{"id":493,"date":"2020-01-28T22:07:58","date_gmt":"2020-01-29T03:07:58","guid":{"rendered":"http:\/\/aan2020.flywheelsites.com\/?page_id=493"},"modified":"2025-05-20T12:33:36","modified_gmt":"2025-05-20T16:33:36","slug":"what-is-severe-asthma","status":"publish","type":"page","link":"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/what-is-severe-asthma\/","title":{"rendered":"What is Severe Asthma?"},"content":{"rendered":"<style>.kadence-column493_85391b-a0 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_85391b-a0 > .kt-inside-inner-col,.kadence-column493_85391b-a0 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_85391b-a0 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_85391b-a0 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_85391b-a0 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_85391b-a0 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_85391b-a0{position:relative;}@media all and (max-width: 1024px){.kadence-column493_85391b-a0 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_85391b-a0 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_85391b-a0\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_026236-c1{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_026236-c1{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_026236-c1 > .kt-inside-inner-col,.kadence-column493_026236-c1 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_026236-c1 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_026236-c1 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_026236-c1 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_026236-c1 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_026236-c1{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_026236-c1{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_026236-c1 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_026236-c1{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_026236-c1 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_026236-c1\"><div class=\"kt-inside-inner-col\">\n<p>Severe asthma is a type of <a href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>asthma<\/strong><\/a> that is hard to control. Symptoms may occur most days and most nights. Severe asthma can involve constant or frequent inflammation in your airways. Unlike mild asthma, severe asthma doesn\u2019t get better easily with treatment. Symptoms persist \u2013 coughing, wheezing, chest tightness and shortness of breath.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_b0de7e-ca > .kt-inside-inner-col{padding-top:15px;padding-bottom:25px;}.kadence-column493_b0de7e-ca > .kt-inside-inner-col,.kadence-column493_b0de7e-ca > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_b0de7e-ca > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_b0de7e-ca > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_b0de7e-ca > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_b0de7e-ca > .kt-inside-inner-col{background-color:var(--global-palette9, #ffffff);}.kadence-column493_b0de7e-ca > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_b0de7e-ca{position:relative;}@media all and (max-width: 1024px){.kadence-column493_b0de7e-ca > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_b0de7e-ca > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_b0de7e-ca\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_762790-fb{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_762790-fb{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_762790-fb > .kt-inside-inner-col{padding-top:0px;}.kadence-column493_762790-fb > .kt-inside-inner-col,.kadence-column493_762790-fb > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_762790-fb > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_762790-fb > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_762790-fb > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_762790-fb > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_762790-fb{position:relative;}.kadence-column493_762790-fb, .kt-inside-inner-col > .kadence-column493_762790-fb:not(.specificity){margin-top:0px;margin-bottom:var(--global-kb-spacing-xxs, 0.5rem);}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_762790-fb{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_762790-fb > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_762790-fb{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_762790-fb > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_762790-fb\"><div class=\"kt-inside-inner-col\">\n<p class=\"has-text-align-center\" style=\"margin-top:10px;margin-bottom:10px\"><em>Advertisement<\/em><\/p>\n\n\n<style>.kb-image493_dd2edf-8b.kb-image-is-ratio-size, .kb-image493_dd2edf-8b .kb-image-is-ratio-size{max-width:800px;width:100%;}.wp-block-kadence-column > .kt-inside-inner-col > .kb-image493_dd2edf-8b.kb-image-is-ratio-size, .wp-block-kadence-column > .kt-inside-inner-col > .kb-image493_dd2edf-8b .kb-image-is-ratio-size{align-self:unset;}.kb-image493_dd2edf-8b{max-width:800px;}.image-is-svg.kb-image493_dd2edf-8b{-webkit-flex:0 1 100%;flex:0 1 100%;}.image-is-svg.kb-image493_dd2edf-8b img{width:100%;}.kb-image493_dd2edf-8b .kb-image-has-overlay:after{opacity:0.3;}.kb-image493_dd2edf-8b img.kb-img, .kb-image493_dd2edf-8b .kb-img img{box-shadow:0px 0px 14px 0px rgba(0, 0, 0, 0.2);}<\/style>\n<figure class=\"wp-block-kadence-image kb-image493_dd2edf-8b size-full\"><a href=\"https:\/\/studykik.com\/study-page\/asthma-16466\" class=\"kb-advanced-image-link\" target=\"_blank\" rel=\"noopener noreferrer nofollow sponsored\"><img decoding=\"async\" width=\"1080\" height=\"300\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/12\/Teva-Banner_v6.jpg\" alt=\"Advertisement for a pediatric and adult asthma research study, seeking participants aged 4+ with an asthma diagnosis. Features text details, a link, and a photo of two people biking on a trail.