Asthma

Find out what to do during an asthma attack from Naomi, one of Asthma + Lung UK's respiratory specialist nurses.

If you’re worried about asthma attacks, you can speak to a respiratory nurse specialist on our Helpline by calling 0300 222 5800, Monday-Friday, 9am-5pm. Or you can WhatsApp them on 07378 606 728.

  • Asthma is a chronic respiratory condition that affects the airways in the lungs. It is characterised by inflammation and narrowing of the airways, which can lead to difficulty breathing, wheezing, coughing, and chest tightness. Asthma symptoms can vary in intensity from mild to severe and may be triggered or worsened by various factors, such as allergens, respiratory infections, exercise, cold air, smoke, and certain irritants.

    The main features of asthma include:

    Airway Inflammation: In individuals with asthma, the airways become inflamed and swollen. This inflammation can make the airways more sensitive to triggers and can result in increased production of mucus.

    Bronchoconstriction: The muscles around the airways can tighten (bronchoconstriction), causing them to narrow. This narrowing makes it harder for air to flow in and out of the lungs.

    Airway Hyperresponsiveness: People with asthma tend to have airways that are overly sensitive to various stimuli, meaning they can react strongly to triggers that wouldn't affect most people.

    Asthma symptoms can range from mild to severe and may include:

    Shortness of breath

    Wheezing (a high-pitched whistling sound during breathing)

    Coughing, especially at night or early in the morning

    Chest tightness or discomfort

    Difficulty performing physical activities due to breathlessness

    Asthma management typically involves a combination of long-term control medications to reduce inflammation and prevent symptoms, as well as quick-relief (rescue) medications to provide immediate relief during asthma attacks. Common long-term medications include inhaled corticosteroids, long-acting bronchodilators, leukotriene modifiers, and immunomodulators. Short-acting bronchodilators are used as quick-relief medications to open up the airways during acute episodes.

    It's important for individuals with asthma to work with healthcare professionals to develop a personalised asthma action plan, which outlines how to manage symptoms, recognise worsening symptoms, and when to seek medical attention. With proper management and adherence to the treatment plan, many individuals with asthma can lead healthy and active lives. If you suspect you or someone you know has asthma, it's important to consult a healthcare provider for proper diagnosis and treatment.

  • Shortness of Breath: Individuals with asthma may experience difficulty breathing, often feeling as though they can't take in enough air. This can be especially noticeable during physical activities or at night.

    Wheezing: Wheezing is a high-pitched whistling sound that occurs during breathing. It's a common symptom of asthma and is caused by the narrowing of the airways.

    Coughing: Asthma-related coughing is often persistent and may worsen at night or early in the morning. It can be dry or produce mucus.

    Chest Tightness: People with asthma may feel a sensation of tightness or pressure in the chest, which can be uncomfortable or painful.

    Increased Mucus Production: Asthma can cause the airways to produce excess mucus, leading to coughing and a feeling of congestion.

    Worsening Symptoms at Night or Early Morning: Many individuals with asthma experience more pronounced symptoms during the night or upon waking up in the morning.

    Symptoms Triggered by Allergens or Irritants: Asthma symptoms can be triggered or exacerbated by various factors such as allergens (pollen, dust mites, pet dander), smoke, strong odours, cold air, and pollution.

    Symptoms Triggered by Physical Activity: Some individuals with asthma experience symptoms during or after physical activities, especially if the air is cold or dry.

    Symptoms Worsening with Respiratory Infections: Respiratory infections like colds or the flu can lead to increased asthma symptoms or asthma attacks.

    Difficulty Sleeping: Asthma symptoms can make it challenging to sleep comfortably, leading to disrupted sleep patterns.

    It's important to note that asthma symptoms can vary widely from person to person and may change over time. Some people may experience only occasional symptoms, while others may have more frequent and severe symptoms. It's also possible to have mild asthma symptoms that are easily managed with treatment. If you suspect that you or someone you know may have asthma based on these signs, it's important to consult a healthcare professional for proper diagnosis and management.

  • In order to diagnose asthma, a healthcare professional will typically perform a thorough assessment that includes a medical history, physical examination, and possibly some tests. Here's an overview of the diagnostic process for asthma:

    Medical History: The healthcare provider will ask you about your symptoms, when they occur, how often they happen, and if they're associated with specific triggers or situations. They will also ask about your medical history, including any family history of asthma or allergies.

    Physical Examination: The healthcare provider will listen to your breathing using a stethoscope to check for wheezing, listen for any abnormal lung sounds, and assess your overall lung function. They may also look for signs of allergies or other conditions that could contribute to respiratory symptoms.

