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Asthma from cold air?

In recent years my asthma has gotten a lot better, mostly because I learned to avoid allergens. Unfortunately one thing keeps nagging me, and that is physical activity in cold air. I love running, but around 13°C/55°F any physical activity that is more intense than just walking triggers my asthma. The cold air feels bitting and leads my lungs to contract.

I was wondering if you people experience this the same way, if someone has an explanation for this phenomenon, and most importantly if there are any remedies or exercises to alleviate it.

Best
Oskar

  1. HI. Thank you for your post. I experienced this for the majority of my life. And, like you, it was when the temperature was 55 or less. I used to run outside when my asthma was controlled. But if the weather was 55 or less I'd have to work out inside. Interestingly, after a few additional tweaks to my asthma regimen (mainly adding a newer controller inhaler ) cold air doesn't trigger my asthma like it used to. Perhaps your doctor needs to make just that one more tweak to your treatment regimen. Perhaps that will help you over come this asthma trigger like to did for me. What do you think? I also want to address why cold air triggers asthma. I briefly described the science behind it in this post (https://asthma.net/living/triggers-list). If you'd like additional information, feel free to let me know. I hope this helps. John. fellow asthmatic and community moderator.

    1. hey John, Thank you for the insightful reply! Interesting to know, that its the same temperature where we start getting problems.

      I have my Asthma so well under control that I practically ceased to use medication, except for the few times a year when I accidentally come into contact with allergens. Even so, I'd be interested to know what exactly your doctor tweaked, that lead to the improvement you experienced.
      Best
      Oskar

  2. Hi again It's awesome that you don't need to take mediicne most of the time. That must be a good feeling not to have to take meds every day. In my case, better control started when my doctor switched me from just a corticosteroid inhaler (in my case Flovent) to the combination inhaler Advair. I have since learned that pretty much any of the asthma combination inhalers works well for me. Although, like you, there are times I still experience asthma symptoms when I'm exposed to certain triggers. For that reason, my doctor is currently trialing me on Trelegy, which has three medicines inside of it. So far I haven't noticed much of a difference with it. But I will continue using it for a while to see. Do you have any inhalers that you use? John. community moderator.

    1. I just use a Salbutamol spray whenever I have one of my rare attacks which still works great if I'm not using it multiple days in a row. If I ever resume taking long term medication I'll definitely consider asking for a combination inhaler. Never even heard about that before

    2. Thank you for the update. It certainly sounds like your asthma is well controlled. Yes, combination inhalers are certainly a nice option for us asthmatics if we need to step up treatment. Hopefully, though, your asthma continues to behave and you won't need to resort to them. Wishing you all the best. John. community moderator.

  3. Hi - I've had this problem since I was about 10 and my brother brought home 3 little kittens he found on the street. Unfortunately, that trigger was the start of my asthma journey, and I have had many attacks since. However, I found that exercise-induced asthma has impacted me the most. I studied dance from 5th grade through graduating with a BFA in dance in college, and have had to manage it daily. At first, I struggled not knowing anything about this chronic illness.

    Like you, cold temperatures affect me a bit more than just exercise. I grew up in Buffalo, NY and as well-known, the weather is quite frigid there. It was a significant issue for me. I managed it 8 months out of the year during fall, winter, and spring. Not nearly so much in summer, but allergens were a concern. Many times running to catch the bus, rushing home after school, and being around the bus exhaust leaving school in cold weather - all put me at more risk of an attack and had me reaching for my inhaler. As I got older, I was put on a controller inhaler with two meds as well. It has helped quite a bit, but I do still reach for my rescue to assist when I run into a combination of exercise, allergens, and/or cold weather.

    Currently, I'm in Arizona and the weather here has been HOT. I've found this affects me as well. Out in the yard last night temps still very warm at 105 degrees F and muggy, my lungs began to close up.

    I find I am fine when the air is 65 - 100 degrees F, but with any variation of triggers, moisture, or high or cool temps I am affected. Put any amount of exercise along with these - I am suffering. Though the double med inhaler helps, I still wheeze.

    Hope you find relief. It is very difficult to manage this chronic illness. Rebecca (team member)

    1. Hey, thanks for sharing! Luckily warm temperatures don't trigger my asthma

    2. Thanks again for following up! There were a few forum posts last winter regarding cold weather triggers. Some members mentioned they would pull a scarf or mask over their face to keep the air warm while they were outside. Do you think this would be something that would work for you? -Lauren (team member)

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