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Asthma in children and adults - what should you know?

15 października 2025
asthma, choking cough, asthma treatment
For many years, bronchial asthma has been one of the most common chronic respiratory diseases. It occurs in both children and adults. It is estimated that over 300 million people worldwide suffer from asthma, and this number continues to grow. The disease is characterized by chronic inflammation of the airways, which leads to increased sensitivity. This means that even a small stimulus like cold air or contact with dust can trigger shortness of breath, wheezing, or coughing fits.

In children, asthma symptoms are often mistaken for recurring viral infections, which delays the correct diagnosis. In adults, asthma is often underestimated, as some patients interpret shortness of breath as a result of stress or fatigue. However, it's important to know that untreated asthma can lead to permanent changes in the structure of the bronchi. This also includes an increased risk of infections and a decrease in physical performance.

Modern medicine offers effective methods for diagnosing and treating asthma, allowing patients to manage the disease and lead a full, active life. Patient education and early recognition of symptoms are crucial in bronchial asthma. They form the foundation of asthma treatment, determining the success of therapy and the patient's quality of life.

Mechanism and symptoms of asthma

Asthma manifests as episodic breathing difficulties, often accompanied by chest tightness and wheezing. It may also present as a dry cough, which often worsens at night or in the early morning. In general, asthma symptoms can vary in frequency and severity - depending on how well the disease is controlled. In children, frequent respiratory infections that do not resolve with treatment are common, while adults often experience shortness of breath during physical exertion or stress.

Asthma is caused by a chronic inflammation of the bronchial mucosa, leading to narrowing and hyperreactivity of the airways. The body then overreacts to external factors such as allergens, cold air, tobacco smoke, and pollution - sometimes even to strong odors. As a result, bronchial muscles contract and mucus thickens, which significantly restricts airflow.

Understanding the mechanism of bronchial asthma is essential for effective treatment. Asthma is not merely an allergy-related issue, but an inflammatory disease that cannot be completely cured. Therefore, following medical advice - including avoiding asthma triggers and taking medications regularly - is the foundation of therapy.

Asthma in children vs. asthma in adults

Generally, childhood asthma often has an allergic background and is associated with conditions such as atopic dermatitis or hay fever. In many cases, asthma symptoms become milder with age - although the disease does not always go away completely. The key to reducing asthma is early diagnosis and proper treatment, which lowers the risk of permanent damage to the respiratory system.

In adults, bronchial asthma can have different causes. It may result from exposure to irritants like chemicals or dust in the workplace, but it can also coexist with other conditions. These include gastroesophageal reflux disease, obesity, or thyroid disorders. Symptoms can appear for the first time even between the ages of 40–50 - so asthma should not be viewed as a disease of childhood only.

In both age groups, bronchial asthma significantly affects quality of life. For many, asthma limits physical activity, disrupts sleep, and in children, it can impact emotional and social development. Early treatment and education are essential tools that help minimize the impact of asthma on daily life.

Triggers of asthma

The most common triggers of asthma symptoms are allergens such as dust, dust mites, pollen, pet dander, and mold. In some individuals, bronchial asthma also worsens due to viral infections, stress, cold air, or intense physical activity. Environmental pollutants like smog, exhaust fumes, and cigarette smoke are equally significant.

Occupational factors such as exposure to chemicals, paints, latex, or dust can lead to the development of occupational asthma, which is just as serious. It’s important to note that even minimal exposure to irritating substances can trigger severe asthma attacks in affected individuals.

That’s why it’s crucial for people with asthma to be aware of their specific risk factors and try to avoid them. Air purifiers can be helpful, as well as regularly ventilating the home and limiting contact with animals. Maintaining high textile hygiene is also essential - especially with bedding and mattresses, where dust mites accumulate.

Prevention and treatment of asthma

Today, standard asthma treatment relies on two pillars - controlling inflammation and relieving symptoms. The most commonly used asthma medications are inhaled drugs - anti-inflammatory glucocorticosteroids and bronchodilators. In more severe cases of asthma, biological treatment is also introduced. The goal of biological therapy is to block specific molecules responsible for triggering inflammation.