\" class=\"kb-img wp-image-19384022\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/12\/Teva-Banner_v6.jpg 1080w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/12\/Teva-Banner_v6-300x83.jpg 300w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/12\/Teva-Banner_v6-768x213.jpg 768w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/a><\/figure>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_457928-c0 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_457928-c0 > .kt-inside-inner-col,.kadence-column493_457928-c0 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_457928-c0 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_457928-c0 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_457928-c0 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_457928-c0 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_457928-c0{position:relative;}@media all and (max-width: 1024px){.kadence-column493_457928-c0 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_457928-c0 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_457928-c0\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_bb4dd6-c2{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_bb4dd6-c2{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_bb4dd6-c2 > .kt-inside-inner-col,.kadence-column493_bb4dd6-c2 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_bb4dd6-c2 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_bb4dd6-c2 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_bb4dd6-c2 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_bb4dd6-c2 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_bb4dd6-c2{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_bb4dd6-c2{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_bb4dd6-c2 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_bb4dd6-c2{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_bb4dd6-c2 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_bb4dd6-c2\"><div class=\"kt-inside-inner-col\">\n<p>People with severe asthma have high rates of emergency department visits and hospitalizations. They also have high rates of school or work absenteeism. They may be unable to perform simple activities of daily living due to their lung disease.<\/p>\n\n\n\n<p>Asthma guidelines in the United States and around the world define severe asthma as when&#8230;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>a person needs high-dose treatment to keep it under control.<\/li>\n\n\n\n<li>symptoms are still bad or happen often, even with high-dose treatment.<\/li>\n<\/ul>\n\n\n\n<p>High-dose medications include inhaled corticosteroids (ICS, which help reduce inflammation) and long-acting beta2-agonists (LABAs, which relax muscles around the airways). If these medications are not working, then it may be time to ask your doctor about different asthma treatment options.<\/p>\n\n\n<style>.kb-image493_f361ce-be1 .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<figure class=\"wp-block-kadence-image kb-image493_f361ce-be1 size-large\"><img decoding=\"async\" width=\"1080\" height=\"567\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Elderly-man-with-asthma-inhaler-1080x567.jpg\" alt=\"an elderly man using an asthma inhaler\" class=\"kb-img wp-image-1312\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Elderly-man-with-asthma-inhaler-1080x567.jpg 1080w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Elderly-man-with-asthma-inhaler-300x158.jpg 300w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Elderly-man-with-asthma-inhaler-768x403.jpg 768w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Elderly-man-with-asthma-inhaler.jpg 1200w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/figure>\n\n\n\n<p>Other people with asthma people may rely too much on <a href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/how-is-asthma-treated\/oral-corticosteroids-for-asthma\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>oral corticosteroids (OCS)<\/strong><\/a> to control symptoms. But OCS is not meant for long-term therapy. This can lead to severe side effects.<\/p>\n\n\n\n<p>More <a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/how-is-asthma-treated\/\"><strong>advanced medications are now available<\/strong><\/a> to treat severe asthma. Biologics are prescribed for severe asthma. These are injections or infusions. Biologics address asthma at the cell level. They can help stop inflammation before it can start.<\/p>\n\n\n\n<p>What can you do if your asthma is severe, frequent, and not getting better? First, speak with an asthma specialist \u2013 a board-certified allergist or a pulmonologist. These doctors can work with you to develop an effective treatment plan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How common is severe asthma?