Printer Friendly

Commonly asked questions about allergies & asthma.

Q What can I do to manage my asthma while I am pregnant?

A Pregnancy does affect a woman's asthma, with one-third reporting their asthma gets worse, one-third noting it gets better and one-third saying it stays the same. That means women with asthma often need to continue using medications while pregnant.

Although most women are hesitant to take medications while pregnant, it is important to keep in mind that poorly controlled asthma can be harmful to your baby, while most asthma medications are not. That's because any decrease in oxygen levels can affect the amount of oxygen your baby receives, possibly causing problems.

The goal for pregnant women, as for any patient, is to control asthma symptoms with the least amount of medication possible. This may mean taking daily inhaled corticosteroids or oral medications, or it could mean taking allergy medications (steroid nasal sprays and antihistamines) to reduce allergy/asthma triggers.

Several medications appear safe for pregnant women, although we generally try to avoid oral medications during the first trimester if possible.

Additionally, it is important to be evaluated by an asthma specialist, as well as your obstetrician, throughout your pregnancy. Have a breathing test called spirometry regularly to ensure your air passages are working well.

Q How should I treat exercise-induced asthma?

A Exercise-induced asthma affects up to 20 percent of competitive athletes and 90 percent of people with asthma. Left untreated, it could result in death.

Symptoms include:

* Difficulty breathing six to eight minutes after you stop exercising.

* Coughing or wheezing when exercising.

* Feeling tightness in your chest.

* Feeling extremely tired or short of breath after exercising.

For mild exercise-induced asthma, you can take two or three puffs of a bronchodilator like albuterol or pirbuterol about 15 to 20 minutes prior to exercise. If that doesn't control your exercise-induced asthma, you may need preventative medications such as inhaled corticosteroids. A breathing test can help determine the need for preventative medications.

Also avoid exercising outside in very cold weather, very hot weather, or when the air quality is poor, all of which can make your symptoms worse. If you can't tolerate strenuous running sports, consider exercise such as walking, light jogging and leisure biking. Also, warming up before you start working out can alleviate chest tightness, while breathing through pursed lips may help reduce airway obstruction.

--Marianne Frieri, MD, PhD

Director of Allergy/Immunology

Nassau University Medical Center

East Meadow, NY

--Shelly M. Harvey, MD

Clinical Instructor

University of Texas Southern Medical Center

Pediatric Allergy/Immunology Associates

Dallas, TX
COPYRIGHT 2005 National Women's Health Resource Center
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:ASK THE EXPERT
Publication:National Women's Health Report
Date:Aug 1, 2005
Words:421
Previous Article:Indoor air quality in your child's school.
Next Article:Stress management & healthy diets: strategies for allergy and asthma relief.
Topics:


Related Articles
Your asthma can be controlled: expect nothing less.
Living With Asthma: Special Concerns for Older Adults.
Controlling Your Asthma.
Asthma and Pregnancy.
Asthma.
Managing asthma in the classroom.
Medical webwatch.
Asthma and air pollution: what's happening in NIEHS extramural research.
Bowled over by dust.
Induction of asthma and the environment: what we know and need to know.

Terms of use | Copyright © 2017 Farlex, Inc. | Feedback | For webmasters