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Preparation for Consultation – Asthma

Back Preparing for your first consultation If you have signs of asthma, it is important to see a doctor. They can figure out what is wrong, start a treatment plan, or send you to a specialist if needed. This guide will help you get ready for your first visit so you can make the most of it. It can be helpful to bring someone with you, like a family member or friend. They can ask questions you might forget, write down important information, and help you remember what the doctor says. If you feel nervous or overwhelmed, having someone with you can also help you feel supported. You can also ask permission to record the consultation on your mobile phone, so you don’t forget anything. Here you’ll find a guide to prepare for your first consultation. Download the First Consultation Guide Preparing for your follow-up consultation We’ve also developed a separate patient guide to help you get ready for your next visit with your doctor (follow-up). It explains when to see your doctor or asthma nurse, helps you reflect on your health, decide what’s important to you to discuss, and check how well your treatment is working—including both benefits and any side effects. It also reminds you what items to bring to your follow-up appointment. By preparing, you can feel more confident, use your time with your doctor efficiently, and take charge of your health. Download the Follow-Up Consultation Guide Bring your Asthma Action Plan to your consultation If you received an Asthma Action Plan during your first visit, make sure to bring it with you to your follow-up. It’s a great opportunity to go over it together with your doctor or asthma nurse and make any needed updates. If you haven’t been given one yet, don’t worry — you can download our Asthma Action Plan below and take it with you to your appointment. Your healthcare provider can help you fill it out. This simple, one-page plan shows you how to manage your asthma day-to-day and what to do if your symptoms get worse. It’s a helpful tool to feel more confident and in control of your asthma. Download the Action Plan Tools to evaluate your asthma control Sometimes, your doctor might ask you to fill out a survey to understand your symptoms better. These surveys help your doctor see how your condition is affecting you. For example: How did asthma affect your sleep and early mornings? How did asthma interfere with your everyday activities? How often did you experience symptoms like wheezing or feeling short of breath? How many times did you need to use your quick-relief inhaler? Asthma Control Questionnaire We have added a validated survey (ACQ: Asthma Control Questionnaire) that doctors often use. Filling in these questions and sharing this information can help your doctor get a clearer picture of what you are going through. Download the Asthma Control Questionnaire Asthma Control Diary Another useful tool to consider before your appointment—or one that your doctor or asthma nurse might ask your to complete—is an asthma diary. It helps track your asthma day by day, giving you insights into your symptoms and control. We’ve included an example (ACD: Asthma Control Diary) here on our patient portal for you to download and fill out. This diary should be completed twice a day—once in the morning before taking your asthma medication, and once at night before bed. If you have a peak flow meter at home, it’s important to use it before taking your medication in the morning and write down the result in the diary. The diary helps you track how your asthma is affecting your daily life – similar to the validated survey we mentioned earlier (ACQ)- and also includes space to record your peak flow readings. Download the Asthma Control Diary You can also use a monitoring tool on your mobile phone. Disclaimer This website does not provide medical advice. The information, including but not limited to, text, graphics, images, and other material contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment and/or medical treatment of a qualified physician or healthcare provider. EUFOREA is not a medical organisation and cannot provide specific medical advice to patients via the Internet and/or E-mail. All patients are encouraged to direct their specific questions to their personal physicians. EUFOREA presents this information to patients so that patients can understand and participate in their own medical care. EUFOREA strongly emphasises that the information contained on this website is not a substitute for thorough evaluation and treatment by a qualified healthcare provider. Copyright © 2025 – EUFOREA – All rights reserved. All content on this portal, such as text, graphics, logos and images, is the property of EUFOREA. They may not be reproduced, copied, published, stored, modified or used in any form, online or offline, without prior written permission of EUFOREA. Overview Preparing for your consultationYour follow-up consultationBring your Asthma Action Plan to your consultationTools to evaluate your asthma control Asthma Control Questionnaire Asthma Control Diary

Patient Initiatives

Back Patient initiatives Welcome to the Patient Initiatives! In this section, we highlight the various ways you can connect, engage, and take action as part of the asthma community. Whether you’re looking for support, want to stay informed, or are inspired to get involved, these initiatives are here for you. Would you like to receive further information or register for any of the activities? Please contact Xander Bertels, our Patient Advisory Board & Advocacy Manager, at xander.bertels@euforea.eu. Patient Testimonials Find out more patient stories on our dedicated page here. TESTIMONIALS TO BE ADDED AT A LATER DATE World Asthma Day EUFOREA proudly endorses World Asthma Day, a global initiative led by the Global Initiative for Asthma (GINA) and held annually on the first Tuesday of May. Each year, World Asthma Day plays a vital role in spotlighting asthma, empowering patients, and driving change toward more equitable, effective care. Together with our Patient Advisory Board, EUFOREA supports the mission of World Asthma Day by amplifying patient voices, highlighting unmet needs, and promoting access to multidisciplinary, personalised, and future-oriented asthma care. With this Patient Portal, EUFOREA brings a wealth of information and tools to help patients navigate their condition and actively engage in their care. We aim to ensure that every person living with asthma has access to education from world-leading experts, making it easier to achieve optimal care. Patient Advisory Board At EUFOREA, one of our key goals is to bring stakeholders together, and our Patient Advisory Board is a great example of this mission in action. With quarterly meetings, the Advisory Board empower patients to comment on care delivery and discuss the latest trends in asthma and other airway diseases. This is more than just connecting with others who truly understand your journey; it’s also about turning shared experiences into real, practical impact. This very Patient Portal you’re using is one of the outcomes of these discussions! The Patient Advisory Board focuses on unmet needs and how asthma affects daily life, ensuring patient voices are at the centre of improving care and support. By working together, we’re driving meaningful change for the entire asthma community. Patient Advisory Board PEARL Course (Patient Experts in Airways & Respiratory Leadership) On 17 April 2026, EUFOREA will organise its first hybrid Patient Experts Training Course at the Royal Academy of Medicine in Brussels. Block your agenda for this unique event, providing you with essential information to become a certified Patient Expert! As a Patient Expert, you are better equipped to self-manage your asthma and effectively communicate with your healthcare providers. Also, you will be able to: contribute to your community by reviewing clinical studies (patient-centred approach and lay language) being involved in the reimbursement of new innovative medicines. Free virtual and in-person attendance, with mobility grants for international patients joining in Brussels. 20km run for airway diseases Living near Brussels (Belgium)? You might consider joining our EUFOREA Delegation to run for asthma and other airway diseases on May 31, 2026! As part of the team, EUFOREA will sponsor your entry fee, and you’ll receive a colourful EUFOREA jersey. Registration for the next edition will open after summer. For more practical details, visit the organiser’s website for the 20km Run of Brussels. Patient organisations Disclaimer This website does not provide medical advice. The information, including but not limited to, text, graphics, images, and other material contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment and/or medical treatment of a qualified physician or healthcare provider. EUFOREA is not a medical organisation and cannot provide specific medical advice to patients via the Internet and/or E-mail. All patients are encouraged to direct their specific questions to their personal physicians. EUFOREA presents this information to patients so that patients can understand and participate in their own medical care. EUFOREA strongly emphasises that the information contained on this website is not a substitute for thorough evaluation and treatment by a qualified healthcare provider. Copyright © 2025 – EUFOREA – All rights reserved. All content on this portal, such as text, graphics, logos and images, is the property of EUFOREA. They may not be reproduced, copied, published, stored, modified or used in any form, online or offline, without prior written permission of EUFOREA. Overview Patient initiativesWorld Asthma DayPatient Advisory BoardPatient Experts Training Course20km run for airway diseasesPatient organisations

