Symptoms and Diagnosis

Symptoms of asthma

Asthma can affect people of all ages, and often begins during childhood.1 In fact, most children with asthma experience symptoms before age 5.2 Symptoms of asthma and how frequently they occur can differ between each person; however, common ones include:3,4

  • A cough that doesn’t go away
  • Wheezing when breathing out or breathing in
  • Trouble catching your breath or difficulty breathing, even at rest
  • Chest tightness causing difficulty breathing

Most people with asthma have one or more of the above symptoms.1 While asthma can cause these symptoms, other conditions can cause these symptoms also.3,4 These symptoms can come and go in the same day or last for longer, and can be worse at night or in the morning, or even during exercise.3,4 During an asthma attack, symptoms can be much worse, and can come on gradually or suddenly; they may even be life-threatening.5

How is asthma diagnosed?

In addition to evaluating symptoms, your healthcare provider will ask about your health history, complete a physical exam, and perform some diagnostic tests.7,8 A health history will include identifying any family members with asthma, if you have any allergies, and/or any smoking or exposure to second-hand smoke or pollutants.7

Diagnostic testing can include breathing tests for lung function, markers of inflammation, and response to medications or allergens, as well as blood or skin tests to evaluate for allergies and inflammation.7,8 If another lung disease is suspected as the cause of any reported symptoms, additional tests may be ordered by your healthcare provider.7 Since diagnostic tests may be difficult to perform in children, a 4- to 6-week trial of asthma medications may be performed to see if there is any symptom improvement.9

References

  1. National Institutes of Health (NIH). National Heart, Lung, and Blood Institute (NHLBI). Learn More Breathe Better (LMBB): What is asthma? March 2020. https://www.nhlbi.nih.gov/sites/default/files/publications/20-HL-8121WhatisAsthma.pdf  
  2. American Lung Association (ALA). Children and asthma. Last updated October 23, 2024. https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma/children-and-asthma
  3. World Health Organization (WHO). Asthma. May 6, 2024. https://www.who.int/news-room/fact-sheets/detail/asthma
  4. National Institutes of Health (NIH). National Heart, Lung, and Blood Institute (NHLBI). Asthma: symptoms. Last updated April 17, 2024. https://www.nhlbi.nih.gov/health/asthma/symptoms
  5. NIH/NHLBI. Asthma: asthma attack. Last updated April 17, 2024. https://www.nhlbi.nih.gov/health/asthma/attacks
  6. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2024. Updated May, 2024. Available from: https://ginasthma.org/2024-report/
  7. American Lung Association (ALA). What is asthma? Last updated October 23, 2024. https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/symptoms-diagnosis/how-is-asthma-diagnosed
  8. NIH/NHLBI. Asthma: diagnosis. Last updated April 17, 2024. https://www.nhlbi.nih.gov/health/asthma/diagnosis
  9. Asthma and Allergy Foundation of America (AAFA). Understanding eosinophilic asthma. May 2024. https://community.aafa.org/blog/understanding-eosinophilic-asthma
  10. Hashmi MF, et al. Asthma. StatPearls [Internet]. Last update March 3, 2024. https://www.ncbi.nlm.nih.gov/books/NBK430901/

All URLs accessed March 21, 2025.

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