According to the National Institute for Allergy and Infectious Diseases, the American Academy of Allergy, Asthma, and Immunology, and the American Lung Association, triggers for asthma may include:
| Allergens | Respiratory infections and sinusitis |
|---|---|
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Infections can cause irritation of the airways, nose, throat, lungs, and sinuses, and may precede an asthma attack. |
| Irritants |
Sensitivity to medications |
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Medications, such as aspirin and additives, such as sulfites, cause up to 20 percent of adult asthmatic attacks as a result of sensitivities or allergies to them. These medications often include:
Before taking any medication, including over-the-counter medications, talk with your health care provider. |
|
Exercise | Gastroesophageal reflux |
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Strenuous physical exercise can trigger an asthma attack, often because of the inhaled cool and dry air. Long-term strenuous activities, such as long distance running, are most likely to induce asthma, and swimming is the least likely. |
GERD, or indigestion, a condition characterized by persistent reflux of stomach acids, is common in individuals with asthma. Symptoms may include heartburn, belching, or spitting up in infants. |
| Smoke |
Emotional anxiety and nervous stress |
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Tobacco smoke, whether directly or passively inhaled, has been shown to have harmful effects on the airways. Wood smoke from wood-burning heating stoves and fireplaces can release irritating chemicals such as sulfur dioxide. |
Reactions from stress and anxiety are considered to be more of an effect than a cause. They can cause fatigue, which may affect the immune system and, in turn, increase either asthma symptoms or bring on an attack. |
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