Question : Do You Make A Wheezing Sound When You Breathe Out
You answered no.
- Asthma is caused by an irritation of the airways, medically known as the bronchi.
- When they become inflamed, the walls of the bronchi swell and tighten, causing them to narrow.
- They may become coated with mucus, obstructing them further.
- This causes a whistling sound when trying to expel the used air.
Your Level Of Asthma Control
If your asthma is well controlled, your airways will be less sensitive to exercise. You’ll find exercise is less of a trigger for you.If you find exercise makes your breathing a lot worse, it could be a sign that your asthma is not controlled. Tell your doctor about your symptoms and ask how to get your asthma under control.If your asthma is usually well-controlled, but you’ve got a cold, flu, or other respiratory infection, you could be more likely to get symptoms while exercising. If you’ve been sick, pay careful attention to your symptoms. It may be a good idea to exercise less while you’re getting over your chest infection.
Will It Ever Go Away
Asthma has a variable course. Many children with asthma see it improve or appear to go away as they get older. This can happen any time in childhood or adolescence. If asthma was only intermittent in nature and triggered by viral respiratory infections , there is an excellent likelihood that asthma will be much less of a problem as the child gets older. Sometimes the nature of the asthma changes with age. A young child may have asthma initially only from viral infections. As the child ages, asthma may occur less from viral infections , but inhalant allergy may become an important contributor to the asthma. If asthma persists into adult life, or returns later in adult life after a period of remission, persisting asthmatic symptoms may not be readily explainable by any environmental factors.
Whatever the course, however, asthma is virtually always controllable with acceptably safe measures. While ongoing medical evaluation of asthma should assess whether the disease is still active and continues to need treatment, it is not wise to withhold treatment in the hope that asthma will go away by itself. That may indeed occur, but it may not, and there can be considerable avoidable suffering and disability in the interim.
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Limitations Of Pulse Oximeters
There are limitations to pulse oximeters, one of the biggest ones being that not all pulse oximeters are created equal. Oximeters that are less expensive than the hospital-grade ones often do not have the accuracy that those in in the hospital or that your respiratory therapist has in their pockets.3,4
There are also many things that can affect the reading and give a false one, such as nail polish, poor circulation to the extremities, movement , and cold hand, which are all things to take into consideration when getting a reading. Also, if your pulse oximeter has a display that shows a waveform, you want to see that the waveform is uniform with the hills and valleys equal as it goes across the screen while giving a reading.4
Here is a really good graphic that shows a good pulse oximeter reading vs an inaccurate one:
Side Effects Of Asthma Medication
If you are worried about possible side effects from asthma medication, speak to your doctor. Do not stop or reduce doses of medication for your child without speaking with your doctor. Common side effects from inhaled asthma medication:
- sore mouth and throat
- fungal throat infections.
Using a spacer reduces the risk of these side effects. as does rinsing the mouth with water after using an inhaler.
- fast heart beat.
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Smoking Used To Be Recommended For Asthma
Tobacco smoke was sometimes a remedy for asthma, but more than likely it was “asthma cigarettes,” which contained belladonna and stramonium.1 I think it was Francis Rackeman who once quipped that he could always tell which homes belonged to asthmatics by the sweet aroma of asthma cigarettes.
By the time I was born, the dangers of smoking were well known. In fact, thanks to the evolution of better and safer asthma medicines, smoking is no longer recommended for asthma. This is despite evidence that smoking does produce a mild bronchodilator effect. However, most health experts would agree that the risks of smoking far outweigh any benefits.
Why Does Someone Get It
Over 10% of people have some history of asthma. It often runs in families. The heritable nature of asthma is not well understood, however, and geneticists cannot define the precise manner in which it is passed from parents to children. All we can say is that families with asthma are more likely to have children with asthma. Although there appears to be an inherited predisposition to develop asthma, severity varies considerably among asthmatics, even among members in the same family. If asthma is present in both parents, the likelihood of a child having asthma is even greater, but even then not all of the children will have asthma. Even among identical twins, both do not necessarily have asthma, although this is more likely than if they were just siblings or nonidentical twins. This suggests that there is some additional factor that we do not yet fully understand, other than inheritance, that influences the development of asthma.
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Asthma Symptoms Can Mimic Other Illnesses Or Diseases Especially In Older Adults For Example:
- Hiatal hernia, stomach problems, heart failure, or rheumatic arthritis can create asthma-like symptoms.
- Chronic obstructive pulmonary disease has many of the same symptoms as asthma. COPD, which includes emphysema and chronic bronchitis, is very common in older adults especially those who are or have been smokers.
How Asthma Is Treated
While there is no cure for asthma, there are a number of treatments that can help control the condition.
