Winter onset
Hello, Doctor: I am about to serve my country (in the military), and I am concerned about my asthma issues.
My asthma only occurs in the winter, and I do not experience any symptoms during the other three seasons.
However, in winter, I often have attacks that require me to go to the emergency department, which makes me anxious about what will happen if I have an attack while I am there.
Besides carrying my inhaler, what other situations should I be aware of and what preventive measures should I take? Thank you.
laurence, 20~29 year old female. Ask Date: 2005/08/29
Dr. Li Shiwei reply Pulmonology
Hello, I apologize for the delay in responding to your questions.
Asthma is caused by a combination of individual predisposition and environmental factors.
Since it is related to personal constitution, this condition will accompany the patient throughout their life.
Patients must learn to coexist with asthma and avoid triggers from environmental factors.
Exposure to cold air and cold beverages are among the environmental triggers that can provoke asthma attacks.
The severity of asthma is assessed based on the patient's symptoms or peak expiratory flow rates, and treatment approaches will be adjusted according to the severity of the condition.
In your case, since you experience few attacks outside of winter, it likely falls under mild intermittent asthma.
However, frequent attacks during winter that require hospital visits suggest persistent asthma.
It is recommended that during winter, in addition to having a rescue inhaler, you should consistently use an inhaled corticosteroid.
Please schedule a follow-up appointment to evaluate the current severity of your asthma and consider enrolling in an asthma management program to achieve optimal control of your condition.
Sincerely, Dr.
Zhuang Zi-Yi, Internal Medicine.
Reply Date: 2005/08/29
More Info
Managing asthma, particularly in winter, can be challenging, especially for individuals like soldiers who may be exposed to harsh environmental conditions. Winter asthma is often triggered by cold air, respiratory infections, and allergens that are more prevalent during the colder months. Here are some strategies to help manage your asthma effectively during winter:
1. Understand Your Triggers: Cold air is a common trigger for asthma symptoms. When you breathe in cold air, it can cause your airways to constrict, leading to wheezing, coughing, and shortness of breath. Identifying specific triggers, such as cold weather, dust, or smoke, can help you avoid them.
2. Use Your Inhaler Properly: Always carry your rescue inhaler (bronchodilator) with you, especially when you are outdoors or in situations where you might be exposed to cold air. Make sure you know how to use it correctly and that it is not expired. If you find that you need to use your inhaler more frequently, consult your doctor.
3. Dress Appropriately: When going outside, wear a scarf or mask over your mouth and nose. This helps warm the air before it enters your lungs, reducing the likelihood of an asthma attack. Dress in layers to keep your body warm and to help maintain your overall comfort.
4. Stay Indoors During Severe Weather: If the weather is particularly cold or if there are high levels of air pollution, try to stay indoors. Use air purifiers to reduce indoor allergens, and keep windows closed to prevent cold air from entering.
5. Maintain Good Indoor Air Quality: During winter, indoor air can become dry due to heating systems. Consider using a humidifier to maintain humidity levels between 30-50%. This can help soothe your airways and reduce irritation.
6. Stay Active: Regular physical activity can strengthen your lungs and improve your overall health. However, try to exercise indoors when it's very cold outside. If you must exercise outdoors, do so during the warmest part of the day and take breaks as needed.
7. Get Vaccinated: Respiratory infections can exacerbate asthma symptoms. Get your flu shot and consider the pneumonia vaccine if recommended by your healthcare provider. This can help reduce your risk of respiratory infections during the winter months.
8. Follow Your Asthma Action Plan: Work with your healthcare provider to create a personalized asthma action plan. This plan should outline your daily management strategies, how to recognize worsening symptoms, and what steps to take in case of an asthma attack.
9. Stay Hydrated: Drink plenty of fluids to keep your airways moist and help thin mucus. This can make it easier to breathe and reduce the likelihood of an asthma attack.
10. Monitor Your Symptoms: Keep track of your asthma symptoms and peak flow readings if you have a peak flow meter. This can help you identify patterns and make necessary adjustments to your management plan.
In summary, managing winter asthma requires a proactive approach that includes understanding your triggers, using medications correctly, dressing appropriately, and maintaining good indoor air quality. By following these tips and working closely with your healthcare provider, you can effectively manage your asthma and reduce the risk of attacks during the winter months. Remember, your health and safety are paramount, especially as you prepare to serve your country. Stay vigilant and take care of yourself!
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