Asthma Complexities (cont.)
Dennis Lee, MD
Dr. Lee was born in Shanghai, China, and received his college and medical training in the United States. He is fluent in English and three Chinese dialects. He graduated with chemistry departmental honors from Harvey Mudd College. He was appointed president of AOA society at UCLA School of Medicine. He underwent internal medicine residency and gastroenterology fellowship training at Cedars Sinai Medical Center.
George Schiffman, MD, FCCP
Dr. Schiffman received his B.S. degree with High Honors in biology from Hobart College in 1976. He then moved to Chicago where he studied biochemistry at the University of Illinois, Chicago Circle. He attended Rush Medical College where he received his M.D. degree in 1982 and was elected to the Alpha Omega Alpha Medical Honor Society. He completed his Internal Medicine internship and residency at the University of California, Irvine.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Unusual symptoms of asthma
- Can a cough without wheezing be due to asthma?
- Nocturnal asthma
- Masqueraders of asthma
- Cardiac asthma
- Other bronchial conditions
- Vocal cord dysfunction (VCD)
- Other hypersensitivity reactions
- Exercise and sports
- Exercise induced asthma (EIA)
- What causes exercise induced asthma?
- What sports are best suited for exercise induced asthma? What sports are not?
- Ways to prevent and treat exercise induced asthma
- Conditions that may worsen asthma
- Gastroesophageal reflex disease
- The allergic rhinitis-asthma connection
- Sinusitis and asthma
- Air pollution
- Food allergy
- Asthma Complexities At A Glance
- Find a local Asthma & Allergy Specialist in your town
Ways to prevent and treat exercise-induced asthma
- Choose an appropriate sport.
- Make sure that your asthma is under good control before you begin exercising. Refrain from exercise and consult your doctor if your asthma is poorly controlled.
- Warm up for at least 10 minutes prior to exercise. This takes advantage of a "window of safety" which may last up to an hour, often preventing exercise-induced asthma.
- Avoid exercising in cold, dry air and on smoggy days. Covering the mouth and nose with a scarf in cold weather can be helpful.
- If asthma symptoms occur during exercise, stop immediately and rest. Do not attempt to "run through" the symptoms. If your breathing difficulty continues, use an inhaled bronchodilator.
- Following completion of exercise, do "cool down" exercises for 10 minutes to allow the bronchial tubes to re-warm slowly.
- Preventative use of inhalers that contain cromolyn sodium (Intal) or bronchodilators, such as albuterol (Ventolin, Proventil), 15 to 20 minutes before exercise is usually effective. Long-acting bronchodilators, such as salmeterol (Serevent), should be taken 60 minutes before exercise. Recently, the leukotriene modifiers, montelukast (Singulair) and zafirlukast (Accolate), taken daily in pill form have been found to help prevent exercise-induced asthma in some athletes.
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