References

Back Acknowledgements This portal could not have been developed without the support of several people. We would like to acknowledge the following people for their contributions. EUFOREA Core team Dr Sophie Scheire (project lead, coordinator, content development) Tania Lopes (audiovisual content and portal development) Stéphanie Gailly (audiovisual content and portal development) Katie Tassell (audiovisual content and proof-reading) Dr Xander Bertels (proof-reading and content development) Lieve Celis (proof-reading) Vanessa Stockton (proof-reading) Lindsay Cypers (proof-reading) Prof Dr Peter Hellings (project supervisor) Also, we would like to acknowledge the contributions by EUFOREA’s Board (Prof Dr Glenis Scadding and Prof Dr Vibeke Backer) and Asthma Panel Members, with Prof Dr Vibeke Backer as Asthma Panel Chair. Additionally, a special thanks to the following experts for their role in the development of the Expert videos for current and upcoming modules. Prof Dr Guy Brusselle (Ghent University Hospital, Belgium) Prof Dr Vibeke Backer (Copenhagen University Hospital, Denmark) Dr. Dermot Ryan (Honorary researcher, University of Edinburgh. Board member of International Primary Care Respiratory Group, UK) Dr Manon Blauwblomme (Ghent University Hospital, Belgium) Sven Verschraegen (Ghent University Hospital, Belgium) Prof Dr Anju T. Peters (Northwestern University Feinberg School of Medicine, United States) Dr Yasmeen Ali (Northwestern University Feinberg School of Medicine, United States) Prof Dr Lies Lahousse (Pharmaceutical Care Unit, Ghent University, Belgium) Dr Guy Scadding (Royal Brompton Hospital, UK) Additionally, we would like to extend a special thanks to the following asthma experts for the review of the content: Dr Sebastian Riemann (Ghent University Hospital, Belgium) Dr Nora Marain (University Hospitals Leuven, Belgium) Prof Dr Frederik Trinkmann (Thoraxklinik Heidelberg, Deutschland) Dr. Lieven Dupont (University Hospitals Leuven, Belgium) Dr. Guy Joos (Ghent University Hospital, Belgium) Lastly, we would like to sincerely thank all members of EUFOREA’s Patient Advisory Board for their direct input and feedback, with a special thanks to Dr Catherine Shire (Co-Chair). Funding The EUFOREA Patient Portal is supported by an unrestricted grant by Sanofi-Regeneron. EUFOREA has and maintains full editorial control over the content and publication decisions. References Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2025. Updated May 2025. Available from: www.ginasthma.org EUFOREA Asthma Pocket Guide (Professional Pocket Guides – Patient Pocket Guides) www.uptodate.com https://www.galenushealthcompass.com https://community.aafa.org https://ginasthma.org/about-us/faqs/ https://allergyasthmanetwork.org www.lung.org https://www.asthmaandlung.org.uk/conditions/asthma https://allergyasthmanetwork.org/news/myths-about-asthma/ https://my.clevelandclinic.org/health/diseases/6424-asthma https://www.who.int/news-room/fact-sheets/detail/asthma https://www.hopkinsmedicine.org/health/conditions-and-diseases/asthma/occupational-asthma https://www.nhs.uk/conditions/asthma/ https://www.cdc.gov/asthma https://www.aaaai.org https://www.mayoclinic.org/diseases-conditions/asthma Logbook August 11, 2025: Launch of the Asthma module on the Patient Portal   Disclaimer This website does not provide medical advice. The information, including but not limited to, text, graphics, images, and other material contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment and/or medical treatment of a qualified physician or healthcare provider. EUFOREA is not a medical organisation and cannot provide specific medical advice to patients via the Internet and/or E-mail. All patients are encouraged to direct their specific questions to their personal physicians. EUFOREA presents this information to patients so that patients can understand and participate in their own medical care. EUFOREA strongly emphasises that the information contained on this website is not a substitute for thorough evaluation and treatment by a qualified healthcare provider. Copyright © 2025 – EUFOREA – All rights reserved. All content on this portal, such as text, graphics, logos and images, is the property of EUFOREA. They may not be reproduced, copied, published, stored, modified or used in any form, online or offline, without prior written permission of EUFOREA. Overview AcknowledgementsFundingReferencesLogbook

