Aspirin-exacerbated respiratory disease (AERD) is a complex condition characterized by asthma, nasal polyps – and a sensitivity to aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs). Managing AERD can be multifaceted, usually requiring a combination of targeted medication, aspirin desensitization, along with lifestyle adjustments. Here’s a comprehensive look at how your Atlanta allergist/immunologist manages and treats AERD.
How to Treat Aspirin-Exacerbated Respiratory Disease
Due to the complex nature of AERD (also called Samter’s Triad), specialists offer a personalized treatment approach that depends on the needs of the patient. The treatment process begins by diagnosing the condition.
AERD Diagnosis
To diagnose AERD, a doctor is looking for signs of asthma, nasal polyps and a reaction to NSAIDs. Symptoms are likely to include coughing, wheezing and sinus pain, even breathing difficulties. In addition, many people also experience recurring sinusitis.
However, rather than simply relying on a single test, patients may undergo nasal endoscopy to identify nasal polyps, along with spirometry tests for asthma. An aspirin oral challenge could be required to confirm the possibility of an adverse reaction, but this is performed under supervision for safety.
Avoidance of NSAIDs
AERD patients should avoid aspirin and other NSAIDs as they can trigger severe respiratory reactions. However, alternative pain relief medication is available, ensuring that a patient does not suffer negative health implications.
Asthma Control
Asthma in AERD patients is often treated with standard asthma medications, such as inhaled corticosteroids and bronchodilators. Leukotriene modifiers may also be beneficial in reducing nasal congestion and inflammation.
Nasal Polyps Treatment
Topical nasal steroids may be prescribed to reduce nasal polyps, and surgical removal might be necessary in severe cases. Unfortunately nasal polyps often return, but your doctor can monitor for signs of a recurrence.
Aspirin Desensitization Therapy
Aspirin desensitization therapy is a specialized treatment that involves administering gradually increasing doses of aspirin under controlled conditions. This process helps reduce sensitivity to aspirin and improve symptoms overall.
Treatment is performed under medical supervision to ensure a patient has immediate medical care in case of a reaction. And with the benefits of improved asthma control, a reduced likelihood of nasal polyp regrowth (and greater tolerance to aspirin), this treatment is indeed popular with patients.
AERD Monitoring and Follow-Up
Ongoing care and regular follow-up appointments with AERD specialists are crucial for monitoring disease progression – and adjusting treatment when required. Depending on the treatment path, a person may need additional asthma treatment options, a change in medication, or occasional surgery for nasal polyps. But with the benefits of targeted treatment for each aspect of AERD, patients can experience better health, effective management of asthma symptoms, along with an improved quality of life.
Contact Us for Aspirin Desensitization Services in Atlanta
Chacko Allergy, Asthma and Sinus Center offers dependable treatments for aspirin-exacerbated respiratory disease. For help with aspirin desensitization, asthma services and allergy treatments, visit us in Alpharetta, Atlanta, Canton, Cumming, Druid Hills, Duluth or Johns Creek. Call (678) 668-4688 or request an appointment now.
