Asthma Attacks

Asthma Attacks

Medically Reviewed

By

Chrysoula I. Liakou

MD, PhD, Internal Medicine Specialist and Cancer Immunology Researcher.



A Guide To Recognizing And Treating Asthma Attacks


There is nothing more frightening than an asthma attack. Whether you're experiencing one yourself or someone else, here's what you can do and how to prevent it.



First Aid for Asthma Attacks


Here are some emergency instructions for people experiencing asthma attacks.


Step 1

Ensure they are comfortable by sitting them upright. Be sure to reassure them and ask them to breathe slowly and deeply to keep them calm.


Step 2

You can help them breathe through a reliever inhaler, usually blue, every 30-60 seconds.


Step 3

A doctor should be called if the condition worsens after ten puffs of the blue reliever inhaler or if it doesn't improve after that.


Step 4

After 10 minutes, if the ambulance hasn't arrived and their symptoms haven't improved, repeat step 2.


Step 5

Nine hundred ninety-nine should be called again if the person does not feel better. This advice does not cover inhalers used for Maintenance and Reliever Therapy (MART). 

 

Understanding Asthma Inhalers


Asthma inhalers come in two main types:

  • Blue reliever inhaler – relieves symptoms quickly

  • Brown preventer inhaler – reduces symptoms and attacks. of asthma



Recognising the Signs of an Asthma Attack


You might have just a few or all of these symptoms during an asthma attack, so knowing the signs is essential.

  • The symptoms worsen - breathing difficulties, coughs, wheezing, and chest tightness.

  • Having trouble catching your breath and breathing faster

  • It is difficult to speak, whisper, or use short sentences.

  • Feeling dizzy, drowsy, or confused

  • Bluish fingertip and lip colour

  • An exhausting feeling

  • Eventually collapsing


There is a good chance that you are having an asthma attack if you can't get relief with a reliever inhaler.

 

Key Asthma Symptoms, Triggers, and First Aid

 

Symptom Description
Wheezing Whistling sound while breathing
Chest tightness Pressure or squeezing in the chest
Shortness of breath Difficulty catching breath
Difficulty speaking Using short sentences or being unable to speak
Cyanosis (blue lips/fingertips) Sign of low oxygen – urgent medical attention
Trigger example Cold air, smoke, exercise, or allergies

 


What Triggers Asthma?


The triggers that set off flare-ups and asthma attacks are typically airway irritants. It's not always possible to avoid asthma triggers, even for those aware.


There are a variety of triggers for asthma, including:

  • Viral colds and cases of flu

  • Pet allergies, dust mite allergies, mould allergies, or pollen allergies

  • Changing weather conditions, such as cold air, windy conditions, or sudden changes in temperature

  • Exercising

  • Pollutants, tobacco smoke, fumes, dust, or chemicals in the air can irritate.

  • The use of medications, especially beta blockers and anti-inflammatory pain relievers such as ibuprofen

  • Anger, fear, stress, or laughter are strong emotions.



How to Prevent Future Asthma Attacks


If you want to reduce your risk of asthma attacks, you can do several things.


1. Early Warning Signs Are Essential To Know


When you recognise your triggers and early warning signs, such as tightening in the chest or wheezing more, you can prevent an asthma attack before it occurs.


2. Exercise According To Your Body's Needs


Physical activity can be challenging if you have asthma. You can improve your asthma symptoms and quality of life by increasing your heart rate.

Exercise shouldn't trigger your asthma symptoms if your asthma is well-managed. However, exercise can trigger asthma, especially when breathing in cold or dry air or interacting with pollution or pollen.

It would be best to increase your fitness levels gradually, so listen to your body. Telling your exercise partner that you have asthma is also a good idea.


3. Keep Stress Levels As Low As You Can


In life, stress cannot be permanently reduced. Asthma symptoms can be aggravated by stress.

Contact your doctor or asthma nurse if stress triggers your asthma. They can provide the proper support, such as signposting you to counselling or recommending that you take more of your asthma medicines during these periods. Please feel free to reach out when you need help and get it when you need it.

Stress can be reduced in several simple ways, including:

  • Take control of your life by planning.

  • Engaging in as many interactions as you can

  • Increasing your activity level

  • Getting enough sleep is essential.


4. Make Sure You Take All Your Prescribed Medications


Using a preventer inhaler reduces inflammation in your airways, making you less likely to have an asthma attack. You will also be less susceptible to reacting to your triggers.

Please take your asthma-preventer medicines regularly according to your doctor's or asthma nurse's instructions.

In addition to checking your peak flow meter, you should pay attention to symptoms that aren't yet present. Using a peak flow device, it measures how quickly you can exhale air from your lungs.

Whether you need to monitor your peak flow should be discussed with your doctor or asthma nurse.


5. Plan Your Asthma Action


An asthma action plan can help manage asthma and stay in control. Action plans have been found to reduce hospitalizations for asthma attacks, improve symptoms, and improve quality of life.


Here's what it says:

  • Triggers that affect you

  • Medications you take daily to prevent asthma attacks and prevent symptoms.

  • If you feel worse, here are some things you should do

  • When to seek emergency medical attention during an asthma attack


A doctor or asthma nurse can help you fill out an asthma action plan if you do not already have one. Sharing copies with family and friends is also a good idea.

 

Frequently Asked Questions About Asthma Attacks

What is the first thing to do during an asthma attack?
Help the person sit upright and stay calm. Give one puff of their blue reliever inhaler every 30–60 seconds, up to 10 puffs. If there's no improvement, call 999.

When should I call an ambulance for an asthma attack?
If symptoms don't improve after 10 puffs of the inhaler, or if the person becomes drowsy, confused, or has blue lips, call emergency services immediately.

What is the difference between reliever and preventer inhalers?
Reliever inhalers (usually blue) are used during symptoms to open airways. Preventer inhalers (often brown or orange) are taken daily to reduce inflammation and prevent attacks.

Can asthma attacks be prevented?
Yes, with good management. This includes using your preventer inhaler as prescribed, avoiding triggers, monitoring symptoms, and having an asthma action plan.

How can I tell if my asthma is getting worse?
Increased use of your reliever inhaler, trouble sleeping, or inability to perform daily tasks can indicate worsening asthma. Speak to your doctor for an urgent review.

Should I exercise if I have asthma?
Yes, regular exercise can help improve your asthma control. If exercise triggers symptoms, discuss with your doctor how to adjust your medications or routine safely.

 

When to Seek Medical Advice for Asthma


Consult a doctor if:

  • Asthma attacks are frequent for you.

  • Asthma management advice is what you're looking for

  • Use of your reliever inhaler has increased.

  • It's hard for you to sleep.

  • Because of your asthma, you cannot do everyday things such as work, play with your children, or clean your house.


Immediately contact a doctor if you experience any symptoms of an asthma attack, such as difficulty breathing. Your doctor needs to see you urgently, even if your asthma symptoms improve with your reliever inhaler.

If facing any of the above health problems, it is essential to consult a physician for proper diagnosis and treatment. You can get help from Mobi Doctor for online consultations and 24/7 support.

Mobi Doctor is a virtual clinic that provides online consultations and 24/7 support for people with health problems. You can talk to our experts about any health problem, whether an infection, an injury, or a mental health issue. We offer tailored advice and support from our team of doctors and experts.





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