Glossary about Asthma

Back A AERD: Short for Aspirin-Exacerbated Respiratory Disease (also known as N-ERD or Samter’s Triad). This condition causes breathing symptoms, such as asthma or nasal issues, to worsen when taking certain painkillers like aspirin or ibuprofen (NSAIDs). People with AERD typically have a combination of three problems: asthma, nasal polyps, and sensitivity to aspirin or similar anti-inflammatory drugs.Airways: Tubes that carry air in and out of your lungsAllergen: A substance (like pollen, dust mites, or pet dander) that can cause an allergic reaction in certain people.Allergic rhinitis (hay fever): An allergic reaction in the nose that can make you sneeze, have a runny or stuffy nose, and itchy/watery eyes. Often triggered by pollen, dust mites, or pets.Anti-inflammatory: A term for medicines (like corticosteroids) that reduce swelling, redness, or irritation in the body.Anti-inflammatory reliever (AIR): A reliever inhaler that combines a fast-acting medicine to quickly open the airways with an inhaled steroid to reduce swelling and inflammation in the lungs.Antibiotics: Medicines used to kill or slow down the growth of bacteria. Sometimes prescribed for patients with uncontrolled severe asthma.Asthma: A lung condition where the airways become inflamed and narrow, making it hard to breathe. People with asthma often have other diseases as well, such as chronic rhinosinusitis or allergic rhinitis (hay fever).Atopic Dermatitis (eczema): a skin condition that causes areas of the skin to become dry, itchy, inflamed, and sometimes flaky. B Biologics: Special medicines given by injection that target specific parts of the immune system to reduce inflammation. Used when other options haven’t worked and after a specialist has made a detailed assessment of your condition.Bronchial thermoplasty: A treatment for some people with severe asthma, done in a specialist centre. It uses gentle heat to reduce extra muscle around the airways, helping them stay open and making breathing easier.Bronchoconstriction: A medical term that describes the narrowing of the airways in the lungs, which makes it more difficult to breathe.Bronchodilator: A type of medication that relaxes the muscles around the airways, helping them open up and making it easier to breathe.Bronchodilator reversibility test (BDR): A lung function test that is performed alongside spirometry (another lung function test, see Spirometry) to determine whether your airways respond to medication –  and if so, how much your lung function improves as a result.Bronchoprovocation test/Bronchial challenge tests: Bronchoprovocation testing is a diagnostic procedure that assesses the sensitivity or reactivity of the airways to specific substances, such as methacholine. C Chest symptoms: Issues such as coughing, shortness of breath, wheezing, or tightness in the chest—often linked with lung conditions like asthma or COPD.Chronic: Means that something lasts a long time, often for months or years. It usually doesn’t go away quickly and may come back again and againChronic obstructive pulmonary disease (COPD): A long-term lung disease (often linked to smoking or polluted air) where airways and tiny air sacs in the lungs are damaged, causing breathing difficulties.Chronic rhinosinusitis (CRS): A condition defined by long-lasting inflammation inside the nose and sinuses, causing symptoms like a stuffy nose, runny nose, loss of smell, and facial pain.Comorbidities: Other conditions or diseases that occur at the same time as the main condition. For example, many people with asthma also have chronic rhinosinusitis (CRS) or allergies.CT scan: An imaging test that takes detailed pictures of the inside of your body (in this case, your lungs) to check for other problems or complications that might be causing symptoms or making asthma harder to control. D Diagnosis: The process where a doctor determines what health condition a person has.Differential diagnosis: A list of possible conditions that could explain a patient’s symptoms. Before confirming CRS, your doctor will consider other conditions that could cause your symptoms. E Eosinophils: Eosinophils are a type of white blood cells responsible for inflammation. People who have high levels of eosinophils can have increased swelling in the airways which can lead to asthma symptoms.Eosinophilic asthma: A subtype of asthma characterized by high levels of eosinophils, a type of white blood cell, in the airwaysEndotyping / Phenotyping: Specialist terms for classifying a disease by looking at the exact type of inflammation or cells involved. This helps doctors tailor treatments, like deciding what type of biologics to use.ENT doctor (Ear-Nose-Throat specialist): A doctor who specialises in conditions affecting the ear, nose, and throat. Also called an otolaryngologist.Exacerbation: A sudden worsening or flare-up of symptoms. If you understand when you’re having an exacerbation, you can see your doctor sooner and adjust medications if needed. F FENO (Fractional exhaled nitric oxide) test: A simple breathing test that measures the level of nitric oxide in the air you breathe out. Higher levels can be a sign of inflammation in your airways.Forced oscillation technique (FOT): A lung function test that uses gentle pressure waves during normal breathing. It’s especially useful for people who can’t perform traditional tests like spirometry. G Gastroesophageal reflux disease (GERD): A common condition in which the stomach contents move up into the esophagus and cause heartburn. Glaucoma: An eye condition that damages the optic nerve, often due to high pressure inside the eye. This damage can lead to vision loss or even blindness if not treated. H House dust mite: Tiny insect-like pests found in household dust that can trigger allergies and make asthma or CRS symptoms worse if you are allergic. I Immune system: Your body’s defence against infections and foreign substances. In asthma, this system may overreact, causing ongoing inflammation.Immunotherapy: A treatment that may help the body get used to allergens so it reacts less over time. Often given as injections or drops/pills under the tongue.Inflammation: Swelling or irritation in the body’s tissues, often due to the immune system’s response to infection or irritants. Asthma is driven by long-lasting inflammation.Inherited: Refers to traits or a higher chance of developing certain conditions that are passed from parents to children through genes.In remission: When a chronic condition is no longer causing significant symptoms.-itis (suffix): A medical ending that means “inflammation.” Whenever you see “-itis” in a word (like rhinitis or

