When exercising, does your breathing become labored or does your
chest feel tight? If you're not a high-risk candidate for a heart
attack or angina, you might have exercise-induced asthma. Then again
you may not.
"Exercise-induced shortness of breath or chest tightness is a
common manifestation of asthma," says Dr. Miles Weinberger, professor
of pediatrics at the University of Iowa College of Medicine and
director of the Pediatric Allergy & Pulmonary Division at UI
Hospitals and Clinics.
"Generally, asthma is completely treatable. People shouldn't have
to limit activity because they have asthma. Seek help from your
physician to determine the type and severity of asthma affecting
you," he says.
"A type of medication called an inhaled bronchodilator, when used
prior to exercise, is highly effective in preventing exercise-induced
shortness of breath from asthma for up to two to four hours when
pulmonary function at rest is normal or near normal," Weinberger
says. The same inhaled bronchodilator should also promptly relieve
symptoms of asthma once they occur. Asthma associated with abnormal
pulmonary function, even when symptoms occur other than just with
vigorous exercise requires consideration for using a scheduled daily
maintenance medication.
How asthma affects you depends on the severity of your general
physical condition. Obesity and poor physical conditioning increase
exercise-induced asthma.
Weinberger cautions that exercise-induced shortness of breath or
chest tightness that is not prevented by or promptly relieved by an
inhaled bronchodilator requires further evaluation. An exercise study
on a treadmill while measuring oxygen uptake, carbon dioxide
production, heart rate, and lung function can identify both
exercise-induced asthma and many other causes of exercise-induced
breathing problems.
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