Persistent Coughing: Is It Asthma Triggered by Cold Weather or Food? - Pulmonology

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Cough? Asthma?


Recently, whenever the weather gets cold or I eat oranges or spicy food, I start coughing uncontrollably.
Even adding pepper to scallion pancakes triggers this reaction, and I cough so hard that it feels like my trachea is about to come out, producing a terrible sound.
Does this mean I am developing asthma?

Hai pa de qi chuan de ren, 20~29 year old female. Ask Date: 2008/03/05

Dr. Zhuang Ziyi reply Pulmonology


Hello: Based on the symptoms, it appears to be more like sensitive airways, which can exhibit asthma-like symptoms when exposed to certain triggers.
If the allergen test is positive, serum IgE levels are elevated, and there is reversible airway obstruction in lung function tests, a diagnosis of asthma can be made.
It is recommended to visit a pulmonology clinic for a definitive diagnosis.
Wishing you good health.
Sincerely, Dr.
Chuang Tzu-Yi, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2008/03/05

More Info


Persistent coughing, especially in response to cold weather or certain foods like oranges and spicy dishes, can indeed raise concerns about underlying respiratory conditions, including asthma. It's important to understand that asthma is a chronic inflammatory disease of the airways, characterized by episodes of wheezing, breathlessness, chest tightness, and coughing. These symptoms can be triggered by various factors, including allergens, irritants, cold air, and certain foods.

In your case, the cough appears to be exacerbated by cold weather and specific dietary choices. Cold air is a well-known trigger for asthma symptoms in many individuals. When exposed to cold air, the airways can constrict, leading to coughing and difficulty breathing. Similarly, certain foods, particularly those that are spicy or acidic, can irritate the throat and airways, potentially triggering a cough reflex. The fact that you experience severe coughing to the point of discomfort suggests that your airways may be sensitive or reactive to these stimuli.

It’s also worth noting that the presence of a persistent cough, especially one that produces a wheezing sound or is accompanied by a feeling of tightness in the chest, could indicate a more serious condition such as asthma or another form of reactive airway disease. If you have a history of allergies or respiratory issues, this could further support the possibility of asthma.
To determine whether you have asthma or another respiratory condition, it is advisable to consult with a healthcare professional, preferably a pulmonologist or an allergist. They may recommend a series of tests, including pulmonary function tests, to assess your lung capacity and airway responsiveness. Additionally, allergy testing may be beneficial to identify any specific triggers that could be contributing to your symptoms.

In the meantime, there are several strategies you can employ to manage your symptoms. For instance, wearing a scarf or mask over your mouth and nose when exposed to cold air can help warm the air before it enters your lungs. Additionally, avoiding known food triggers, such as spicy foods or citrus fruits, may help reduce the frequency and severity of your coughing episodes.

If your symptoms worsen or if you experience difficulty breathing, it is crucial to seek immediate medical attention. Asthma can be a serious condition, and timely intervention is essential to prevent complications.
In summary, while your symptoms may suggest a potential asthma diagnosis, a thorough evaluation by a healthcare professional is necessary for an accurate diagnosis and appropriate management. Understanding your triggers and implementing preventive measures can significantly improve your quality of life and respiratory health.

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