Common questions about Asthma -FAQ

Back Our FAQs address detailed and common questions about asthma, especially for those with long-standing conditions. If you still have unanswered questions after reviewing this portal, feel free to contact our team at contact@euforea.eu. Please note that we cannot answer personal inquiries. About the disease What is asthma? Asthma is a long-term (chronic) condition that affects the airways (the breathing tubes in your lungs). It causes three main changes in the airways: inflammation of the inner lining of the airways, tightening of the muscles around the airways, and extra production of mucus. People with asthma can get symptoms like wheezing, breathlessness, a cough or a tight chest. Sometimes symptoms can get worse quickly. This is called an asthma attack or asthma flare-up. Some people with asthma don’t realise they have it. They may think they just keep getting repeated chest infections or colds, when in fact, asthma could be the real cause. Is asthma a psychological disease? No, asthma is not a psychological condition. Some people think this because stress or strong emotions can sometimes make asthma symptoms worse. But asthma is a physical health problem affecting the airways in your lungs. The airways become swollen and narrow, making it hard to breathe. While feelings like stress can trigger symptoms, they do not cause the disease itself. How many people suffer from asthma? Asthma is a common condition, affecting more than 250 million people worldwide. Over the past few decades, the number of people with asthma has increased. In high-income countries, asthma rates seem to be levelling off or even slightly decreasing. However, in many low- and middle-income countries, asthma is still on the rise — likely due to factors like air pollution, urban living, and lifestyle changes. Who is more likely to get asthma? Some people are more at risk of developing asthma. You’re more likely to get asthma if you have food allergy, eczema (atopic dermatitis), hay fever (allergic rhinitis) or if these conditions or asthma run in your family. Exposure to smoke, air pollution, household chemicals, or irritants at work can also increase the risk — especially in people who already have an underlying tendency to develop asthma. Certain viral respiratory infections in early childhood may also increase the chance of developing asthma. Children with a higher weight and adults are also at a higher risk. At what age do you develop asthma? Asthma often starts in childhood and can continue into adulthood or disappear only to recur later. Some asthma develops in adulthood — this is called late-onset asthma. Most adults with asthma do not lose it permanently. Can you die from asthma? Unfortunately, yes — severe asthma attacks can be life-threatening if not treated quickly. Most asthma-related deaths happen in people who did not receive the right treatment. Death can happen in mild asthmatics and can be related to anaphylaxis or thunderstorms. This can happen for several reasons, such as: not realising how serious their asthma is; having a treatment plan that fails to control their symptoms; not being able to afford treatment or choosing not to spend money on it. With the right care and medication, most asthma deaths are preventable. Using a certain type of asthma relievers, called short-acting beta-agonists (SABAs), too often has been linked to an increased risk of asthma-related deaths. SABAs provide quick relief of asthma symptoms, but do not treat the underlying airway inflammation. This can lead to poor asthma control, and it increases the risk of severe or even life-threatening asthma attacks. This is why it is no longer recommended to use SABA inhalers as the only treatment for asthma. Guidelines now recommend an anti-inflammatory: an inhaled steroid- even for patients with mild asthma. Inhaled steroids have been shown to reduce asthma deaths. The doses inhaled are minute and safe for long-term use. Can you outgrow asthma? Unfortunately, the answer is usually no. Asthma symptoms may decrease or even fully disappear, but the condition never really goes away. If you had asthma as a child, you might notice a decrease in breathing issues as you grow older.  That’s because your lungs grow and your immune system becomes stronger. A proportion of children with asthma do lose it with growth. Still, for most people, the underlying problem — swelling and narrowing in the airways — does not go away, which is why you can still have asthma flare-ups later in life. Causes and triggers What causes asthma? The exact cause of asthma is not fully known, but it is thought to develop through a combination of your inherited (genetic) factors and things you are exposed to in your environment. You may be more likely to develop asthma if: You have a parent or close relative with asthma or other allergic conditions such as hay fever or eczema You have allergies. Allergens (such as pollen, house dust mites, pets, and moulds) can cause asthma to develop You’re exposed to irritants such as tobacco smoke, air pollution, chemicals, or fumes You had certain viral lung infections early in life You live with obesity Find out more about the causes of asthma in our ‘About the disease’ section. What are the most common asthma triggers? First of all, it’s important to know that everyone’s asthma is different, meaning that what triggers symptoms in one person might not affect someone else. The most common triggers are: Allergens (pollen, house dust mites, animal dander, mould, …) Irritants (cigarette smoke/vape, air pollution, strong odours, chemicals, …) Respiratory infections (flu, common cold) Weather changes (cold air or sudden changes in temperature, thunderstorms) Stress or strong emotions Strenuous physical activity. If exercise triggers your asthma, your doctor may recommend using your inhaler before starting and keeping it with you during activity. Staying physically active is strongly encouraged — it’s good for your overall health and can even help improve your asthma in the long-term. Symptoms and diagnosis What are typical asthma symptoms? Asthma symptoms are caused by inflammation in the airways. Typical asthma symptoms are wheezing

