By Dorothy Pardalis, BSc.Phm, CDE

 Winter has officially arrived and with that brings the start of the dreaded cold season. For those who have asthma, colds can cause their asthma symptoms to worsen. A person with asthma has red, swollen lungs that are sensitive and become "twitchy". These "twitchy", swollen lungs can lead to symptoms such as cough, shortness of breath, wheezing and chest tightness. Viral infections such as colds, cold air, cigarette smoke, high humidity and various allergies (e.g. pets, dust, foods) can cause asthma to worsen. We refer to these as "triggers" and every person with asthma should attempt to identify these triggers so that they can avoid them if possible.

 People with asthma can lead a very normal life and should expect most days to be free of symptoms. To see if your asthma is in good control, ask yourself these questions: 

• Do I cough, wheeze or have a tight chest 4 or more times a week?
• Do I wake up at night due to my asthma?  
• Do I use the puffer that relieves my symptoms (usually blue) more than 4 times per week?  
• Do I stop exercising because of my asthma?  
• Do I miss school, work or social activities because of my asthma? 

If you answered yes to some or all of these questions, even once, your asthma is NOT in good control and you could be enjoying a better quality of life. You will need to see your physician and/or health care provider to discuss how to get your asthma back in control.

 At the Tilbury District Family Health Team, lung health and asthma are a priority for us. Our health care team includes asthma educators who are specially trained to help you manage your asthma. We can help you achieve good control by looking at your triggers, adjusting your medications and ensuring that your puffers are working well for you. We also have a smoking cessation program which can help you on the journey towards a smoke-free, healthier life. As well, if you have Chronic Obstructive Pulmonary Disease (COPD), often referred to as chronic bronchitis or emphysema, learning to manage your condition with the help of your health care team will improve your quality of life greatly. So here's to breathing easier!

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