Signs Asthma is Getting Worse: What to Watch Out For

Worried your asthma might be getting worse? It’s important to keep an eye on any changes, as asthma can escalate quickly. Here’s what to watch out for and when it might be time to seek help!

Asthma is one of those conditions that can be tricky because its symptoms vary from person to person and can change over time. Sometimes, you may think you’re doing fine, but suddenly you notice you’re feeling short of breath or coughing more. If you’ve been living with asthma for a while, you probably know what feels “normal” for you. However, there are times when asthma starts getting worse, and it’s crucial to spot the signs early. In this article, we’ll dive into the key signs that your asthma might be getting worse. By recognizing these early warning signs, you’ll be in a better position to manage your asthma before it becomes more serious.

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1. Increase in Frequency of Symptoms

If you’ve noticed that your asthma symptoms are happening more often—like coughing, wheezing, or shortness of breath—it could mean your asthma is getting worse. This could happen for a variety of reasons: maybe you’re exposed to a new allergen or you’ve been experiencing a lot of stress. In any case, if these symptoms are becoming a more regular occurrence, it’s a sign your asthma might not be under control.

Example:
Let’s say you’ve only had asthma flare-ups during allergy season, but now you’re dealing with coughing and wheezing at random times or even during the night. If this sounds like you, it might be a sign your asthma is escalating.

2. Using Your Rescue Inhaler More Often

If you’re reaching for your rescue inhaler more often than usual, that’s a pretty clear indication that something’s not right. A rescue inhaler is designed to give you quick relief during an asthma attack, but if you need it frequently, it means your asthma is likely not controlled.

Example:
If you’re using your inhaler multiple times a day, that’s more than normal. Ideally, rescue inhalers should only be used occasionally during an asthma attack. Frequent use could mean your asthma treatment plan isn’t working well anymore.

3. Waking Up at Night with Symptoms

Asthma symptoms that disrupt your sleep are another sign that things might be getting worse. If you’re waking up at night due to coughing, wheezing, or shortness of breath, it’s time to pay attention. Nighttime symptoms can indicate that your asthma is not well-controlled and that you need to adjust your medication or treatment plan.

Example:
Let’s say you’ve never had trouble sleeping because of asthma, but now, you wake up several nights a week feeling short of breath. That’s a red flag.

4. Difficulty Speaking or Exercising

When asthma worsens, you might find it more difficult to do everyday activities that you used to take for granted, like speaking in full sentences or exercising. If you’re finding it harder to catch your breath, especially when you’re active or talking, this is a sign that asthma may be on the rise.

Example:
If you’re out for a walk or doing light exercise and you find yourself gasping for air, that’s a big indicator that your asthma is worsening. Even talking without getting winded could become a challenge.

5. Changes in Peak Flow Measurements

If you have a peak flow meter, which measures how well air moves in and out of your lungs, you might notice a drop in your readings. A sudden decrease in peak flow can indicate that your airways are narrowing, which is a sign your asthma is getting worse. This is something that can be monitored at home to see if your asthma control is slipping.

Example:
If your peak flow readings are consistently lower than usual, even after taking your prescribed medications, it’s a good idea to check in with your doctor for further evaluation.

6. Increased Sensitivity to Triggers

As asthma worsens, you might become more sensitive to things that previously didn’t trigger a reaction. This could include dust, pet dander, smoke, or even weather changes. When you notice your asthma being triggered by things that didn’t affect you before, it could be a sign that your condition is deteriorating.

Example:
You might notice that you’re suddenly sneezing or wheezing in places where you previously had no issues, like at a friend’s house with pets or when walking through a smoky area.

7. Persistent or Worsening Coughing

A cough that won’t go away or gets worse over time is a common sign that asthma is not under control. If your cough is frequent, especially at night, and doesn’t seem to improve with medication, this could indicate that your asthma is progressing.

Example:
Maybe you’ve had a slight cough for a while, but it’s getting more persistent, especially at night. It’s keeping you up and making it harder to breathe. That could mean your asthma is getting worse.

What To Do if You Notice These Signs

If you notice any of these signs, it’s crucial to act quickly. Talk to your doctor about adjusting your asthma management plan. Sometimes that means adjusting your medication, finding new triggers to avoid, or even considering new treatments. The sooner you take action, the better you’ll be at keeping your asthma under control.

Appendices

FAQs

Can asthma suddenly get worse without warning? Yes, asthma can worsen suddenly due to triggers like infections, weather changes, or stress. It’s important to monitor your symptoms regularly and adjust your treatment plan as needed.
How do I know if I need to change my asthma medication? If you’re using your rescue inhaler more often, having trouble breathing, or experiencing more frequent symptoms, it may be time to talk to your doctor about changing your medication.
What’s the best way to prevent asthma from getting worse? Avoid triggers, stay on top of your prescribed medications, and monitor your peak flow regularly. A good relationship with your doctor is key to adjusting your treatment plan when necessary.
Can exercise worsen asthma? Exercise can be a trigger for some people with asthma, but it doesn’t always make asthma worse. If you find yourself wheezing during exercise, you may need to adjust your medication or warm up properly.
When should I seek emergency help for my asthma? If your symptoms are not improving with medication or you are struggling to breathe, seek emergency medical help immediately.

References

American Lung Association. (2023). Understanding Asthma Symptoms. Read Article
National Heart, Lung, and Blood Institute. (2024). Asthma Management and Treatment. Read Article

Disclaimer:

The information provided in this article is for educational purposes only and is not a substitute for professional medical advice. Always consult with your healthcare provider for diagnosis and treatment tailored to your specific needs.