What is Asthma

The main function of the lungs is to help us breathe. Inside the lungs, we have the "bronchial tree" or airways. These airways look similar to the large and small branches of a regular tree. Their purpose is to carry oxygen to the air sacs (alveoli) and remove the body's waste gas, carbon dioxide.

When you have asthma, airway inflammation and swelling cause the airways to be overly sensitive or "twitchy." This twitchiness causes the narrowing and blockage of the airways. As the inflammation increases, the airways become more sensitive and overactive.

During an asthma episode, the mucus-producing cells within the airway increase their output and mucus plugs the airway. The combination of airway narrowing, mucus plugging, and airway inflammation can block portions of the airway entirely. Air becomes trapped in the alveoli (air sacs at the end of the bronchioles). This trapped air cannot provide for the proper exchange of oxygen and carbon dioxide. Trapped air leads to hypoxia (low oxygen content) in the body.

Air trying to pass through the narrowed tubes filled with mucus may produce wheezing. Wheezing is a high-pitched whistling sound, often associated with asthma. Other symptoms of asthma include a persistent cough, chest tightness, shortness of breath, or decreased endurance. Coughing is usually the most common and may be the only symptom.

Severe effects of asthma may include loss of elasticity of the lungs due to air trapping and low oxygen; this is called "airway remodeling". Children may not grow as well due to long-term trapped air and low oxygen content in the body, and asthma may cause irritability and fatigue for all ages.

The Formal Definition

According to the National Institutes of Health, asthma is a chronic lung disease characterized by:

  • Airway obstruction that is reversible either spontaneously or with treatment
  • Airway inflammation
  • Increased airway responsiveness to a variety of stimuli
  • Airway remodeling

Asthma is neither a contagious disease nor a psychological disease. Scientific studies show that bronchial (airway) inflammation is present in all asthmatics, even if they do not have symptoms. Not recognizing the severity of the asthma episode places you at higher risk because treatment is often delayed. Asthma is a chronic disease. People with chronic illnesses are more likely to have problems with depression and despair if they do not learn how to cope effectively. You are at higher risk if you have difficulty accepting your asthma and its treatment.

Although asthma is not curable, it usually can be well-controlled. An asthma treatment plan can be created through your cooperation with your health care team and your family. This requires open communication focusing on what is necessary to control asthma and the goals of both you and your family.