Nocturnal asthma history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and Symptoms
- Most people with asthma have attacks separated by symptom-free periods. Some people have long-term shortness of breath with episodes of increased shortness of breath. Either wheezing or acough may be the main symptom.
- Asthma attacks can last for minutes to days, and can become dangerous if the airflow is severely restricted.
Symptoms
- Cough with or without sputum (phlegm) production
- Pulling in of the skin between the ribs when breathing (intercostal retractions)
- Shortness of breath that gets worse with exercise or activity
- Wheezing:
- Comes in episodes with symptom-free periods in between
- May be worse at night or in early morning
- May go away on its own
- Gets better when using drugs that open the airways (bronchodilators)
- Gets worse when breathing in cold air
- Gets worse with exercise
- Gets worse with heartburn (reflux)
- Usually begins suddenly
Emergency Symptoms
- Bluish color to the lips and face
- Decreased level of alertness such as severe drowsiness orconfusion, during an asthma attack
- Extreme difficulty breathing
- Rapid pulse
- Severe anxiety due to shortness of breath
- Sweating
Associated Symptoms
- Abnormal breathing pattern (breathing out takes more than twice as long as breathing in)
- Breathing temporarily stops
- Chest pain
- Nasal flaring
- Tightness in the chest