Description

Exercise-induced asthma or bronchospasm may affect a person when exercising under certain conditions. It can be a challenge to diagnose in a person with vague or nonspecific symptoms. A high index of suspicion is necessary to identify a person who should be screened.


 

Types of people that may be involved:

(1) A person with diagnosed asthma, made worse on exercise.

(2) A person with subclinical asthma, triggered by exercise.

(3) A person with transient bronchospasm secondary to viral bronchitis, etc.

 

Factors from the person's history:

(1) family history of asthma

(2) recurrent allergic rhinitis or allergic sinusitis

(3) asthma

(4) current upper or lower respiratory infection

 

Symptom onset during continuous strenuous exercise:

(1) running

(2) cross country skiing

(3) ice skating, figure skating or ice hockey

 

Environmental features typically associated with an attack:

(1) cold environment

(2) polluted air

(3) pollen season

(4) dust

 

Environment where symptoms may be absent:

(1) warm and humid (but without pollen)

(2) absence of pollen or dust

(3) nonpolluted air

 

Self-reported symptoms alone may or may not correlate with changes in pulmonary function tests.

 

Clinical findings:

(1) wheezing

(2) cough during or after exercise

 

Other complaints may include:

(1) feeling out of shape (especially in a trained athlete)

(2) headache

(3) shortness of breath

(4) muscle cramps

(5) fatigue

(6) dizziness

(7) stomach cramps

 


To read more or access our algorithms and calculators, please log in or register.