Asthma
Early signs and symptoms of asthma
Some people we talked to said their asthma had been diagnosed at an early age and they couldn’t remember their first symptoms. However, many could recall the first time they noticed symptoms that were later attributed to asthma, whether this happened recently or some time ago.
Most commonly they had felt unusually breathless, with wheezing, tightness in the chest, or a persistent cough. Symptoms might also develop in response to certain triggers, for example when near animals, or cigarette smoke.
Often people diagnosed with asthma had noticed that things weren’t quite right after being out walking or exertion of some kind.
Eve was in her 30s and was out for a long walk with some friends one weekend when she found herself becoming so breathless that she couldn’t continue on the walk. Alastair’s asthma was diagnosed when he found it difficult to take part in a run at the age of 10.
Alastair got very breathless during cross country running at school.
Alastair got very breathless during cross country running at school.
Ann had liked singing along with the radio in the car, but one day she became so short of breath she couldn’t sing.
Ann had liked singing along with the radio in the car, but one day she became so short of breath she couldn’t sing.
But the following morning when I woke up in the morning to go to work I was really short of breath and I was really scared. I’d never had that experience before, so I rang my work and said I wouldn’t be coming in, I rang my GP surgery and made an appointment
Jane had trained for and successfully run a 5 km race, but when she went out for a run some weeks later she had to stop after a short time. She felt ‘as if her batteries had run out’.
Jane had trained for and successfully run a 5 km race, but when she went out for a run some weeks later she had to stop after a short time. She felt ‘as if her batteries had run out’.
And I couldn’t understand this because although I hadn’t been running for a fortnight while we’d been in Morocco I had been taking exercise and the leader had made this comment about being extra fit when we got back.
So if I persevere, so every morning I would put my running shoes on and go out for a run it just didn’t seem to get any better. So I contacted the person who’d help me train to run the Race for Life and arranged to go out for a run with her. And we went for a run together and the same thing happened and the only way I can describe is that I just felt as if my batteries had run out. I didn’t feel that I was, well I was obviously breathless because I’d been running but I didn’t feel that I was more breathless than I should have been, no other than usual. I just felt like I couldn’t, couldn’t run another step.
And so I stopped and I said to her, “This is what I’ve been talking about, this is what I mean.” And she said, “But listen to yourself, you sound like you’re having an asthma attack.” So I rang my GP went back to the gym with her and rang my GP on my mobile phone from there and he said, “You’d better get yourself up here straight away”. So I went up to see him and he listened to my chest and my breathing and said, “Yes, I think this is asthma”. And that was a big shock.
Stephen had joined a football team to improve his fitness; he found that after returning home from jogging that he would lie on his bed and his chest would feel very tight. Alice also recalls getting breathless when she had been on a mountain walk as a young woman.
Many in whom signs and symptoms of asthma had appeared as adults had been surprised because they had regarded themselves as active, fit and healthy.
Some people can start to feel breathless even when they have not been taking exercise or doing something very physical. Charles hadn’t at first associated feeling breathless with asthma but sometimes he had mild feelings of a tight chest and breathlessness when he was lying in bed. Other people also noted difficult breathing and feeling tight chested at night.
Stephen felt breathless and tired even when he wasn’t doing exercise.
Stephen felt breathless and tired even when he wasn’t doing exercise.
For some people the first sign of something wrong was a persistent cough – often after a cold or chest infection - that was difficult to shift with over the counter remedies or antibiotics. Gail was in her 40’s when she developed a cough that she couldn’t shake off. Peter had likewise developed a bad cough and cold that just didn’t go away; eventually he went to the doctor who diagnosed asthma.
Riina was coughing a lot during the night and finding it difficult to sleep. She tried her dad’s inhaler to see if it worked.
Riina was coughing a lot during the night and finding it difficult to sleep. She tried her dad’s inhaler to see if it worked.
And well my mum noticed initially that I was sort of coughing a lot during the night and I couldn’t really sleep. And so, well my Dad has asthma as well. So she kind of noticed it and she like, I don’t know, initially she just gave me some of what my Dad had like the inhaler and so on. And like to see if it works. And so it was like, and then they figured out I must have had asthma
And had you found that you were experiencing those symptoms when you were at school?
