How to Treat Asthma

Treating asthma is tough, so prevention is #1.

Rob Lamberts, MD
5-minute read
Episode #33

What Triggers Asthma?

Avoiding things that trigger asthma is the first step in prevention. If you have asthma you should avoid the following:

Cigarettes – If you smoke and have asthma, please stop. Smoking asthmatics are like the guy coming to my office who says, “Doc, it really hurts me when I hit my hand with this hammer. What should I do?”  Stop hitting yourself with a hammer.

Second-Hand Smoke – Children of people who smoke are at increased risk of developing asthma and at increased risk of going to the hospital with it. Don’t hit your kid with a hammer either.

Allergies – For those who have asthma related to allergies, avoiding the allergen is the best strategy. If you are allergic to cats and have asthma, you probably should get rid of Fluffy. Dust mites and molds are common allergens and can be reduced by taking certain measures. Special air filters, like HEPA filters, can remove pollen from indoors and reduce asthma symptoms (although when you step outside, all bets are off). Allergy shots reduce allergy symptoms, but it isn’t clear if they help asthmatics.

Pollution – Cities with bad pollution problems have higher rates of asthma. If you live in such a place, pay attention to air quality reports.

Additionally, exercise can trigger asthma. But if a person has symptoms when they exercise, I don’t recommend avoiding exercise altogether. It’s really common for asthmatics to do this, but it shouldn’t happen. I don’t consider asthma under control unless a person has no limitations on activity. If asthma limits you, get treatment.

How to Prevent Asthma with Medication

Inhaled steroids are the mainstay of preventive medications.  Since they are inhaled and act mainly on the lining of the bronchi, they have much fewer side effects than those taken by mouth or IV. Someone who is prone to asthma attacks can greatly reduce their chance of having one by using inhaled steroids on a daily basis.

There are also prescription allergy pills that reduce inflammation, and there are also are long acting brochodilators, both of which can reduce asthma severity and prevent attacks. Talk to your doctor to see which medication is best for you. Dang, that sounds like a TV commercial.


Please note that all content here is strictly for informational purposes only. This content does not substitute any medical advice, and does not replace any medical judgment or reasoning by your own personal health provider. Please always seek a licensed physician in your area regarding all health related questions and issues.