Asthma
What is asthma?
Asthma, also called bronchial asthma, is a disease that affects your lungs. It’s a chronic (ongoing) condition, meaning it doesn’t go away and needs ongoing medical management.
Asthma affects more than 25 million people in the U.S. currently. This total includes more than 5 million children. Asthma can be life-threatening if you don’t get treatment.
What is an asthma attack?
When you breathe normally, muscles around your airways are relaxed, letting air move easily and quietly. During an asthma attack, three things can happen:
Bronchospasm: The muscles around the airways constrict (tighten). When they tighten, it makes your airways narrow. Air cannot flow freely through constricted airways.
Inflammation: The lining of your airways becomes swollen. Swollen airways don’t let as much air in or out of your lungs.
Mucus production: During the attack, your body creates more mucus. This thick mucus clogs airways.
When your airways get tighter, you make a sound called wheezing when you breathe, a noise your airways make when you breathe out. You might also hear an asthma attack called an exacerbation or a flare-up. It’s the term for when your asthma isn’t controlled.
What types of asthma are there?
Asthma is broken down into types based on the cause and the severity of symptoms. Healthcare providers identify asthma as:
Intermittent: This type of asthma comes and goes so you can feel normal in between asthma flares.
Persistent: Persistent asthma means you have symptoms much of the time. Symptoms can be mild, moderate or severe. Healthcare providers base asthma severity on how often you have symptoms. They also consider how well you can do things during an attack.
Asthma has multiple causes:
Allergic: Some people’s allergies can cause an asthma attack. Allergens include things like molds, pollens and pet dander.
Non-allergic: Outside factors can cause asthma to flare up. Exercise, stress, illness and weather may cause a flare.
Asthma can also be:
Adult-onset: This type of asthma starts after the age of 18.
Pediatric: Also called childhood asthma, this type of asthma often begins before the age of 5, and can occur in infants and toddlers. Children may outgrow asthma. You should make sure that you discuss it with your provider before you decide whether your child needs to have an inhaler available in case they have an asthma attack. Your child’s healthcare provider can help you understand the risks.
In addition, there are these types of asthma:
Exercise-induced asthma: This type is triggered by exercise and is also called exercise-induced bronchospasm.
Occupational asthma: This type of asthma happens primarily to people who work around irritating substances.
Asthma-COPD overlap syndrome (ACOS): This type happens when you have both asthma and chronic obstructive pulmonary disease (COPD). Both diseases make it difficult to breathe.
Symptoms
Asthma symptoms vary from person to person. You may have infrequent asthma attacks, have symptoms only at certain times — such as when exercising — or have symptoms all the time.
Asthma signs and symptoms include:
Shortness of breath
Chest tightness or pain
Wheezing when exhaling, which is a common sign of asthma in children
Trouble sleeping caused by shortness of breath, coughing or wheezing
Coughing or wheezing attacks that are worsened by a respiratory virus, such as a cold or the flu
Signs that your asthma is probably worsening include:
Asthma signs and symptoms that are more frequent and bothersome
Increasing difficulty breathing, as measured with a device used to check how well your lungs are working (peak flow meter)
The need to use a quick-relief inhaler more often
For some people, asthma signs and symptoms flare up in certain situations:
Exercise-induced asthma, which may be worse when the air is cold and dry
Occupational asthma, triggered by workplace irritants such as chemical fumes, gases or dust
Allergy-induced asthma, triggered by airborne substances, such as pollen, mold spores, cockroach waste, or particles of skin and dried saliva shed by pets (pet dander)
When to seek care
Seek emergency treatment
Severe asthma attacks can be life-threatening. Work with your doctor to determine what to do when your signs and symptoms worsen — and when you need emergency treatment. Signs of an asthma emergency include:
Rapid worsening of shortness of breath or wheezing
No improvement even after using a quick-relief inhaler
Shortness of breath when you are doing minimal physical activity
Contact your doctor
See your doctor:
If you think you have asthma. If you have frequent coughing or wheezing that lasts more than a few days or any other signs or symptoms of asthma, see your doctor. Treating asthma early may prevent long-term lung damage and help keep the condition from getting worse over time.
To monitor your asthma after diagnosis. If you know you have asthma, work with your doctor to keep it under control. Good long-term control helps you feel better from day to day and can prevent a life-threatening asthma attack.
If your asthma symptoms get worse. Contact your doctor right away if your medication doesn't seem to ease your symptoms or if you need to use your quick-relief inhaler more often.
Don't take more medication than prescribed without consulting your doctor first. Overusing asthma medication can cause side effects and may make your asthma worse.
To review your treatment. Asthma often changes over time. Meet with your doctor regularly to discuss your symptoms and make any needed treatment adjustments.