Managing Asthma Relapses: Tips for Young Adults and Athletes - Pulmonology

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Asthma exacerbation


When I was in kindergarten, I went to see a doctor due to a persistent cough and was diagnosed with asthma.
However, I never experienced severe attacks, and the doctor did not prescribe me inhaled medications; I only took oral medications (once before bed).
By the second grade of elementary school, I stopped taking the medication and had no significant issues afterward.

However, in my senior year of high school, I began to experience some shortness of breath and chest tightness.
Initially, I thought it was due to stress, but even after the major exams, there was no improvement.
I would suddenly feel like I was breathing shallowly and would become quite breathless; sometimes, I would also feel my heart racing and experience dizziness.

I visited my previous attending physician, who said it was a mild recurrence of asthma.
He prescribed me medication for three days, along with the same medication I used to take before bed for two weeks.
The prescription mainly included antihistamines, asthma medications, and anti-inflammatory drugs.
Although I have just started taking them, the intermittent shortness of breath is concerning, and I worry that the dizziness might affect my brain.
Is there any way to alleviate this condition? Should I be using inhaled medications (even though the doctor did not prescribe them)?
Additionally, I usually play badminton and do aerobic exercises, and I will soon start practicing for a dance performance.
Is there anything I need to pay attention to? Thank you, doctor!

Ming, 10~19 year old female. Ask Date: 2016/05/22

Dr. Zhou Ziguang reply Pulmonology


Hello: 1.
Please visit a pulmonologist to determine whether the symptoms are caused by asthma or other reasons.
2.
If it is asthma, with appropriate management, you can still engage in normal exercise and work.

Reply Date: 2016/05/22

More Info


Managing asthma, especially for young adults and athletes, requires a comprehensive understanding of the condition and proactive strategies to minimize relapses. Given your history of asthma, it’s essential to recognize the symptoms and triggers that can exacerbate your condition, particularly as you engage in physical activities like badminton and dance.


Understanding Asthma and Its Triggers
Asthma is a chronic inflammatory disease of the airways that can cause symptoms such as wheezing, shortness of breath, chest tightness, and coughing. These symptoms can be triggered by various factors, including allergens (like pollen, dust mites, and pet dander), respiratory infections, cold air, exercise, and stress. In your case, it seems that stress and physical exertion may be contributing to your symptoms, especially since you’ve noticed a pattern of difficulty breathing during high-pressure situations.


Importance of Medication
While you mentioned that your doctor prescribed medications primarily for allergies and mild asthma, it’s crucial to evaluate whether you need a more tailored approach. Inhaled corticosteroids (ICS) are often the first line of treatment for persistent asthma, as they help reduce inflammation in the airways. Short-acting beta-agonists (SABAs), commonly known as rescue inhalers, are also essential for quick relief during an asthma attack. If your symptoms are frequent or severe, discussing the possibility of using these inhalers with your healthcare provider is advisable.


Monitoring Symptoms
Keep a symptom diary to track when your asthma symptoms occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider in adjusting your treatment plan. If you experience symptoms like chest tightness or wheezing during or after exercise, it may indicate that your asthma is not well-controlled.


Exercise and Asthma
Engaging in physical activities like badminton and dance is beneficial for overall health, but it’s essential to take precautions:
1. Warm-Up Properly: A proper warm-up can help prepare your lungs for exercise. Gradually increase the intensity of your activity to allow your body to adjust.

2. Use Your Inhaler: If prescribed, use your rescue inhaler 15-30 minutes before exercising. This can help prevent exercise-induced bronchoconstriction.

3. Choose the Right Environment: Avoid exercising in cold, dry air or in environments with high pollen counts. If possible, opt for indoor activities during these times.

4. Stay Hydrated: Drink plenty of water before, during, and after exercise to help keep your airways moist.

5. Listen to Your Body: If you start to feel symptoms during exercise, stop and use your rescue inhaler if necessary. It’s crucial to listen to your body and not push through severe symptoms.


Stress Management
Since you mentioned that stress might be a factor, incorporating stress management techniques can be beneficial. Practices such as mindfulness, yoga, and deep-breathing exercises can help reduce anxiety and improve your overall respiratory function.


Follow-Up with Your Doctor
Given your recent symptoms and the history of asthma, it’s important to have regular follow-ups with your healthcare provider. They can reassess your condition, adjust your medications if necessary, and provide additional strategies tailored to your lifestyle and activities.


Conclusion
In summary, managing asthma effectively involves understanding your triggers, using medications as prescribed, monitoring your symptoms, and taking precautions during physical activities. By working closely with your healthcare provider and being proactive about your asthma management, you can continue to enjoy sports and maintain an active lifestyle while minimizing the risk of asthma relapses. If your symptoms persist or worsen, do not hesitate to seek medical advice for further evaluation and treatment options.

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