Exercise-induced Bronchospasm

Overview

What is exercise-induced bronchospasm?

Exercise-induced bronchospasm (also called EIB) happens whenthe airways in your lungs shrink (get smaller) while you are exercising. Thismakes it difficult to breathe. If you have EIB, it can be hard for you toexercise for more than 30 minutes at a time.

Symptoms

What are the symptoms of EIB?

Symptoms of EIB typically start after 5 to 20 minutes ofnonstop exercise, and may include wheezing (breathing that makes a hoarse,squeaky, whistling or musical sound), difficulty breathing, chest pain,coughing, and chest tightness.

Causes & Risk Factors

What causes EIB?

Breathing in air that is cooler and drier than the air inyour lungs during exercise may cause EIB. If you have EIB and chronic asthma,your symptoms may get worse during spring and fall, when people tend to havetrouble with allergies.

Diagnosis & Tests

How can my doctor tell that I have EIB?

Your doctor will ask you questions about your symptoms, do aphysical exam and perform breathing tests. During a breathing test, your doctorwill have you breathe into a spirometer or a peak flow meter. These devicesmeasure how much air you are able to blow out of your lungs. If your doctorthinks you might have EIB, he or she will help you decide on the righttreatment for your symptoms.

Treatment

How is EIB treated?

Medicines to treat EIB include the following:

You and your doctor will talk about which medicine is right for you. He or she will tell you how to take your medicine. It is important to follow your doctor’s instructions carefully to make sure your medicine is effective.

A warm-up and cool-down period of at least 15 minutes before and after exercise may help lessen the symptoms of EIB. Avoid exercising in extremely cold temperatures or when you have a respiratory infection, such as a cold or the flu. If you have allergies, avoid exercising when pollen levels are high. Also, if you smoke, stop.

  • A short-acting bronchodilator: This medicine is usually taken 15 minutes before exercise and lasts 4 to 6 hours.

  • A mast cell stabilizer: This medicine is usually taken 15 minutes to 1 hour before exercise and lasts for 4 hours.

  • A longer acting bronchodilator. This medicine is usually taken 30 minutes before exercise and lasts up to 12 hours.

  • An anti-leukotriene: This medicine lasts up to 24 hours. It is taken every day and helps keep your airways from shrinking.

Questions to Ask Your Doctor

  • I have trouble breathing when I exercise. Is it asthma?

  • How does exercise-induced bronchospasm differ from asthma?

  • Is it safe for me to exercise? What kind of exercise can I do?

  • What other lifestyle changes can I make to help relieve my symptoms?

  • Will any over-the-counter or prescription medicines help relieve my symptoms?

Citations

  • Recognition and Management of Exercise-Induced Bronchospasm by T Sinha, MD; AK David, MD( 02/15/03, http://www.aafp.org/afp/20030215/769.html)