Lifestyle and Prevention in Asthma

Back Lifestyle and Environment Managing triggers Your environment and daily habits can play a big role in worsening asthma symptoms. Identifying and avoiding these factors as much as possible may help improve symptom control, especially if your condition is difficult to manage. Firstly, try to discover what triggers your asthma. Everyone’s asthma is different — what triggers symptoms in one person might not affect someone else.If you know that you are going to be exposed to a usual trigger you could take extra puffs of your preventer inhaler beforehand. Here are some common asthma triggers and ways to minimize their impact: Active or passive smoking/vaping: Smoke irritates your upper and lower airways, worsening symptoms. You should be very strict about no smoking inside your house and other places where you spend time. If you smoke/vape, speak with your doctor about resources to help you quit. Be sure to check out this overview of useful tools to support you in quitting smoking. Workplace irritants: occupational asthma and workplace-related asthma cause the same symptoms as regular asthma, like coughing, wheezing, and shortness of breath. These symptoms often get worse when you’re exposed to things at work like fumes, dust, chemicals, or strong smells. In the beginning, you may notice that your symptoms improve when you’re away from work—like on weekends or holidays. But if the exposure continues, your asthma may become harder to control and could start reacting to other triggers like smoke or changes in the weather. The best way to prevent this is by avoiding the triggers at work. In some cases, this might mean changing jobs to protect your health. Polluted Air: Airborne particles can trigger asthma symptoms, especially indoors. Keep your home well-ventilated by opening windows regularly. This helps reduce indoor air pollution and prevents moisture build-up, which can lead to mould. When using household cleaning products, make sure to ventilate the room properly. If possible, choose unscented products or those with an Air Label certification. Allergens: If you’re allergic to specific triggers, it’s important to avoid or at least limit exposure as much as possible. Consider allergy-proofing your home for better symptom control. Be sure to check out this excellent guide on how to do this properly. Alcohol: Some people with asthma, especially those who are aspirin-sensitive, notice that drinking alcohol can make their symptoms worse. Wine is the most common trigger, mainly because it contains higher levels of things like sulphites and histamine, which can affect asthma. Drinks like wine, beer, and cider are more likely to cause problems, while others like gin or vodka may be less of an issue. It’s a good idea to avoid alcohol if it triggers your symptoms—or choose drinks carefully. Non-alcoholic options may be a safer choice—both for your asthma and your overall health. However, keep in mind that some non-alcoholic beverages can still contain sulfites and histamines, which may also provoke symptoms in sensitive individuals. Recreational Drug Use: You can never know in advance how your body will react to drugs. With recreational drugs, there’s an added risk because they are not regulated — you can’t be sure what’s really in them or how strong they are. Recreational drugs can affect your asthma in many ways. Some can reduce your ability to breathe properly. Others may cause strong emotional reactions, which can trigger asthma symptoms. Some drugs make you feel very energetic, and this can lead to physical activity that might set off your asthma. Many other harmful effects on both your asthma and your general health have been reported. The safest way to protect your health and manage your asthma is to avoid recreational drug use altogether. Stress and strong emotions: Stress is your body’s natural response to pressure, but it can make asthma symptoms worse. When you’re stressed or feeling strong emotions, you’re more likely to react to asthma triggers like weather changes or infections. High stress levels can even increase your risk of an asthma attack or hospital visit. While you can’t avoid all stress, there are ways to reduce its impact on your asthma: Stick to your treatment plan to keep your asthma under control. Practice healthy habits like good sleep, balanced meals, and stress-relief techniques such as mindfulness. Reach out for support — from loved ones, healthcare providers, or people who understand what you’re going through. Respiratory infections: Most asthma exacerbations start in the nose with a viral cold. Practice good hygiene (frequently wash your hands, clean most used surfaces regularly) to avoid catching an infection. Wear a mask in crowded places like buses, shops, and airplanes. We recommend getting the following vaccines: influenza (flu shot), SARS-CoV-2 (COVID-19), pneumococcus, and RSV. These vaccines won’t give you the illness or trigger an asthma attack. In fact, they help protect your lungs and lower your risk of chest infections, which can make asthma symptoms worse. Weather changes (cold or hot weather): Cold air is a common asthma trigger for many people. You can help protect your airways by breathing through your nose, which warms and moistens the air before it reaches your lungs. Wearing a scarf or mask over your nose and mouth can also help warm the air you breathe. Even when it’s cold outside, it’s still important to ventilate your home regularly to prevent the spread of infections and reduce mould build-up. While hot weather may be beneficial for some people with asthma, others may experience an increase in asthma symptoms. This can be due to many factors, such as the heat itself (causing tightening in the airways), exposure to pollen, air pollution, thunderstorms or being more physically active. If hot weather worsens your asthma, consider staying inside (especially if there is a thunderstorm, high pollen count/air pollution), drink plenty of water, and try to keep your living space cool. Exercise: Most people with asthma can stay active and exercise without problems if they follow their treatment plan. If exercise triggers your asthma symptoms, it could be a sign that your asthma isn’t

