Asthma & Wheezing

What is asthma?

Asthma is a disease of the bronchial tubes or the airways that carry air in and out of the lungs. During an asthma episode, three things happen simultaneously: the airway muscles go into spasm and narrow the passage, the airway lining becomes inflamed and swollen, and excess mucus accumulates inside. Together, these make it significantly harder to breathe.

The characteristic wheezing sound of asthma is air being forced through a narrowed, mucus-filled airway. Not every patient wheezes, however — some experience only a persistent cough, chest tightness, or shortness of breath, which can delay diagnosis.

Recognizing the symptoms

Asthma presents differently in different patients. In children, a chronic nighttime cough is often the first and only sign. Symptoms to watch for include:

• Wheezing, whistling, or rattling sound when breathing
• Shortness of breath, especially during activity
• Nighttime or early-morning cough that disrupts sleep
• Chest tightness or a feeling of pressure
• Symptoms that worsen with exercise or cold air
• Frequent "chest colds" that take longer than 10 days to resolve

Can I be tested for asthma?

Allergies to pollen, dust, mold and animals are frequently triggers for asthma. We can do allergy skin testing in the office, typically on your first visit, to help determine the triggers. We also do spirometry (breathing testing) in the office to help determine your lung function.

If your child has a cough that won’t go away, especially at night or after running, asthma may be the reason. An evaluation with our specialists can confirm the diagnosis and get treatment started.