An old proverb says, "Life is in the breath. He who half breathes half lives."
If you have allergies, asthma, or other breathing problems, this proverb may sound very familiar. But a better understanding of your condition, along with the right diagnosis and treatment, can help you take control. It doesn't matter what type of breathing problem you have. Daily control is vital to living an active, productive life.
What Causes Breathing Problems?
Some people have trouble breathing when they get a cold. For others, it’s caused by infections like sinusitis. Sinusitis can make it hard to breathe through your nose for a week or two, until the inflammation eases and your congested sinuses begin to drain.
Many breathing problems are long-term (chronic). These include chronic sinusitis, allergies, and asthma. They can cause symptoms such as nasal congestion, a runny nose, itchy or watery eyes, chest congestion, coughing, wheezing, trouble breathing, and shallow breathing.
Your nasal passage is a pathway for viruses and allergens to enter your lungs. So your nose and sinuses are often linked with many lung disorders. Sinus or nasal passage inflammation may trigger asthma attacks. And the No. 1 trigger for asthma is allergies.
More than 50 million Americans have allergies. And 17 million American adults have asthma. The two often happen together. Without treatment, they can make life miserable.
Millions of Americans also have breathing problems because of chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. Breathing problems may also stem from other serious problems such as lung cancer, tuberculosis, pneumonia, COVID-19, and lung disease related to HIV or AIDS.
Which Tests Are Used to Diagnose Breathing Problems?
Doctors diagnose breathing problems by doing a physical exam, asking about your overall health, and using various tests. For instance, pulmonary or lung function tests can measure lung function in people who have asthma. These include spirometry and a test known as a methacholine challenge.
Spirometry is a simple breathing test. It measures how much air you can blow in and out of your lungs, and how fast and how easily you can do this. It can tell whether your airways are blocked and how much. A methacholine challenge test may help with a diagnosis of asthma. Your doctor will know which test is best for your situation.
Your doctor may take an X-ray to see inside your chest, including your heart, lungs, and bones. A chest X-ray is a good test to diagnose pneumonia. But it can't identify most breathing problems by itself. Some people with breathing problems may need a CT scan of their chest. It uses X-rays and a computer to create detailed images.
If you have long-term sinusitis, your doctor may order a special sinus CT scan.
Can Allergy Tests Determine the Cause of Breathing Problems?
Allergy tests may help your doctor find the cause of your breathing problems. One example is the prick technique. Your doctor puts a tiny drop of an allergen on your skin and pokes a needle into the drop. If you’re allergic to that allergen, your body will react by turning red at the site. You may also have itching and swelling.
Another type of skin test involves your doctor injecting the allergen extract directly under your skin. Other tests include:
- Allergy blood tests (called a RAST or radioallergosorbent test)
- A challenge test, in which your doctor gives you tiny amounts of the suspected allergen through your nose or mouth
These are less common than skin testing.
How Are Breathing Problems Treated?
Things that cause breathing problems are known as triggers. Avoiding triggers is the No. 1 way to control allergies and asthma. It may help to wear a dust mask when doing housework or yard work, limit contact with a furry pet, wash bed linens at least once a week, stay indoors during peak pollen times, and change the filter on your air conditioner often.
For asthma, inhaled or oral drugs help open airways and fight inflammation. These medications help ease or even prevent airway blockage and extra mucus. People who have asthma must control inflammation in order to keep their airways open and lower sensitivity to asthma triggers including:
- Viral infections (cold or flu)
- Pet dander
- Mold spores
- Dust mites
- Irritating pollutants in the air
- Fragrances and fumes
- Food allergies
Even exercise and cold weather can trigger asthma in some people.
Can Medical Intervention Help Me Manage Breathing Problems?
People sometimes seek medical help only after they’ve had breathing problems for weeks or months. By the time they start taking medications, they may have damage that takes longer to heal.
The right diagnosis is important before you can treat and prevent breathing problems. Each of us is different. The specific medication and treatment that works for a family member or friend may not be the best one for you.
If you have symptoms of one or more common breathing conditions, talk to your doctor. Prevention and treatment measures can help relieve and possibly end the problems.