Asthma Patient Journey

Back Patient Journey Understanding your asthma journey can feel overwhelming, but know you’re not alone. This module breaks the patient journey into four clear stages, guiding you step by step. Most patients remain at Step 2 (regular follow-up by the GP or asthma nurse) if their asthma is well-managed, progressing only if symptoms persist or worsen. Some parts of asthma care apply to all four stages, no matter where you are in your journey. This includes: education on your condition and treatment, shared decision-making with your healthcare team, and advice on how to avoid common asthma triggers. Your care team will also look out for other health conditions that often occur alongside asthma and refer you to a specialist if needed. If you experience signs of a severe asthma attack, your patient journey skips these steps – you need emergency care right away! After an emergency room visit or a hospital stay for asthma, make sure to follow up with your regular doctor to review your treatment plan. For the best experience, we recommend reviewing the earlier modules to get familiar with key terms. You can also check out our Glossary for additional support. Take control of your asthma journey, one step at a time! Keep in mind that access to certain healthcare providers and medications can vary depending on your country and local healthcare policies. The chart below gives a general overview, but the exact steps or options may be different where you live. Step 1: General practitioner: diagnosis If you experience symptoms like a cough that keeps coming back, chest tightness, shortness of breath or wheezing, you should visit your general practitioner. Your GP will ask about your symptoms, what triggers them, evaluate your past, social and family history, and perform a physical examination. Lung function should be tested whenever possible. The best and most reliable test for diagnosing asthma is called spirometry. If this test isn’t available, a simpler test called peak flow measurement can be done at your GP’s office. If the results indicate that you have asthma, a treatment plan will be provided. You will be shown how and when to use your medication, how to monitor your asthma (for example, using your mobile phone), and what to do if you experience breathing difficulties. Follow-up care is usually managed by your GP or asthma nurse. Sometimes, if the asthma diagnosis is uncertain, you will be given a trial of inhaler treatment for a few weeks to see if it helps. https://youtu.be/xSQ8USSi_Lk Step 2: General practitioner/asthma nurse: follow-up It is important to have an asthma review at least once a year with your GP or asthma nurse. This check-up makes sure your asthma action plan is still right for you. It shows if you are on the best treatment and dose for your current situation, and you are using your inhaler correctly. Since asthma can vary over time, it’s helpful to keep a record of your symptoms—either in a paper asthma diary or by using an app on your mobile phone. If your asthma is well controlled, treatment may stay the same or be reduced (“stepped down”) to the lowest effective dose. In case your symptoms persist, your GP or asthma nurse will review treatment effectiveness, inhaler use, and any barriers to following the plan. Your lung function may be tested again. All of this helps guide the next steps in your treatment. That might mean switching to a different inhaler, adding another medication, or adjusting your current dose (called “stepping-up”) to better manage your symptoms. If you’ve had an asthma flare-up that you managed at home, you should see your GP or asthma nurse as soon as possible, ideally the same day. If the flare-up led to a visit to the emergency room or a hospital stay, book a follow-up appointment with your GP or asthma nurse within 2 days after discharge. This is to review your treatment and help prevent future attacks. Step 3: Referral to a Specialist If your symptoms have not improved after a reasonable amount of time—even after your treatment plan has been adjusted—and you have been taking your medication correctly and on time, it’s time to see a specialist, usually a pulmonologist or respiratory physician. In some countries, you may need a referral from your GP or asthma nurse to make that appointment. Another reason to see a specialist is if your GP or asthma nurse is not completely sure that asthma is the cause of your symptoms. In that case, more detailed testing may be needed. A lung specialist can help confirm whether you have asthma or if something else might cause your symptoms. This makes it easier to find the right treatment for you. If you have signs of other conditions that often occur alongside asthma, you may also be sent to see another type of specialist. For example, you might have a consultation plus allergy tests with an allergist or visit an ear, nose, and throat doctor. https://youtu.be/R4uUPitfNLE Step 4: Referral to a Specialised Centre If symptoms persist despite adapting treatment, a specialist care centre can provide advanced care. This tertiary referral stage involves follow-up evaluations, treatment adjustments, and specialised tests to determine what kind of asthma you have. The goal is to find the most effective approach to help you feel better. Download the infographic (step 1 to 4) Disclaimer This website does not provide medical advice. The information, including but not limited to, text, graphics, images, and other material contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment and/or medical treatment of a qualified physician or healthcare provider. EUFOREA is not a medical organisation and cannot provide specific medical advice to patients via the Internet and/or E-mail. All patients are encouraged to direct their specific questions to their personal physicians. EUFOREA presents this information to patients so that patients can understand and participate in their own

About Asthma

Back What are airways, and why do we have them?   Your airways start at the entrance of your nostrils and go down to tiny sacs in your lungs called alveoli, via a series of tubes, like an upside-down tree.  The main job of your airways is to bring oxygen into the body and remove carbon dioxide, a waste gas. They also help protect your lungs from harmful particles like dust and germs, regulate the temperature and moisture of the air you breathe, and work with other parts of the body to support speech and smell. It is important to keep your airways healthy. This includes avoiding exposure to smoke, chemicals, and other substances that can irritate or damage them. https://s3.nl-ams.scw.cloud/euforea-wp-production/uploads/Asthma-Disease-Full-Teaser.mp4 What is asthma? Asthma is a long-term (chronic) condition that affects the lower airways  – the breathing tubes in your lungs. It is a common condition, impacting over 250 million people worldwide, and contributing to more than 450,000 deaths each year. This disease causes three main changes in the airways: Inflammation: The inner lining of the airways becomes red and swollen, making the space for air to pass through narrower. Muscle tightening: The muscles around the airways tighten, which further narrows the airways. Excess mucus: The irritation causes the airways to produce extra mucus, which can clog the already narrowed space. These changes make it harder to breathe, especially when breathing out. People with asthma can get symptoms like wheezing, breathlessness, a cough or a tight chest. Sometimes symptoms can get worse quickly. This is an asthma attack, also known as an asthma flare-up or asthma exacerbation. Can asthma be cured? Unfortunately, it can’t be cured yet; it is considered a lifelong condition. The good news is that with the right treatment, most people can keep their asthma well-controlled and enjoy a normal, active life. With new treatment options emerging, the medical field is shifting its focus toward a new goal: asthma remission. A state in which symptoms are minimal or even completely absent for an extended period. The medical community is optimistic that achieving remission will become possible for more patients in the future. Even if you feel well and have few or no symptoms, it’s important to keep taking your medication as prescribed. That’s because the underlying inflammation in your airways is still there — even when you’re not feeling it. Asthma flare-ups can still happen, especially if you’re exposed to common triggers like a cold or flu, air pollution, or certain substances at work. Causes & Triggers Causes The exact cause of asthma isn’t fully known, but it’s believed to develop through a combination of your inherited (genetic) factors and things you’re exposed to in your environment. Family history: You’re more likely to get asthma if asthma or other allergic conditions like eczema or hay fever run in your family. If you have a parent with asthma, you are three to six times more likely to develop it than someone who does not. Exposure to irritants: Exposure to cigarette smoke, living in areas with high air pollution, or exposure to certain substances in the workplace, such as dust, fumes, or chemicals, increases your risk of developing asthma. Illness during childhood: Some types of airway infections at a very young age increase the risk of developing asthma. Airway infections, mainly those caused by viruses, are also strongly linked to asthma flare-ups in children.Additionally, studies have shown that children born preterm (fewer than 37 weeks of pregnancy) are at an increased risk of developing asthma. Obesity: It’s not fully known why obesity increases asthma risk. It might be due to the extra weight constricting the lungs, making it more difficult to breathe. Fat tissue also produces substances promoting inflammation, which might also affect the airways. What we do know is that people who have a higher weight often use more medications, suffer worse symptoms and are less able to control their asthma than patients in a healthy weight range. Allergic diseases: If you have an allergic condition, such as atopic dermatitis (eczema) or hay fever, you are at a higher risk of developing asthma as well. Triggers Asthma symptoms are variable over time. These symptoms, which can range from mild to severe, often start after exposure to a specific trigger. Everyone’s asthma is different — what triggers symptoms in one person might not affect someone else. The following are common asthma triggers: Allergens such as pollen, house dust mites, animal dander, and mould Irritants, such as smoke (cigarettes, vapes), air pollution, strong odours or perfumes, and (household) chemicals Respiratory infections such as the flu or a common cold Weather changes, such as cold air or sudden changes in temperature Strenuous physical activity* Stress or strong emotions * Exercise can trigger asthma in some people. However, all people with asthma are encouraged to stay active and live a healthy lifestyle. Regular physical activity promotes lung health and may also support weight control — both of which are important for managing asthma. Exercising has been shown to improve lung function. If exercise triggers your asthma, your doctor might recommend using an inhaler before you start and keeping one with you while you exercise. Types of asthma Asthma is a common condition, affecting over 250 million people worldwide. Your healthcare provider might use different terms to describe your asthma. You might have different types of asthma at the same time. Important types of asthma are: Allergic asthma Non-allergic asthma Work-related asthma Exercise-induced asthma Eosinophilic asthma Aspirin-induced asthma Severe asthma Allergic asthma Allergic asthma is a type of asthma triggered by allergens like pollen, pet dander, or dust mites. About 4 in 5 people with asthma also have allergies. However, having allergic asthma doesn’t mean you won’t react to non-allergic triggers. Many people with allergic asthma also report symptoms triggered by things like cigarette smoke or weather changes. Non-allergic asthma A form of asthma that isn’t related to allergic triggers. About 1 in 5 patients with asthma have non-allergic asthma. This