Treatment is based on two important goals, which are:
- relieving symptoms
- preventing future symptoms and attacks
For most people, this will involve the occasional or, more commonly, daily use of medications, usually taken using an inhaler. However, identifying and avoiding possible triggers is also important.
You should have a personal asthma action plan agreed with your doctor or nurse that includes information about the medicines you need to take, how to recognise when your symptoms are getting worse, and what steps to take when they do so.
These symptoms are often worse at night and early in the morning, particularly if the condition is not well controlled. They may also develop or become worse in response to a certain trigger, such as exercise or exposure to an allergen.
Read our page on the causes of asthma for more information about potential triggers.
Speak to your GP if you think you or your child may have asthma. You should also talk to your doctor or asthma nurse if you have been diagnosed with asthma and you are finding it difficult to control the symptoms.
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Asthma Action Plans For Children
An asthma action planis a clear written summary of instructions for when your childs asthma symptoms change. Everyone with asthma should have a personalised asthma action plan written by their doctor.
Your childs asthma action plan will tell you:
- how to recognise when your childs asthma is getting worse or an attack is developing, and the steps you should take to manage it
- symptoms that are serious, indicating a need for urgent medical help
- your childs asthma triggers.
Make sure you understand and can follow the asthma action plan from your doctor.
Keep A Diary Of Your Childs Symptoms
Keep a diary of symptoms to discuss with your doctor. The diary could include:
- a video or audio recording of the wheezing you could use your mobile phone
- when the symptoms occur such as during the day or worse at night
- how bad the symptoms are and how often they happen
- how long the symptoms remain and whether they change with time
- whether the symptoms are worse after exercise, playing or after an infection
- whether the symptoms are worse after exposure to animals, pollens or mould.
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What Happens During An Asthma Episode
During normal breathing, the airways to the lungs are fully open. This allows air to move in and out of the lungs freely. Asthma causes the airways to change in the following ways:
These changes narrow the airways. Breathing becomes difficult and stressful, like trying to breathe through a straw stuffed with cotton.
What Are Signs And Symptoms Of Adult Onset Asthma
Regardless of age, asthma symptoms can include:
Dry cough, especially at night or in response to specific triggers
Tightness or pressure in the chest
Wheezing a whistling sound when exhaling
Shortness of breath after exercise or physical exertion
Colds that go to the chest or hang on for 10 days or more
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Benefits Of Exercising With Asthma
Even if you have asthma, you shouldnt avoid exercise altogether.
Regular physical activity is essential for managing health, improving energy, and reducing the risk of chronic disease. If you already have a chronic condition, regular exercise can help you manage it.
This includes asthma. With a doctors guidance, regular exercise could help asthma by:
- promoting blood flow to your lungs and heart
- improving endurance and stamina
How Does Exercise Trigger Asthma Symptoms
Doctors think they know why some people’s asthma is made worse by exercise .Normally, people breathe through their nose. Your nose acts as an air filter. It controls the temperature and humidity of the air before it reaches your lungs.When you exercise, your body wants more air. Your breathing speeds up to get more air. You start breathing through your mouth, so you can gulp down more air. But air that comes through your mouth has not been filtered, warmed, or humidified by your nose. This means the air that gets to your airways is cooler and drier than usual.If you have asthma, your extra-sensitive airways don’t like cool dry air. Your airways react: the muscles around the airways twitch and squeeze tighter. Tighter airways mean there is less space for the air to pass through. This makes you wheeze, cough, and feel short of breath.
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Diagnosis Of Asthma In Children
- the wheezing happens more than once with or without an illness
- constant coughing or bouts of coughing become worse at night
- you are concerned about any breathing problems in your child.
Side Effects Of Relievers And Preventers
Relievers are a safe and effective medicine, and have few side effects as long as they are not used too much. The main side effects include a mild shaking of the hands , headaches and muscle cramps. These usually only happen with high doses of reliever inhaler and usually only last for a few minutes.
Preventers are very safe at usual doses, although they can cause a range of side effects at high doses, especially with long-term use.
The main side effect of preventer inhalers is a fungal infection of the mouth or throat . You may also develop a hoarse voice and sore throat.
Using a spacer can help prevent these side effects, as can rinsing your mouth or cleaning your teeth after using your preventer inhaler.
Your doctor or nurse will discuss with you the need to balance control of your asthma with the risk of side effects, and how to keep side effects to a minimum.
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Asthma Is A Complex Condition
Occasionally, people with asthma experience what are known as silent symptoms. This is where the signs of the tightening of the airways dont result in the familiar asthma sounds of wheezing and coughing. If you or someone you live with, work with, or care for experiences silent symptoms, it is important they consult a doctor for an ongoing Asthma Action Plan. People around the person with asthmasuch as co-workers, school teachers or daycare educators should know about the silent symptoms so they can respond if needed. Asthma can start at any age, and can be more of a problem when it starts in older adults. Dont assume if you never had asthma as a child that its not possible to develop symptoms now. Being breathless is not a normal part of getting older, it should always be checked out by a doctor.
