Dr. Ghanem Aldik, Consultant Respiratory Physician
03 Oct
03Oct


Asthma is one of the most prevalent long-term health conditions worldwide. It affects people of all ages, from young children to older adults. For some, it’s a mild inconvenience; for others, it’s a daily struggle that impacts work, school, and quality of life. The good news is that with the right knowledge and management, most people with asthma can live full and active lives.

In this article, we’ll explain what asthma is, the typical symptoms, common triggers, and the practical steps you can take to control it.

What Is Asthma?

Asthma is a condition where the airways — the tubes that carry air in and out of your lungs — become inflamed and sensitive. This makes them prone to narrowing in response to certain triggers. When that happens, it becomes harder to breathe.

Asthma is:

  • Chronic: it doesn’t just “go away,” though symptoms may vary over time.
  • Variable: some days are better than others; symptoms can flare up unexpectedly.
  • Treatable: with the right medications and self-management, asthma can be well controlled.

You can find more information about asthma here...

A young Lady with Asthma using an inhaler

Recognising the Symptoms of Asthma

Asthma can feel different from person to person, but common symptoms include:

  • Wheeze – a whistling sound when you breathe, often worse at night or early morning.
  • Cough – persistent, sometimes only at night or after exercise.
  • Shortness of breath – feeling breathless or unable to get enough air.
  • Chest tightness – a feeling of pressure or heaviness in the chest.

Symptoms can range from mild and occasional to severe and persistent. A key feature of asthma is that these symptoms come and go, but they can become dangerous if not treated.

What Triggers Asthma?

Asthma symptoms are often set off by certain exposures or activities. Triggers vary between people, but some of the most common include:

Allergens

House dust mites, pollen, mould spores, animal dander.

Infections

Colds, flu, and other viral infections often worsen asthma.

Exercise

Especially in cold or dry air; known as exercise-induced asthma.

Air Quality

Smoke, traffic fumes, strong odours, air pollution.

Weather Changes

Cold, damp, or sudden temperature changes.

Emotions & Stress

Strong emotions like laughter, crying, or stress can tighten airways.

Knowing your personal asthma triggers is crucial to managing the condition effectively.

person having an asthma attack


Asthma Attacks: What You Need to Know

An asthma attack happens when symptoms suddenly worsen:

  • Breathing becomes very difficult.
  • Reliever inhaler (usually the blue one) doesn’t help or relief doesn’t last long.
  • Talking or walking becomes hard due to breathlessness.

Asthma attacks can be life-threatening. If someone is having a severe attack, call emergency services immediately.

inhalers used in ashma


The Role of Inhalers

Most asthma treatment involves inhalers, which deliver medicine directly to the lungs.

Reliever inhalers (usually blue)

Used when symptoms appear.

Work quickly to relax the airway muscles.

This is being used less in favour of combination inhalers.

Preventer inhalers (usually brown, orange, or red)

Taken daily, even when you feel well.

Contain steroids that reduce airway inflammation.

Crucial for long-term control.

Combination inhalers

Include both a preventer and a long-acting reliever. Those are essentially fast-acting preventers, and they are becoming the mainstream treatment.

Correct inhaler technique is vital. Studies show many people don’t use their inhaler correctly, which means the medicine doesn’t reach the lungs properly. If in doubt, ask a doctor, nurse, or pharmacist to check your technique.

funny inhaler technique

Self-Management: Taking Control of Asthma

Living well with asthma means more than just using inhalers. It involves self-management strategies that put you in control.

Asthma Action Plan

Every patient should have one — a written guide from your doctor that explains what medicines to take daily, how to adjust them if symptoms worsen, and when to seek urgent help.

Know Your Triggers

Avoiding or reducing exposure to triggers (dust mites, smoke, pollution, etc.) makes flare-ups less likely.

Monitor Your Symptoms

Keep a diary or use an app to record breathlessness, cough, or inhaler use. Some people use a peak flow meter at home to measure lung function.

Stay Fit and Healthy

Regular exercise, a balanced diet, and good sleep can help lung health. If exercise triggers asthma, use your reliever inhaler beforehand (on medical advice).

Get Vaccinated

Annual flu vaccines and other relevant vaccines (COVID, RSV, pneumonia) can reduce the risk of respiratory infections that trigger asthma.


When to Seek Medical Help

You should see a healthcare professional if:

sick asthmatic person in hospital with Doctor
  1. You use your reliever inhaler more than twice a week.
  2. Symptoms wake you up at night.
  3. You’ve had an asthma attack.
  4. Your cough or breathlessness is worsening despite treatment.

Regular reviews with your healthcare team are key to staying in control.


Living Positively with Asthma

Asthma doesn’t have to limit your life. With the right treatment and habits, most people can:

  • Exercise regularly.
  • Travel.
  • Work and study without restrictions.
  • Enjoy good quality of life.

Knowledge is power — understanding your symptoms and triggers, using inhalers properly, and sticking to your action plan will keep asthma under control.

positive healthy people


Key Takeaways

  • Asthma is a common but controllable condition affecting millions worldwide.
  • Symptoms include wheeze, cough, breathlessness, and chest tightness.
  • Triggers vary but often include allergens, infections, and pollution.
  • Inhalers (relievers and preventers) are the cornerstone of treatment.
  • Self-management with an action plan, lifestyle choices, and regular reviews is essential.
  • Severe asthma attacks are emergencies — always seek urgent help.

If you suspect you have asthma, or your asthma control is poor. Book your appointmetn with Dr Aldik here....

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