Diagnosis of Asthma

Back How does your GP diagnose asthma? Your general/family doctor or GP will do several things to figure out if you have asthma: Ask about your symptoms: The doctor will talk to you to understand how you’re feeling and what problems you’re having. Ask about your medical history: Do you have family members with asthma or allergies? Are you smoking, exposed to secondhand smoke (passive smoking) or exposed to pollutants in the workplace? Perform a thorough physical examination: The doctor will focus on your chest, nose, throat, ears, and eyes. For example, the doctor will listen to your chest with a stethoscope for any sounds of wheezing. Test how your lungs are working: there are several breathing tests your GP or asthma nurse may perform if they have the equipment in their office to perform them. The most commonly performed lung function tests are spirometry and peak flow measurements. Spirometry tests measure the amount of air you can blow out in one forced breath. A peak flow test is performed to measure how fast you can blow air out of your lungs. https://youtu.be/hgdjZg022bYhttps://youtu.be/7V3fVYERrDM Checking for allergies: If allergies might be triggering your symptoms, your GP may perform a skin prick test or recommend blood testing, depending on availability. https://youtu.be/wgfKDoGHuOchttps://youtu.be/AUrop5SGwiY In some cases, additional testing is necessary to rule out other conditions that can mimic symptoms of asthma. When will your GP refer you to see a specialist? How does your specialist diagnose asthma? Specialists, like pulmonologists, may perform more advanced tests to confirm your diagnosis and find out what’s causing your symptoms. They might also repeat some of the tests already done by your GP, such as: https://youtu.be/hgdjZg022bYhttps://youtu.be/DzfF1dfT6_Q Spirometry: measures the amount of air you can blow out in one forced breath (see above). Often, the bronchodilator reversibility test (BDR) is done alongside spirometry at the specialist’s office. The combination helps your doctor determine whether your airways respond to medication—and if so, how much your lung function improves as a result. Peak flow test: to measure how fast you can blow air out of your lungs (see above) Check for allergies: if allergies might be triggering your symptoms, a skin prick test or blood test might be performed. Not all GP practices offer these kinds of testing (see above). In addition to these, specialists also perform: Challenge tests, like the methacholine or mannitol test, are used for asthma diagnosis to check how sensitive your lungs are compared to normal to triggers that can cause your airways to tighten or narrow. Exhaled nitric oxide or FeNO test: This test measures the amount of nitric oxide in the air you breathe out. Higher levels of nitric oxide can be a sign of inflammation in your airways, which is common in conditions like asthma. Blood test to measure your eosinophil levels. Eosinophils are a type of white blood cell responsible for inflammation. People who have high levels of eosinophils can have increased swelling in the airways, which can lead to asthma symptoms. Oscillometry (or forced oscillation technique, FOT): This test measures lung function using gentle pressure waves while you breathe normally, for asthma diagnosis. It’s easier than spirometry because it doesn’t require deep breaths or hard blowing. Induced sputum test requires you to produce a fresh sample of sputum/phlegm, which can then be analysed for different cells found in your deeper airways. When is a CT scan considered? Most people with asthma don’t need imaging tests, like a CT scan. However, if someone has asthma that is hard to control, especially if it’s severe asthma, a CT scan may be considered. For people who don’t have a clear asthma diagnosis, a CT scan can help rule out other, less common conditions that can mimic the symptoms of asthma. Some patients may have another condition alongside asthma that makes their symptoms more severe. If asthma is already diagnosed and confirmed, a CT scan can sometimes help find problems like mucus build-up (also called mucus plugs) or other issues in the deeper airways. These problems lead to limited airflow and reduced lung function and are often linked to more severe asthma.  Disclaimer This website does not provide medical advice. The information, including but not limited to, text, graphics, images, and other material contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment and/or medical treatment of a qualified physician or healthcare provider. EUFOREA is not a medical organisation and cannot provide specific medical advice to patients via the Internet and/or E-mail. All patients are encouraged to direct their specific questions to their personal physicians. EUFOREA presents this information to patients so that patients can understand and participate in their own medical care. EUFOREA strongly emphasises that the information contained on this website is not a substitute for thorough evaluation and treatment by a qualified healthcare provider. Copyright © 2025 – EUFOREA – All rights reserved. All content on this portal, such as text, graphics, logos and images, is the property of EUFOREA. They may not be reproduced, copied, published, stored, modified or used in any form, online or offline, without prior written permission of EUFOREA. Overview How does your GP diagnose asthma?How does a specialist diagnose asthma ?When is a CT scan considered?

