Asthma is
caused by inflammation of the airways. These are the small tubes, called
bronchi, which carry air in and out of the lungs. If you have asthma, the
bronchi will be inflamed and more sensitive than normal. When
you come into contact with something that irritates your lungs, known as a
trigger, your airways become narrow, the muscles around them tighten and there
is an increase in the production of sticky mucus (phlegm). This makes it difficult
to breathe and causes wheezing and coughing. It may also make
your chest feel tight.
The most common asthma signs
and symptoms are coughing, wheezing and shortness of breath. For some people,
asthma symptoms are a minor nuisance. For others, they're a major problem that
interferes with daily activities. For some people with chronic (long-lasting) asthma, long-term
inflammation of the airways may lead to more permanent narrowing.
Asthma can't be cured, but its symptoms can be
controlled. Treatments include taking steps to avoid your particular asthma
triggers, using long-term control medications to prevent flare-ups and using a
quick-relief inhaler to control symptoms once they start. Because asthma
changes over time, you'll work with your doctor to track your signs and
symptoms and adjust treatment as needed.
Common Asthma Triggers

A trigger is anything that irritates the airways and brings on the symptoms of asthma. These differ from person to person and people with asthma may have several triggers. There is no single cause of asthma, but certain factors may increase the likelihood of developing it. These include genetic factors and the environment.
The common triggers include
- Airborne allergens, such as pollen, animal dander, mold, cockroaches and dust mites
- Respiratory infections, such as the common cold
- Physical activity (exercise-induced asthma)
- Cold air
- Air pollutants and irritants, such as smoke
- Certain medications, including beta blockers, aspirin and other non-steroidal anti-inflammatory drugs
- Strong emotions and stress
- Menstrual cycle in some women
- Allergic reactions to some foods, such as peanuts or shellfish
Factors that are known to increase the
likelihood of developing asthma include:
- A family history of asthma or other related allergic conditions (known as atopic conditions), such as eczema, food allergy or hay fever
- Developing another atopic condition such as a food allergy
- Having bronchiolitis as a child (a common lung infection among children)
- Being overweight
- Being a smoker
- Exposure to secondhand smoke
- Having a mother who smoked while pregnant
- Exposure to exhaust fumes or other types of pollution
- Exposure to occupational triggers, such as chemicals used in farming, hairdressing and manufacturing
- Being born prematurely (especially if you needed a ventilator)
- Being born with a low birth weight (less than 2kg or 4.5 pounds)
Asthma symptoms range from minor to severe and vary
from person to person. You may have mild symptoms and asthma attacks may be
infrequent.
Asthma signs and symptoms include:
- Shortness of breath
- Chest tightness or pain
- Trouble sleeping caused by shortness of breath, coughing or wheezing
- An audible whistling or wheezing sound when exhaling (wheezing is a common sign of asthma in children)
- Bouts of coughing or wheezing that are worsened by a respiratory virus such as a cold or the flu
For
some people, asthma symptoms flare up in certain situations:
Exercise-induced
asthma occurs
during exercise. For many people, exercise-induced asthma is worse when the air
is cold and dry.
Occupational
asthma is
asthma that's caused or worsened by breathing in a workplace irritant such as chemical
fumes, gases or dust.
Controlling or preventing Asthma by bringing a
change in your lifestyle:
Although
many people with asthma rely on medications to prevent and relieve symptoms,
you can do several things on your own to maintain your health and lessen the
possibility of asthma attacks.
Avoid
your triggers
Taking
steps to reduce your exposure to things that trigger asthma symptoms is a key
part of asthma control. Here are some things that may help:
Use
your air conditioner - Air
conditioning reduces the amount of airborne pollen from trees, grasses and
weeds that find its way indoors. Air conditioning also lowers indoor humidity
and can reduce your exposure to dust mites. If you don't have air conditioning,
try to keep your windows closed during pollen season.
Decontaminate
your decor - Minimize
dust that may worsen night time symptoms by replacing certain items in your
bedroom. Encase pillows, mattresses and box springs in dust-proof covers.
Keep
indoor air clean. Have
a check done for your air conditioner and furnace once a year. Change the
filters in your furnace and air conditioner. If you use a humidifier, change
the water daily.
Reduce
pet dander. If
you're allergic to dander, avoid pets with fur or feathers. Having pets
regularly bathed or groomed also may reduce the amount of dander in your
surroundings.
Clean
regularly. Clean
your home at least once a week. If you're likely to stir up dust, wear a mask
or have someone else do the cleaning.
Stay
healthy
Taking care of yourself and treating other conditions linked to asthma will
help keep your symptoms under control. A few things you can do include:
Get
regular exercise. Having
asthma doesn't mean you have to be less active. Treatment can prevent asthma
attacks and control symptoms during activity. Regular exercise can strengthen
your heart and lungs, which helps relieve asthma symptoms. Keep in mind that
exercising in cold weather may trigger asthma symptoms. If you do exercise in
cold temperatures, wear a face mask to warm the air you breathe.
Maintain
a healthy weight. Being
overweight can worsen asthma symptoms, and it puts you at higher risk of other
health problems.
Eat
fruits and vegetables. Eating
plenty of fruits and vegetables may increase lung function and reduce asthma
symptoms. These foods are rich in protective nutrients (antioxidants) that
boost the immune system.
Working
together, you and your doctor can design a step-by-step plan for living with
your condition and preventing asthma attacks.
Follow
your asthma action plan - With your
doctor write a detailed plan for taking medications and managing an asthma
attack. Then be sure to follow your plan. Asthma is an ongoing condition that
needs regular monitoring and treatment. Taking control of your treatment can
make you feel more in control of your life in general.
Identify
and avoid asthma triggers - Find out what causes or worsens your asthma, and take steps to avoid
those triggers.
Monitor
your breathing - Recognize
warning signs of an impending attack, such as slight coughing, wheezing or
shortness of breath. Regularly measure and record your peak airflow with a home
peak flow meter.
Identify
and treat attacks early - If
you act quickly, you're less likely to have a severe attack. Take your
medication as instructed and immediately stop any activity that may have
triggered the attack. If your symptoms don't improve, get medical help as
directed in your action plan.
Take
your medication as prescribed - Just because your asthma seems to be improving, don't change
anything without first talking to your doctor. It's a good idea to bring your
medications with you to each doctor visit, so your doctor can double-check that
you're using your medications correctly and taking the right dose.
Pay
attention to increasing quick-relief inhaler use - If you find yourself relying on your
quick-relief inhaler, your asthma isn't under control. See your doctor about
adjusting your treatment.
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