus long-acting beta2-agonists), biologics such as anti-IgE or anti-IL5 agents are considered. Studies show biologics reduce exacerbation rates and can spare oral steroid use. The goal is to minimise symptom burden and exacerbation risk through phenotype-specific treatment.
A common belief
A common mistake is treating all asthma the same.
What actually happens
But eosinophilic inflammation needs steroids; non-eosinophilic may need bronchodilators. Allergy-driven asthma improves with trigger removal and immunotherapy. Severe eosinophilic asthma responds to biologics. Results tell us which phenotype you have.
Your next step at Jaipur Hospital
After tests, the doctor reviews results with you and updates your written asthma action plan. This plan covers daily controller medicines, reliever use, trigger avoidance, and when to seek urgent care. Follow-ups are typically every 1 to 3 months initially, then every 3 to 6 months once controlled.
What should I do if asthma symptoms persist or worsen?
In short
If your asthma symptoms persist or worsen, follow the steps in your written asthma action plan. At Jaipur Hospital, we help every patient create a personalised plan that tells you when to increase reliever use, start oral steroids, call your doctor, or go to the emergency department.
In detail
An asthma action plan is a written document that describes how to recognise an attack, what medicines to take, and when to seek urgent care. Guidelines stress a cycle of assessment and re-evaluation; if control is not achieved, treatment is stepped up.
Worsening asthma is the most common adverse event noted in studies of both standard and biologic therapies. Persistent symptoms despite high-dose inhaled corticosteroids and long-acting bronchodilators may indicate severe asthma that needs specialist review for biologic eligibility.
A common belief
Many patients wait too long, hoping symptoms will pass.
What actually happens
Delaying oral steroids or emergency care during a flare-up increases the risk of a serious attack.
Your next step at Jaipur Hospital
Keep your action plan accessible at home and work. Use your reliever inhaler as directed in the plan. If you need it more than three times a week, or if night symptoms wake you, contact your doctor promptly.
For severe breathlessness, inability to speak in sentences, or no relief after reliever use, call an ambulance or go to the emergency department.
What is the difference between a reliever and a preventer inhaler?
In short
At Jaipur Hospital, a reliever inhaler gives quick relief during symptoms, while a preventer inhaler is taken daily to stop symptoms from starting. Relievers contain a short-acting beta2-agonist that relaxes airway muscles within minutes. Preventers usually contain an inhaled corticosteroid that reduces airway inflammation over days to weeks. Some preventers combine a corticosteroid with a long-acting bronchodilator for better control.
In detail
Relievers are for as-needed use during an attack or before a known trigger such as exercise. They do not treat the underlying inflammation. Preventers must be used every day even when you feel well; stopping early allows inflammation to return.
Evidence shows that regular preventer use lowers exacerbation risk and improves lung function. Overusing a reliever without a preventer signals poor control and increases the risk of severe flare-ups.
Side effects differ: relievers may cause tremor or rapid heartbeat; preventers can cause hoarse voice or oral thrush, reduced by rinsing the mouth and using a spacer.
Your next step at Jaipur Hospital
Your doctor will prescribe the right type and dose based on symptom frequency and severity. Always carry your reliever. Use the preventer exactly as directed, even on good days. Check technique at each visit. If you need your reliever more than twice a week, your preventer may need stepping up.
FAQ library
Questions and answers about asthma treatment
When you contact us
Talk to our pulmonology team
Call or visit Jaipur Hospital to book an OPD consultation and get a clear plan for your asthma.
- A consultation with a pulmonologist (chest physician) in the OPD
- Your scans and reports reviewed, with tests done in-house if you need them (laboratory, X-ray and imaging)
- Your options explained in plain words, including whether you need surgery at all
- A cost estimate before you decide
- Help with cashless treatment under RGHS, MAA Yojana, CGHS and empanelled insurers and TPAs
- Follow-up visits after your treatment
Overview
Asthma Treatment: what to know
What is asthma and how does it affect your airways
- Long-term condition
- Airways narrow and open up from time to time
- Gene and environment
- Both play a part in causing asthma
- Type 2 inflammation
- Important mechanism in many but not all patients
- Severe asthma
- Needs high-intensity treatment or stays uncontrolled
Asthma is a long-term condition in which the airways in your lungs narrow and open up from time to time. Doctors describe it as variable respiratory symptoms with variable airflow limitation. It is one of the most common chronic immunological diseases in humans, and it affects people from childhood to old age.
The airways of a person with asthma are sensitive. When something triggers them, the muscles around the airways tighten and the lining swells, so air moves less easily. Asthma is a consequence of complex gene-environment interactions, which means your genes and your surroundings both play a part.