    Lung Function Tests: The primary tests used to diagnose asthma are lung function tests, which measure how well your lungs are functioning. The two main types of lung function tests used for asthma diagnosis are:

    Spirometry: This test measures the amount of air you can inhale and exhale, as well as how quickly you can exhale. It helps determine if there is airflow obstruction in your lungs, a hallmark of asthma.

    Peak Expiratory Flow (PEF) Test: This test involves blowing forcefully into a handheld device called a peak flow meter. It measures how fast you can exhale air and can help monitor changes in your lung function over time.

    Bronchodilator Test: This test is often done alongside lung function tests. After performing spirometry, you will be given a bronchodilator medication (a type of inhaler) that helps to open up your airways. If your lung function improves significantly after taking the bronchodilator, it suggests that your symptoms are likely due to reversible airway obstruction, which is a characteristic of asthma.

    Allergy Testing: If your symptoms suggest that allergies may be contributing to your asthma, the healthcare provider might recommend allergy testing to identify specific allergens that could be triggers.

    Other Tests: In some cases, additional tests such as chest X-rays or blood tests may be performed to rule out other potential causes of your symptoms.

    It's important to consult a healthcare professional if you suspect you have asthma or are experiencing respiratory symptoms. Proper diagnosis is crucial to receive appropriate treatment and management strategies tailored to your specific condition. If you are diagnosed with asthma, your healthcare provider will work with you to create an asthma action plan that outlines how to manage your symptoms and when to seek medical attention.

  • sthma is when your breathing tubes in your lungs get narrow, making it hard to breathe. But don't worry, there are ways to help with this!

    Doctors have special medicines to make your breathing tubes open up and help you breathe better. There are two kinds of medicines: one you use every day to keep your breathing tubes from getting narrow, and one you use only when you're having trouble breathing right then.

    Your doctor will give you a plan that tells you what to do when you feel your breathing getting worse. They will also help you find out what things might be causing your breathing to get worse, like things in the air that you might be allergic to.

    It's important to eat good food, exercise, and sleep well to keep your body healthy. And if you're around smoke, try to stay away because it can make your breathing worse.

    Always remember to talk to your mom, dad, or another grown-up if you're not feeling well or if your breathing feels funny. Your doctor will help you feel better and teach you how to take care of your asthma.

  • Be Understanding: Understand that they might have days when their breathing isn't great. Sometimes, they might need to slow down or take a break.

    Learn About Their Triggers: Ask them what things can make their breathing worse, like smoke, pets, or pollen. Try to help them avoid these things if you can.

    Know Their Medicines: They might have special medicines to help with their breathing. Learn what these medicines are and how to use them. If they need help, ask a grown-up to give them their medicine.

    Encourage Healthy Habits: Encourage them to eat well, exercise, and get enough sleep. A healthy body can help them manage their asthma better.

    Stay Calm During Attacks: If they have trouble breathing, help them stay calm. You can remind them to take their quick-relief medicine if they have it. It's important not to panic.

    Offer Support: If they need to sit down, rest, or take things slowly, be patient and supportive. Sometimes, they might need a little extra time.

    Stay Smoke-Free: If you smoke, do it away from them. Smoke can make their breathing worse.

    Know the Emergency Plan: Ask them or their parents about their asthma action plan. This plan tells you what to do if their breathing gets really bad.

    Be a Friend: Sometimes having someone to talk to and spend time with can make them feel better. Just being there can mean a lot.

    Remember, the best thing you can do is to be a caring and supportive friend. If you're ever unsure about what to do, it's always good to ask them or their parents. They'll appreciate your kindness and understanding.

Further Support

Wirral 0 - 19 Service

Welcome to the Wirral 0-19 Duty Service, your dedicated resource for all inquiries related to children and young people aged 0 to 19 years old. Our service will provide comprehensive support, guidance, and information to parents, caregivers, and individuals seeking assistance within the Wirral community.

At Wirral 0-19 Duty Service, we understand the importance of addressing the needs and concerns that arise during a child's life. Whether you have questions about parenting, education, health, or any other matter concerning children and young people, we're here to help.

You can reach out to us Monday to Friday 9am – 5pm by calling our dedicated contact number: 0151 514 0219

Chat Health

Young people can access confidential support and advice from a school nurse via 

ChatHealth – 07480 635538

Wirral University Teaching Hospital

The Paediatric Respiratory Nurse Specialist (Asthma and Allergy) supports and educates children and families with asthma and allergy by acting as a link between the child’s hospital, school and primary care.

A nurse led Asthma clinic is held every Monday and an Allergy clinic is on Thursday. The aim of the asthma clinic is to enable you to get the maximum benefit from your current asthma treatment so that you can enjoy all of your favourite activities without asthma symptoms getting in the way. The aim of the allergy clinic is to firstly diagnose the allergen and ensure the appropriate management plan is provided for the parent /carer and schools supported.

Tel: 0151 678 5111

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