Treatment of Asthma

Back Aims of treatment Living with asthma can be challenging, and unfortunately, there is currently no cure. However, most people can effectively manage the condition through a combination of medications, lifestyle changes, preventive measures, and support. The primary goal of treatment is to control your symptoms, improve your lung function, and prevent asthma attacks. In the long run, good asthma control will help prevent a decline in your lung function. Controlling symptoms means they no longer interfere with your daily life. Your healthcare provider will work with you to review your symptoms and to adjust your treatment plan accordingly. With new treatment options emerging, the medical field is shifting its focus toward a new goal: asthma remission. Asthma remission is a state in which symptoms are minimal or even completely absent for an extended period. The medical community is optimistic that achieving remission will become possible for more patients in the future. What does symptom control mean? If your treatment is working well, you can expect: No asthma attacks No asthma symptoms (chest tightness, coughing, wheezing, or shortness of breath) during the day Rare to no nighttime awakenings due to asthma Reduced need for your reliever inhaler To be able to perform daily activities (including exercise) without experiencing asthma symptoms Good lung function To evaluate your asthma control, your healthcare provider might ask you to keep an asthma control diary at home or complete an asthma control questionnaire. This will help your doctor to adjust your treatment until good asthma symptom control is achieved. You can download a copy of these documents for personal use here (permission to distribute for personal use only!): Get the Questionnaire Get the Diary Asthma treatment usually involves a combination of maintenance/controller and reliever medications. Most medications come in an inhaler, while others are taken in the form of tablets or in some cases even injections. A combination of medications is frequently needed to increase their efficacy and to reduce side effects. This can be achieved by using multiple inhalers or by using a single device that delivers a combination of medicines. Maintenance/controller treatment A lot of people with asthma will have to use maintenance or long-term controller medications. These are medications that are taken daily to reduce the inflammation in the airways, prevent asthma symptoms, and minimise the risk of asthma flare-ups. Inhaled steroids (also known as glucocorticoids or corticosteroids) How do they work? Inhaled steroids decrease inflammation in the airways over time. Inhaled steroids reduce the frequency of asthma symptoms, improve your quality of life, decrease the risk of serious asthma flare-ups, and prevent lung function decline over time. Most common side effects? Inhaled steroids work locally in the airways, at the site of the inflammation. Hence, only a very low dose enters the bloodstream, leading to few side effects. Oral thrush (a yeast infection in the mouth) is the most common side effect, which you can prevent by rinsing and gargling with water after using your inhaler. Hoarseness or a sore throat can also occur, but is less common. These side effects can often be managed by switching to a different type of inhaler or by incorporating the use of a spacer device. People with severe asthma may need higher doses, which can increase the risk of rare long-term side effects like osteoporosis or cataracts. Your doctor will always try to keep your dose as low as possible to reduce the risk. If you’re ever concerned about side effects, talk to your healthcare provider. Long-acting beta-agonist (LABA) + inhaled steroids How do they work? Long-acting beta-agonists, also called long-acting bronchodilators, relax the muscles around the airways to help open them up. LABAs work for over 12 hours, with some working within minutes (formoterol), while others can take several hours before reaching their maximal effect (like salmeterol). These types of inhalers should always be used alongside inhaled steroids, because they don’t act on the underlying inflammation. A single inhaler containing both an inhaled steroid and the long-acting beta-agonist formoterol can be used as a daily controller medication and may also be used as a quick reliever of asthma symptoms. This convenient approach is called ‘Maintenance and Reliever Therapy (MART)’. Not all combination inhalers are suitable for use in case of an asthma flare-up, so make sure to check with your doctor which treatment to use as a reliever. Most common side effects? There are very few common side effects, and the side effects tend to get better after using the inhaler for a few weeks. You might notice headaches, a faster heart rate or feeling shaky. Correct inhaler technique and the use of a spacer can help avoid side effects. If you’re ever concerned about side effects, talk to your healthcare provider. Leukotriene modifiers How do they work? Leukotriene modifiers, like montelukast, work by opening narrowed airways, decreasing the level of inflammation, and lowering mucus production. This medication is taken in the form of tablets. They are typically less effective in controlling asthma compared to inhaled steroids, but they are sometimes used as an alternative for mild asthma, particularly in patients with other allergy symptoms that are also responsive to this type of medication. Most common side effects? They have very few common side effects, but agitation or depression have been described. If you’re ever concerned about side effects, talk to your healthcare provider. Long-acting muscarinic antagonist (LAMA) How do they work? Long-acting muscarinic antagonists (LAMAs) work by relaxing the muscles around the airways. LAMAs are a type of long-acting bronchodilator. If you already use an inhaled steroid plus a LABA and your asthma still is not controlled, your healthcare provider may add a LAMA. Most common side effects? The most common side effect is dry mouth. Take frequent sips of water or try stimulating saliva production by chewing some sugar-free gum or sucking on sugar-free hard candy. If you’re ever concerned about side effects, talk to your healthcare provider. Reliever treatment Relievers, also called quick-relief medications, are inhalers that contain a kind

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