Treatment For Asthma Emergencies In Children
An asthma attack can quickly become an asthma emergency, but if you take quick action, you can reduce the risk of this happening. So, if the symptoms of an asthma attack appear, follow your childs asthma action plan.
If your child is experiencing a severe or life-threatening asthma attack, call triple zero for an ambulance and then start asthma first aid.:
- Sit the child upright.
- Give 4 puffs of reliever medication , taking 4 breaths for each puff. Use a spacer and mask if one is available.
- Wait 4 minutes if the child still cannot breathe normally, give 4 more puffs.
- Continue to give 4 separate puffs of reliever medication, taking 4 breaths for each puff, every 4 minutes until the ambulance arrives.
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What Are The Asthma Signs And Symptoms
Signs of an asthma attack include:
Mild or moderate
- Minor difficulty breathing with short, shallow, rapid breaths
- Chest retractions
- A whistling sound when you breathe, especially out
- Able to talk in full sentences
- May experience a dry cough that wont go away
Mild anxiety attacks may last only a few minutes. These attacks can resolve spontaneously or may require medication, typically an asthma inhaler.
What to do: Start asthma first aid
Severe asthma symptoms need medical care right away.
- Feeling panicky
- Cannot speak a full sentence in one breath
- Having trouble talking or walking
- Getting tight neck and chest muscles
A severe episode can last from hours to days.
What to do: Call an ambulance and start asthma first aid
- Turning blue with cyanosis
- Ribs or stomach moving in and out deeply and swiftly
- An expanded chest that does not deflate when you exhale
- Not responding to reliever medication
What to do: Call an ambulance and start asthma first aid
How long your asthma attack lasts can vary, depending on the cause and inflammation in the airways.
Asthma Emergencies In Children
Symptoms of an asthma attack can worsen and develop into an asthma emergency. To prepare for an asthma emergency, make sure your childs doctor has written an asthma action plan for your child.
Have a copy of your childs asthma action plan pinned up somewhere easy to access at home, and send a copy to anyone who cares for your child, including their school, kinder, childcare service, family members and friends. You may like to take a photo of their asthma action plan so you always have a copy with you.
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How To Tell You Have Asthma
Asthma is a complex disease to diagnose, and only a healthcare professional is able to make a proper diagnosis.
If you are concerned that you may have asthma, contact your healthcare provider. In order to confirm an asthma diagnosis, your healthcare provider will take into account your medical and family history, allergies, and conduct lung function testing such as spirometry.
What You Need To Know About Your Childs Asthma
There are many things to think about and plan for when your child has asthma. It is important to learn as much as you can about the condition. Your doctor and pharmacist are there to help you. Talk to them about any concerns you may have about your childs asthma. To manage your childs asthma effectively, it is important to know:
- the pattern of their asthma
- their asthma medications what they do and how to help your child take them properly
- what to do if they have an asthma attack know and follow asthma first aid.
Make sure you have an updated written asthma action plan and understand how to use it.
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What Should I Do If I Have A Severe Asthma Attack
A severe asthma attack needs immediate medical care. The first step is your rescue inhaler. A rescue inhaler uses fast-acting medicines to open up your airways. Its different than your normal maintenance inhaler, which you use every day. You should only use the rescue inhaler in an emergency.
If your rescue inhaler doesnt help or you dont have it with you, go to the emergency department if you have:
- Anxiety or panic.
- Bluish fingernails, bluish lips or gray or whitish lips or gums .
- Chest pain or pressure.
What Causes An Asthma Flare
Things that can cause you to have an asthma flare-up are called “triggers.” Different kids have different triggers. Common triggers include:
- breathing in things that cause allergies , such as dust, pollen, dander from animals, and mold
- breathing in things that irritate your airways, like cigarette smoke, perfume, and chalk dust
- infections, like a cold or the flu
- breathing in cold air
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Signs Of Asthma Absolutely Everyone Should Know
You might think you know the signs of asthma because hey, it seems like one of those health conditions that is absolutely unmistakable. Its kind of obvious if you justcant really breathe, right? Sure, but asthma symptoms can present with a lot more complexity and subtlety than that. Many people do not realize they have asthma and deal with daily symptoms, Purvi Parikh, M.D., an allergist and immunologist with Allergy & Asthma Network, tells SELF. Because of that, you should be aware of the signs of asthma so you dont write them off for months or even years without realizing you have this persistentand ultimately treatablehealth condition.