What is Asthma?

Asthma is a chronic disease that affects the airways, making it harder to breathe at times. 

During an asthma episode, the airways become narrow, which can reduce normal airflow (inhaling and exhaling normally).

Main Asthma Symptoms

  • Coughing
  • Wheezing (a whistling sound when breathing)
  • Shortness of breath

how airways become narrow

  • Caused by an infection, allergen, or other triggers
  • The airways swell and produce thick, sticky mucus, making breathing more difficult 
  • The muscles around the airways tighten, usually in response to an irritant like smoke, cold air, or allergens
  • The sudden airway constriction is called bronchospasm

People with asthma experience recurrent asthma attacks, which are short periods when symptoms get worse.

Asthma attacks

  • Can be mild or life-threatening 
  • Can develop slowly or very quickly
  • Can be triggered by many different factors (cold, exercise, allergies, infections…)

Asthma is grouped into 3 main types

Attacks are triggered by allergens, like:

  • Pollen (seasonal allergies)
  • Fragrances (perfumes or cleaning products)
  • Dust
  • Mold
  • Mice or cockroaches
  • Pets

Attacks happen due to triggers that are not allergens, such as: 

  • Exercise
  • Occupational/work-related irritants (e.g., chemicals, fumes)
  • Tobacco smoke or air pollutants
  • Cold air and sudden weather changes  
  • Respiratory infections (e.g., flu, COVID-19, RSV)
  • Acid reflux
  • Strong emotions (e.g, anxiety, or stress)
  • Posture-related issues (e.g., reflux, sinus problems)
  • Nighttime asthma (when asthma symptoms worsen due to changes in lung function and inflammatory mediator release during sleep)

People with this type experience attacks triggered by both, allergens and non-allergic factors

  • Children are more likely to have asthma attacks triggered by infections
  • Teens and adults often experience asthma due to allergens or other non-infectious triggers like exercise, air pollution, or emotions.
  • More boys than girls have asthma in childhood, but during puberty asthma becomes more common in girls than in boys. 
  • Children and teens often manage their asthma with quick-relief medication when needed, while adults are more likely to require daily long-term reliever medication.

  • is a chronic disease, which means it can last for a long time or even a lifetime.
  • can be well managed, allowing most people to live a normal and active life.
  • if well managed, comes with only occasional and brief interruptions due to asthma attacks or asthma-related symptoms.
  • might change over the years, and some may experience fewer or no asthma attacks as they grow older.
  • if poorly managed, can lead to permanent lung damage and serious health complications.

Regardless of the type of asthma or when it starts, good asthma management is essential. 

Asthma ranks as the third most common cause of hospitalization among children and adolescents under 15. Why can people still die from asthma?

In most cases, asthma-related deaths happen because the condition was not managed properly. The key to preventing severe asthma attacks is education and preparedness:

  • Knowing how to recognize symptoms and respond quickly
  • Following an asthma action plan
  • Using medications correctly
  • Seeking emergency help (911) when necessary

If you are well educated and able to manage your asthma, you don’t have to be afraid – almost all asthma-related deaths could be prevented with proper asthma management and timely medical care! 

Many people with asthma remain healthy apart from their asthma, but some experience other health conditions that are connected to asthma in different ways.

  • Rhinitis (nasal allergies)
  • Sinusitis (sinus problems like inflammation)
  • Gastroesophageal reflux (reflux that can irritate the airways)
  • Sleep issues (due to asthma attacks at night)
  • Mental health concerns (mainly anxiety or depression linked to the stress of living with asthma)
  • Side effects from asthma medications 
  • Severe asthma attacks
  • Increased need for higher doses and daily medications
  • More school absences and hospitalizations 
  • Permanent damage to lungs

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