Asthma and Allergic Rhinitis: Common Questions Answered - Pulmonology

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Hello, doctor: I have allergic rhinitis and asthma (which I have been treated for and am currently not taking medication).
I usually have a wheezing sound when I exhale, especially when climbing stairs, sleeping, or in cold weather, which is most severe during these times.
May I ask: 1.
Is this caused by rhinitis or asthma? 2.
Is this normal? 3.
Do all asthma patients experience this? 4.
Does asthma require long-term treatment? 5.
If asthma has been treated, will it not recur?

Xiao Fang, 20~29 year old female. Ask Date: 2005/12/28

Dr. Yang Wenda reply Pulmonology


Hello, Xiaofang: If you are experiencing a feeling of wheezing, it may be due to post-nasal drip or irritation in the respiratory tract and throat.
In principle, asthma requires long-term medication management.
I recommend that you consult a pulmonologist for evaluation and treatment of asthma and allergic rhinitis.
Best wishes!

Reply Date: 2005/12/28

More Info


Understanding asthma and allergic rhinitis is crucial for managing these conditions effectively. Both asthma and allergic rhinitis are common respiratory conditions that can significantly impact a person's quality of life. Let’s address your questions one by one.

1. Is the wheezing sound during exhalation caused by allergic rhinitis or asthma?
The wheezing sound you hear, especially during physical exertion like climbing stairs, is primarily associated with asthma. Asthma is characterized by inflammation and narrowing of the airways, leading to difficulty in breathing and wheezing. While allergic rhinitis can cause nasal congestion and post-nasal drip, it does not typically cause wheezing. However, the two conditions often coexist, and allergic rhinitis can exacerbate asthma symptoms by increasing airway hyperreactivity.

2. Is this normal?
Wheezing can be a normal symptom for individuals with asthma, especially if it occurs during physical activity or exposure to cold air. However, it is essential to monitor the frequency and severity of your symptoms. If wheezing becomes more pronounced or occurs at rest, it may indicate that your asthma is not well-controlled and requires further evaluation by a healthcare professional.

3. Do all asthma patients experience wheezing?
Not every individual with asthma will experience wheezing. Asthma symptoms can vary widely among patients. Some may have persistent cough, shortness of breath, or chest tightness without wheezing. The presence and severity of wheezing can depend on various factors, including the type of asthma, triggers, and individual response to treatment.

4. Does asthma require long-term treatment?
Yes, asthma typically requires long-term management. While some individuals may experience periods of remission where they do not require medication, asthma is a chronic condition that can flare up due to various triggers such as allergens, respiratory infections, or environmental factors. Long-term control medications, such as inhaled corticosteroids, are often prescribed to reduce inflammation and prevent asthma attacks. It is essential to work with your healthcare provider to develop a personalized asthma action plan.

5. If asthma has been treated, will it not recur?
While effective treatment can significantly reduce the frequency and severity of asthma attacks, it does not guarantee that asthma will not recur. Asthma is a chronic condition, and various factors can trigger symptoms even after successful treatment. Regular follow-ups with your healthcare provider and adherence to your asthma management plan are crucial for maintaining control over the condition.

In summary, the wheezing you experience is likely related to your asthma rather than allergic rhinitis. It is essential to monitor your symptoms and consult with your healthcare provider for appropriate management. Asthma is a chronic condition that often requires long-term treatment and monitoring, even if symptoms improve. Understanding your triggers and maintaining a proactive approach to your asthma management can help you lead a healthier, more active life.

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