In many patients, a type of inflammation called type 2 inflammation is an important molecular mechanism behind the disease. This type 2 inflammation occurs in many but not all patients, so asthma behaves differently in different people.
Asthma is classed as severe when it needs high-intensity treatment to keep it under control, or when it stays uncontrolled despite treatment. People with severe asthma have frequent flare-ups along with continuing inflammation in the airways, even while taking high-dose inhaled steroids.
Asthma symptoms and warning signs that need same-day care
- Breathing getting worse Do not wait for next OPD visit
- Reliever inhaler helping less Call the team if unsure
Symptoms can change from week to week. You may wheeze, cough, feel tightness in the chest or become short of breath, and the pattern varies with time and with triggers. Symptoms often get worse at night or in the early morning. Being around allergens while you sleep can also make night symptoms worse.
Some people notice symptoms mainly when they exercise. This is called exercise-induced asthma, where symptoms start or get worse during physical activity.
A flare-up is when symptoms become bad enough to need treatment. In studies, a clinically significant exacerbation was one that needed oral steroids, admission to hospital or a visit to the emergency department. This is why a written action plan matters.
It should set out how to recognise a flare-up, what to do, and when to call your doctor or go to the emergency room.
Seek care the same day if your breathing is getting worse or your reliever inhaler is helping less than it did before. Do not wait for your next OPD visit. If you are unsure, call us and speak to the team.
Causes of asthma and who may be at higher risk
- Gene-environment mix
- Inherited and environmental factors together cause asthma
- Allergens
- Pollen, dust mites, mould can trigger symptoms
- Occupational asthma
- Workplace exposure to allergens or sensitising agents
- Allergic rhinitis
- Affects 10% to 40% of people and often sits alongside asthma
Asthma comes from a mix of inherited and environmental factors. It is a consequence of complex gene-environment interactions. Type 2 inflammation is an important mechanism in many patients, but not all.
Allergens are common triggers. Breathing can become difficult around pollens, dust mites or mould. Some people have seasonal allergic asthma and have no symptoms outside a particular pollen season. Allergic rhinitis often sits alongside asthma. It affects 10% to 40% of the population and reduces quality of life and performance at school and work.
Work can be the source. Occupational asthma develops or gets worse in the workplace, in an adult exposed to allergens such as dust and mould or to other sensitising agents. Once a person is sensitised, even a very small amount can trigger serious symptoms, and asthma can worsen each time they are exposed. Removing the sensitising agent from the workplace and avoiding further contact is the way to prevent flare-ups.
Symptoms that start with exercise point to exercise-induced asthma. Because asthma affects people of every age, children, working adults and older people can all be affected. Some people find their asthma hard to control even after treatment is stepped up.
How asthma is diagnosed: examination and tests
- ₹1,500 to ₹5,000 Consultation
- ₹8,000 to ₹20,000 Spirometry and allergy panel package
- 300 cells per microlitre Blood eosinophil count threshold
An asthma consultation at Jaipur Hospital is an outpatient visit of about 30 to 45 minutes. No anaesthesia is needed. Your doctor will ask about your symptoms, when they occur, what seems to trigger them and what medicines you take. Treatment is then planned through a cycle of assessment and re-evaluation, with shared decisions between you and your doctor.
Several tests help confirm the diagnosis and show how your asthma should be treated. Your doctor will advise which ones suit you.
Spirometry with reversibility is a breathing test that confirms the diagnosis and assesses how severe the airflow limitation is. You blow into a machine, and the test is repeated after a reliever medicine. Lung function is recorded as FEV1, the volume you can blow out in one second.
Fractional exhaled nitric oxide, or FeNO, measures inflammation in the airways and helps your doctor adjust the dose of inhaled steroids. A skin prick test or a serum IgE blood test looks for the specific allergens that trigger your symptoms.
A blood eosinophil count can also guide treatment; in trials of biologic medicines, counts of at least 300 cells per microlitre were used to select patients.
A consultation usually costs ₹1,500 to ₹5,000. A spirometry and allergy panel package is typically ₹8,000 to ₹20,000 in India. The number of tests you need and whether you need both tests affect the cost. Please ask us for an estimate. Regular follow-up visits are part of long-term care.
Asthma treatment without surgery, and when surgery is advised
The aim of treatment is good asthma control, which means keeping symptoms low and reducing the risk of flare-ups. The right plan depends on your age, how serious your symptoms are and how your body responds to medicines. Your doctor will adjust treatment until your symptoms are controlled.
