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Bob starts to notice that when walking up and down his stairs at home that he is struggling with his breathing, finding it difficult to breath out. He starts to wheeze and cough. He decides that he should go to his local doctors surgery to arise concern about his symptoms.
When at the Doctors Bob explains how his signs and symptoms have presented themselves and the circumstances around them. He goes on to explain that he is concerned that when partaking in physical activity he is often extremely short of breath and wheezes a lot.
From this information, the GP starts to express that asthma could be a possibility of Bob's signs and symptoms. The GP would like to get Bob to undergo a Peak expiratory flow rate test. After this he explains that he would also like to test for a sinus infection along with acute and chronic bronchitis as these have very similar symptoms to asthma and does not want to misdiagnose Bob.
Bob's peak flow was below the average for what he should be doing by 20% so his GP asks him do to a Spirometry test so he can get a better idea on how large the airway obstruction is. A blood test is also taken to rule out infection being the cause.
After the blood test, the GP can rule out any other possibilities in which the signs and symptoms could be caused by and can then diagnose Bob with Asthma. The GP will then create an action plan to treat Bob with asthma using sabutomol which is a reliever and becotide which is a sterodic preventor.
Once the course of medication has been undertaken, Bob starts to be able to exercise again without the same severity of the signs and symptoms due to the medication relaxing the smooth muscle of the bronchioles.
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