NHS-aligned information. This is general health information — not personal medical advice. Always consult your GP or specialist.

Home Conditions A–Z Lung & Breathing Asthma
Lung & Breathing

Asthma

Asthma is a common long-term condition that affects your airways, causing episodes of breathlessness, wheezing, chest tightness and coughing.

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What is Asthma?

Asthma is a common condition that affects the airways in your lungs. When triggered, the airways become inflamed, narrow and produce extra mucus, making breathing difficult. Around 5.4 million people in the UK are currently receiving treatment for asthma.

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Symptoms

  • Wheezing (a whistling sound when breathing)
  • Breathlessness
  • Chest tightness
  • Coughing, especially at night or early morning
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Common Triggers

  • Respiratory infections (colds, flu)
  • Allergens (pollen, dust mites, pet dander, mould)
  • Exercise
  • Cold air or weather changes
  • Pollution and smoke
  • Strong emotions or stress
  • Certain medicines (aspirin, NSAIDs, beta-blockers)
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Diagnosis

Your GP will ask about your symptoms and carry out breathing tests (spirometry, peak flow). These tests check how well your lungs are working and whether there is a blockage in the airways.

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Treatment

  • Reliever inhaler (usually blue) — for immediate symptom relief; contains a short-acting beta2-agonist (SABA) like salbutamol
  • Preventer inhaler (usually brown) — taken daily to reduce airway inflammation; contains an inhaled corticosteroid (ICS)
  • Combination inhalers — contain both a corticosteroid and a long-acting beta2-agonist (LABA) for more severe asthma
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Asthma Action Plan

Everyone with asthma should have a written asthma action plan from their GP or asthma nurse. This tells you what to do when your symptoms get worse and when to seek emergency help.

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Questions to Ask Your Doctor

These questions can help you get the most from your next GP or specialist appointment.

  • Do I have asthma, COPD, or something else?
  • Am I on the right inhaler, and am I using it correctly?
  • What triggers my symptoms and how do I avoid them?
  • Should I have a peak flow meter at home?
  • Am I eligible for pulmonary rehabilitation?
  • What vaccinations do I need (flu, pneumococcal)?
  • When should I seek urgent help for a flare?
NHS Pathway

What Happens Next on the NHS

1
GP Assessment
Spirometry, peak flow diary, chest X-ray if indicated, and review of symptom triggers.
2
Diagnosis
Asthma or COPD confirmed. Inhaler prescribed and inhaler technique demonstrated by practice nurse.
3
Respiratory Nurse / Specialist
Annual review at surgery, step-up therapy if poorly controlled, pulmonary rehabilitation referral for COPD.
4
Long-term Management
Written exacerbation action plan, annual flu and pneumonia vaccinations, smoking cessation support.

Timelines are approximate and may vary by NHS trust and area. Your GP can advise on local services.

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