Relievers, also called quick-relief medicines, ease or prevent symptoms during an attack. Inhaled short-acting beta2-agonists open the airways so air can flow. Some people who get side effects from these may be offered short-acting anticholinergics, which may be less effective. Tremors and a rapid heartbeat are known side effects of inhaled short-acting beta2-agonists.
Controllers are taken daily to prevent attacks and control symptoms. Inhaled corticosteroids reduce inflammation in the body and are taken by inhaler or as a pill. A hoarse voice or a mouth infection called thrush can occur with inhaled steroids, and over time high doses can raise the risk of cataracts.
The pill form can have more serious side effects than the inhaled form. Long-acting bronchodilators such as LABAs or LAMAs may be added to your inhaler to stop the airways narrowing. Leukotriene modifiers reduce swelling and keep airways open, alone or with a steroid. Inhaled mast cell stabilisers such as cromolyn help prevent swelling when you are around a trigger.
Allergy shots, called subcutaneous immunotherapy, turn down the body's response to allergens. Biologic medicines such as benralizumab, given by injection into or below the skin, may help asthma that is difficult to control.
Avoiding the allergens that trigger you helps control symptoms and prevent flare-ups. If you exercise, warm up first and train regularly, and a reliever before exercise may be advised for short-term prevention. If inhaled steroids are part of your plan, you may have fewer symptoms when you exercise.
Tell your doctor if symptoms make activity hard, as this can be a sign that asthma is not well controlled.
Surgery is not routine for asthma. Bronchial thermoplasty may help if you have serious asthma and other treatments are not working. In this procedure, a bronchoscope, a tube with a camera, is passed through the mouth, and heat is applied to the muscles along the airway walls. Risks include worsening asthma, airway or lung infections and bronchiectasis. Our surgical team will advise whether this option suits you.
Preparing for Asthma Treatment at Jaipur Hospital
Do
- Bring all current medicines Inhalers, tablets, nose sprays
- Bring old prescriptions and test reports Helps doctor see history
- Write down when symptoms get worse Night, work, or other patterns
Your first visit to Jaipur Hospital for asthma is usually an OPD consultation. It takes about 30 to 45 minutes. No anaesthesia is used, so you do not need to fast for this visit.
Bring all your current medicines, including inhalers, tablets and any nose sprays. Bring old prescriptions and test reports too. Write down the times your symptoms get worse, such as at night or at work. This helps your doctor see the pattern.
Do not stop or change any medicine on your own before the visit. Tell your doctor about every medicine you take, whether it is a pill or an inhaler. Some medicines can cause side effects, and your doctor will review what you take.
Your doctor will usually ask about your symptoms and may advise tests such as spirometry. Spirometry with reversibility confirms the diagnosis and checks how severe the asthma is. At the end of the visit, your doctor will usually work with you to make a written asthma action plan.
The plan explains how to know if you are having an attack, what to do, and when to call us or go to the emergency room. Keep it where you can find it quickly.
How Asthma Treatment Is Done at Jaipur Hospital
- Assessment Doctor reviews symptoms, triggers and current medicines
- Plan and review Treatment adjusted in a cycle of assessment and review
Asthma treatment at Jaipur Hospital is outpatient care. You do not need a hospital stay or anaesthesia for the visit. The session usually lasts 30 to 45 minutes, and you can go home the same day.
Your doctor will assess your symptoms, your triggers and how well your current medicines work. Treatment is based on a cycle of assessment and review. The aim is to reduce symptoms and lower the risk of flare-ups.
Several tests and treatments are available. Your doctor will advise which one suits you.
- Spirometry with reversibility confirms the diagnosis and checks severity.
- Fractional exhaled nitric oxide (FeNO) measures inflammation in your airways. It can help your doctor adjust steroid treatment.
- A skin prick test or serum IgE test looks for allergic triggers. Avoiding these triggers can help control symptoms.
- Biologic therapy is an option for severe uncontrolled asthma with an allergic or eosinophilic pattern. These medicines are given by injection under the skin or into a vein. Examples include anti-IgE and anti-IL5 medicines.
Some people have severe asthma that stays hard to control even with high-dose inhaled steroids. For them, your doctor may discuss biologic therapy or other steps. Asthma treatment depends on your age, how serious your symptoms are and how your body responds to medicines.
Risks and Possible Complications of Asthma Treatment
Medicines and procedures for asthma can have side effects. The chance depends on the medicine, the dose and your health. Your doctor will explain the risks of the plan advised for you.
Reliever inhalers, also called short-acting beta2-agonists, open the airways. Their side effects can include tremors and a rapid heartbeat. Short-acting anticholinergics may be less effective than SABAs, but they are an option for people who have side effects from SABAs.