May be, but I hadn’t like, I hadn’t thought, I hadn’t associated it with asthma. It was like my Mum noticed it because she knew obviously what kind of the symptoms my Dad had.
Julie’s asthma was diagnosed in her 40s after a persistent cough. Until then she had thought of asthma as something children had and could grow out of.
Julie’s asthma was diagnosed in her 40s after a persistent cough. Until then she had thought of asthma as something children had and could grow out of.
How long ago was that?
This was 1982… and asthma wasn’t in my consciousness because I thought it was something children had and grew out of at that stage, I’d never heard of asthma appearing in your life when you were 40.
The next time I got a cold, similar coughing. I thought, “Oh dear, this is sort of with me,” you know. Not knowing anything about asthma I didn’t know it was a condition that was there for good. I didn’t know what was going to happen. So I think we moved that year, was it that year? It was either that year or the next year, we moved to [place] so change of doctor’s, change of lifestyle slightly because I was starting to commute and working in London. And I got very bad cold and I was given, I think, antibiotics for the cough and that didn’t really get rid of it.
Some people get temporary wheezing or breathlessness whenever they have a cold or chest infection. When Charles went to the doctor about a chest complaint it hadn’t occurred to him that he might have asthma.
Tim feels now that he probably had mild asthma as a child, as he remembers often having a tight chest and breathing difficulties after sports or in the pollen season, but he assumed everyone felt like that. His asthma wasn’t diagnosed until he was adult.
Similarly, Gail’s asthma was diagnosed in her 40s but she remembers having coughs and colds frequently as a child; her mother used to treat them with over the counter or home remedies and she too feels looking back that she probably had mild asthma.
People often either remembered, or had realised later, that the early signs and symptoms of their asthma may have been brought on by a reaction to something in their environment such as chemical sprays and smells, pollen, dust, being in a smoky atmosphere or being around animals.
Eve was not diagnosed until later in life, but now looking back to her childhood thinks she may have had asthma that had not been recognised.
Eve remembers when she was a child living in Los Angeles that she would often feel tightness in the chest when the air was polluted. [AUDIO ONLY]
Eve remembers when she was a child living in Los Angeles that she would often feel tightness in the chest when the air was polluted. [AUDIO ONLY]
And even on days when it was a bit higher and I could go to school, there were days I came back and my chest was tight. But I didn’t know that that was what, what the feeling was until now when, now that I have asthma and I know a tight chest feels like, I know that’s what I was feeling as a child, but I didn’t know what that was then. I just remember feeling it. And I recognised that’s what it was.
Belinda’s parents both smoked and when she was a child in the 1960s the dangers of passive smoking were little known.
Jan’s asthma was diagnosed when she was 4; her parents have told her that the first attack was triggered by contact with a pet rabbit.
Mark’s symptoms came on quite suddenly when he was a child and he had to be rushed to hospital; other people had noticed a gradual onset or worsening of symptoms over a while rather than an asthma ‘attack’.
People with a family history of asthma may be more likely to develop it. Sometimes other family members with asthma suspected what was wrong first.
Other members of Stephen’s family have asthma so he wasn’t too surprised be told he had it. His mum thought he may have been asthmatic as a child and took him to the doctors several times but he wasn’t diagnosed until recently.
Other members of Stephen’s family have asthma so he wasn’t too surprised be told he had it. His mum thought he may have been asthmatic as a child and took him to the doctors several times but he wasn’t diagnosed until recently.
And my mum was actually always paranoid when I was a kid she would drive me to the doctor once or twice thinking, “He has asthma. He has asthma.” So but the doctor always turned me away.
Right and do you think, I mean what do you think led her to believe that you might have had asthma when you were a child?
I don’t know. To, I was a typical boy, out playing football until it was dark, come in clean wrecked. To me that was just playing football for four hours and it was time for bed. Mum noticed there was something wrong. I don’t know. I was just a kid.
And do you think that maybe she was right?
Then, no, I wouldn’t. As I say, I was a kid and I was giving out to her, you know, “What are you taking me to the doctors for? I’m fine.” That was the attitude I had. For all it, as it turns out, she probably was right. I don’t know.
(Also see ‘Triggers’, ‘Childhood onset’, ‘Being diagnosed with asthma’, ‘Exercise, diet, weight and other lifestyle issues’ and ‘Relationships, family and friends’).
Last reviewed: August 2017.
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