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What Is Exercise-Induced Asthma—And How Do You Know if You Have It?

Exercise-induced asthma (EIA), also known as exercise-induced bronchoconstriction (EIB), is a condition in which physical activity triggers asthma symptoms, such as coughing, wheezing, shortness of breath, or chest tightness. It typically occurs during or after strenuous exercise.

Here are some common symptoms of exercise-induced asthma:

  1. Coughing: Persistent coughing, especially during or after exercise, can be a symptom of EIA.
  2. Wheezing: Wheezing, which is a high-pitched whistling sound when breathing, can occur during or after exercise if you have EIA.
  3. Shortness of breath: Feeling breathless or having difficulty catching your breath during or after exercise may indicate EIA.
  4. Chest tightness: Some people with EIA experience a sensation of tightness or discomfort in their chest during or after exercise.
  5. Decreased exercise tolerance: If you find yourself unable to exercise as vigorously or for as long as usual due to respiratory symptoms, you may have EIA.

If you suspect you have exercise-induced asthma, it’s essential to consult a healthcare professional for an accurate diagnosis. They may perform lung function tests, such as spirometry or exercise challenge tests, to confirm the diagnosis and evaluate the severity of your condition.

Treatment for EIA typically involves using a combination of preventive measures and medication. These may include:

  1. Pre-exercise warm-up: Gentle warm-up exercises before engaging in more intense physical activity can help reduce the severity of EIA symptoms.
  2. Medications: Short-acting beta-agonist inhalers, such as albuterol, are commonly used to relieve symptoms quickly before exercise. In some cases, long-acting medications, such as inhaled corticosteroids or leukotriene modifiers, may be prescribed to prevent symptoms from occurring.
  3. Avoiding triggers: Identifying and avoiding triggers that exacerbate EIA symptoms, such as cold or dry air, can help manage the condition.
  4. Proper breathing techniques: Learning techniques to control your breathing during exercise, such as pursed-lip breathing or diaphragmatic breathing, may help reduce symptoms.
  5. Regular monitoring: It’s essential to monitor your symptoms and adjust your treatment plan as needed under the guidance of a healthcare professional.

Overall, with proper management and treatment, most people with exercise-induced asthma can continue to participate in physical activities and maintain an active lifestyle.