Steroid medicines reduce inflammation. They may be taken as a pill or inhaled. The pill form can have more serious side effects than the inhaled form. Over time, high doses can raise your risk of cataracts, which is clouding of the eye. Common side effects of inhaled corticosteroids include a hoarse voice and a mouth infection called thrush.
Biologic medicines are given by injection under the skin or into a vein. In studies of these medicines, the most common adverse events were worsening asthma and nasopharyngitis.
Bronchial thermoplasty is another option for serious asthma when other treatments are not working. It uses a bronchoscope, which is a tube with a camera, passed through your mouth. Heat is applied to the muscles along the walls of your airways. Some risks of this procedure include worsening asthma, airway or lung infections and bronchiectasis.
A flare-up, or exacerbation, is a spell of acute asthma that needs oral steroids, admission or an emergency visit. Studies report these effects, but the chance for you depends on what you take and for how long. Ask your doctor what to do if your symptoms get worse.
Recovery and Aftercare After Asthma Treatment
- First few days Take medicines exactly as advised; follow action plan; avoid known triggers
- Ongoing Regular follow-ups; doctor adjusts treatment until controlled
Because asthma treatment is outpatient, you can usually go home the same day. Recovery is immediate, but you will need regular follow-ups.
In the first few days, take your medicines exactly as your doctor advises. Do not stop a steroid medicine or inhaler on your own. Follow your written action plan.
Keep away from triggers you know, such as:
- Pollen
- Dust mites
- Mold
At night, reduce contact with allergens in your bedroom. This can help you sleep better.
In the first weeks, note how often you need your reliever inhaler and whether symptoms wake you at night. Asthma often gets worse at night or early in the morning. If physical activity is hard because of symptoms, tell your doctor. It may mean your asthma is not well controlled. Regular training and warming up can help prevent exercise symptoms.
Your doctor may adjust treatment until your symptoms are controlled. Follow-up visits are part of care.
Call Jaipur Hospital or go to the emergency department if your symptoms get worse quickly, or if your action plan tells you to. Jaipur Hospital has a 24×7 emergency department and ambulance service. For workplace asthma, avoid further contact with the trigger and discuss it with your doctor. An attendant can help you note down symptoms and medicine timings between visits.
Results of Asthma Treatment: What Studies Show
The goal of asthma treatment is good control. That means fewer symptoms and a lower risk of flare-ups. Controller medicines are taken daily to prevent attacks and control symptoms. Anti-inflammatory and bronchodilator treatments are the mainstay of therapy.
Studies of biologic medicines show what happened in groups of patients. These results are not a promise for any one person.
In one large trial, the rate of exacerbations was 47% lower in patients who received intravenous mepolizumab. In another study, there was a 48% reduction in clinically significant exacerbations with the 75 mg dose. Mepolizumab also lowered the need for oral steroids in people who needed them daily.
The median reduction in steroid dose was 50%, and the chance of a dose reduction was 2.39 times greater than with placebo.
In a trial of benralizumab, the annual exacerbation rate was lower than with placebo when it was given every 4 weeks, with a rate ratio of 0.55. In a dupilumab trial, patients on the lower dose had an increase in FEV1 of 0.32 litres from baseline.
Not every person responds in the same way. Type 2 inflammation occurs in many people with asthma but not all. Some people still have difficult-to-control asthma after treatment is stepped up. Progress in treating asthma has been slow. Your doctor will review your control at each visit and change the plan if needed.
Asthma Treatment Cost in Jaipur and Insurance
At Jaipur Hospital, an asthma consultation usually costs ₹1,500 to ₹5,000. A spirometry and allergy panel package usually costs ₹8,000 to ₹20,000. These are typical ranges in India, not fixed prices. Ask us for an estimate for your case.
The total cost depends on how many visits you need, which tests your doctor advises and which medicines you are given. Some people need only a controller inhaler and a reliever. Others need allergy tests, longer follow-up or biologic therapy. Ask what the package includes before you plan.
Asthma care is outpatient, so you usually do not need a hospital bed. The medical costs of asthma are large, but the cost of lost work productivity can be even larger.
Jaipur Hospital is a NABH-accredited, privately run multispeciality hospital. It was established in February 1991.
The hospital works with:
- RGHS
- MAA Yojana
- CGHS
- A panel of private insurers and TPAs
Cover and payment rules differ by scheme. Please ask us about your scheme before you start treatment.
Keep your prescriptions and bills in one folder. This helps at every visit and when you claim. Ask us for an estimate before tests or a long treatment plan so you can plan your spending.