Patient education is equally important, including proper inhalation technique and the ability to recognize an impending attack. Keeping a symptom diary is also recommended to better predict flare-ups. Working with a doctor allows for personalized asthma treatment.

Prevention also includes a healthy lifestyle, such as regular physical activity and maintaining a proper body weight. Sleep hygiene is especially important, as it promotes recovery. Quality sleep supports the immune system and helps relax the respiratory muscles.

Psychological effects of asthma

As Mateusz Nesterok points out, asthma is a somatic illness, but it also carries a psychological burden. Patients may experience anxiety about asthma attacks, which leads them to avoid physical and social activities. Chronic stress in turn worsens the course of the disease and makes it harder to manage symptoms.

Children with bronchial asthma often become more withdrawn because they feel different from their peers. They have to take asthma medications and can't run as freely as others. Adult patients, on the other hand, often experience frustration and lower self-esteem when symptoms limit them at work or in relationships.

That’s why doctors increasingly recommend psychological support as part of the treatment. Learning relaxation techniques and reducing stress can help cope better with asthma and lessen its impact on daily life.

Sleep comfort and asthma

Sleep plays the most important role in the body's recovery - and for people with asthma, it is especially crucial. At night, there is often a worsening of asthma symptoms as the bronchi narrow and breathing becomes shallower. An improper sleeping position, as well as a mattress that is too soft or a poorly chosen pillow, can make breathing even more difficult.

That’s why people with asthma should pay special attention to sleep ergonomics. A pillow should provide proper support for the head and neck to keep airways open and the spine aligned. Especially when sleeping on the back, it's important to prevent the head from tilting forward toward the chest - which can happen with pillows that are too high. It’s also recommended to use hypoallergenic and breathable products that do not accumulate dust or mites.

The Polish-made orthopedic pillows by ONSEN® are specifically designed for healthy and safe sleep. They are made from modern Purotex® materials that reduce allergen presence and support proper breathing at night. A well-chosen sleep pillow is not only about comfort - it’s a real preventive tool that supports respiratory health every night and improves the quality of life for people with asthma.

We also encourage you to explore other articles on the best sleep and health blog, as well as the Encyclopedia of Healthy Sleep prepared by the ONSEN® team of specialists. For those who care about spine health, we recommend a set of spine exercises prepared by our physiotherapist.

FAQ: Asthma

How do you know if you have asthma?

Asthma commonly presents with breathing difficulties, shortness of breath, wheezing and coughing. Symptoms tend to occur especially at night or early in the morning. They often worsen after exposure to allergens, physical activity or during respiratory infections. A typical feature of asthma is the fluctuating intensity of symptoms - sometimes they’re strong, other times they almost disappear.

How long can you live with asthma?

Thanks to modern treatment methods, most people with asthma can live a normal, long life. The condition does not have to shorten life expectancy if properly managed. Regular use of medications and avoiding triggers help keep asthma well controlled.

What are the symptoms of asthma?

The most common symptoms include shortness of breath, chest tightness, wheezing and dry cough. These symptoms may worsen at night, with physical effort or due to irritants like smoke, dust, cold air or strong odors. Asthma symptoms often occur in episodes and may go away on their own or after taking medication.

Does asthma damage the heart?

Asthma itself does not directly damage the heart. However, severe and untreated asthma attacks can strain the cardiovascular system, which may increase the risk of heart-related issues over time. Good asthma control and consistent use of medications significantly reduce this risk.

Can asthma affect sleep?

Yes, asthma can affect sleep - and this has been confirmed by several studies. Many people notice that symptoms worsen at night, leading to frequent awakenings, disrupted sleep and daytime fatigue. Proper treatment and creating a sleep-friendly environment (a suitable mattress and pillow, clean air and allergen-free surroundings) greatly improve sleep quality.

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