Chronic respiratory disease (CRD) can have a significant impact on a patient’s quality of life. One of the top CRDs diagnosed is asthma, a serious condition that affects both children and adults. It is the most common chronic disease to be diagnosed in children.

Environmental factors, hereditary factors, or a combination of both, can cause asthma to develop. Asthma attacks occur when the airways in the lungs narrow, causing the body to produce excess mucus. This makes it difficult to breathe, which is often accompanied by wheezing, coughing, or shortness of breath. The severity of an asthma attack can differ from patient to patient, from minor attacks that can easily be managed with quick relief inhalers to life-threatening medical emergencies.

What Causes an Asthma Attack?

1. Strenuous exercise

Whether we notice it or not, strenuous exercise changes the way we breathe. When completing a demanding physical activity, most people start breathing through their mouths. This means air is getting to your airways and lungs without passing through your nose first. Some patients have exercise-induced asthma, meaning their symptoms are exclusively triggered by exercise.

2. Airborne irritants, like dust, gases, and smoke

Similar to seasonal allergies, asthma may be aggravated by environmental substances known as allergens. While regular cleaning may sufficiently manage indoor allergens, patients may have less control over larger irritants. These may include the level of air pollution where you live, or the conditions at your place of employment.

3. Allergies

An allergic reaction may trigger an asthma attack, as well as typical allergy symptoms, in patients with allergy-induced asthma. Identifying and avoiding triggers is key when managing this type of asthma.

4. Cold weather

Cold air is dry, and dry air irritates our airways. Asthma symptoms can worsen during the winter months, as cold air can trigger airway irritation. Exercising outdoors in cold weather can also worsen asthma symptoms such as wheezing, coughing, and shortness of breath.

Exercise and cold air are common asthma triggers as they can cause airway cooling and drying, which leads to airway inflammation and narrowing. Asthmatics who want to exercise can use their rescue inhaler therapy as needed before and during exercise.  A warm up period before vigorous exercise can also be very helpful.

For cold weather exposure, mechanical barriers such as a loose fitting scarf can help warm and humidify air before it reaches the lungs, which can reduce symptoms.

Daniel Brown, MD
Pulmonologist, Catholic Health

Is There a Cure for Asthma?

There is no cure for asthma, but it is manageable with the right treatment plan and avoiding triggers. Asthma affects individuals differently over time. Some people experience fewer symptoms as they age, while others might worsen.

Many people use inhalers— small, portable medical devices that deliver an anti-inflammatory medication to the lungs during an attack. These substances are able to relax the muscles surrounding the lungs to open the airways, making it easier to breathe.

Because asthma changes over time, it’s important to work with your doctor to monitor changes in triggers, symptoms, and treatment effectiveness for managing asthma long term. If you’ve been looking for a pulmonologist, or help managing a breathing or lung problem, our pulmonology team is here for you. Our specialists will provide you with safe, comprehensive solutions to effectively manage your respiratory condition.

 

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