<\/h2>\n\n\n\n<p>It\u2019s estimated that between 5-10% of <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8454418\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>people with asthma have severe asthma<\/strong><\/a>. In children, severe asthma affects 6% of 12-17 year olds and 2% of 6-11 year olds.<\/p>\n\n\n\n<p>It is believed the rates may be higher. Some people with uncontrolled asthma may not see a doctor often enough. They may not fully report their symptoms. Studies show about <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6879035\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>half of adult asthma patients<\/strong><\/a> and <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10559784\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>18% of children<\/strong><\/a> have poorly controlled symptoms despite treatment.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"How to Treat an Asthma Attack, with Janna Tuck, MD\" width=\"720\" height=\"405\" src=\"https:\/\/www.youtube.com\/embed\/LAouCcBhuds?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What are severe asthma symptoms?<\/h2>\n\n\n\n<p>The common symptoms of asthma are coughing, wheezing, chest tightness and shortness of breath. Some people may also experience fatigue, difficulty sleeping, and excess mucus.<\/p>\n\n\n\n<p>Severe asthma symptoms are more intense and frequent than those of mild or moderate asthma. The coughing and wheezing may persist, especially at night. These symptoms may not improve with standard ICS or LABA treatments and they often interfere with daily life.<\/p>\n\n\n\n<p>People with severe asthma may have repeat flare-ups that require emergency medical treatment. The flare-ups may happen even when using a quick-relief inhaler and taking controller medications correctly. They may need oral corticosteroids to calm symptoms.<\/p>\n\n\n\n<p>During a severe asthma attack, some people may show signs of low oxygen levels. The signs include blue lips or fingernails (called cyanosis). This is a medical emergency. Use a quick-relief inhaler, call 9-1-1 for emergency medical treatment, and go to the nearest hospital or emergency department.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col,.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col{flex-direction:column;}.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col{background-color:rgba(2, 93, 134, 0.2);}.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1128_f5eaa1-2f{position:relative;}@media all and (max-width: 1024px){.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1128_f5eaa1-2f > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1128_f5eaa1-2f\"><div class=\"kt-inside-inner-col\"><style>.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col{display:flex;}.kadence-column1128_3fa9b0-3e{max-width:1000px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column1128_3fa9b0-3e{-webkit-flex:0 1 1000px;flex:0 1 1000px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col,.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column1128_3fa9b0-3e{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1128_3fa9b0-3e{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1128_3fa9b0-3e{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column1128_3fa9b0-3e{-webkit-flex:0 1 1000px;flex:0 1 1000px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column1128_3fa9b0-3e{align-self:center;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1128_3fa9b0-3e{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column1128_3fa9b0-3e{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1128_3fa9b0-3e{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column1128_3fa9b0-3e{max-width:1000px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column1128_3fa9b0-3e > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1128_3fa9b0-3e max-width-container banner\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading1128_50df1b-9a, .wp-block-kadence-advancedheading.kt-adv-heading1128_50df1b-9a[data-kb-block=\"kb-adv-heading1128_50df1b-9a\"]{text-align:center;font-size:34px;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1128_50df1b-9a mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1128_50df1b-9a[data-kb-block=\"kb-adv-heading1128_50df1b-9a\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading1128_50df1b-9a wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1128_50df1b-9a\">Would you like help managing your asthma?<\/p>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-364161cd wp-block-columns-is-layout-flex\" style=\"margin-top:0px;margin-bottom:0px;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\"><div class=\"wp-block-image\">\n<figure class=\"alignright size-medium_large is-resized\"><img decoding=\"async\" width=\"768\" height=\"403\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Woman-seeing-asthma-coach-768x403.jpg\" alt=\"a women resting at home speaking to her online asthma coach on her laptop.\" class=\"wp-image-1329\" style=\"width:auto;height:220px\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Woman-seeing-asthma-coach-768x403.jpg 768w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Woman-seeing-asthma-coach-300x158.jpg 300w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Woman-seeing-asthma-coach-1080x567.jpg 1080w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/09\/Woman-seeing-asthma-coach.jpg 1200w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><\/figure><\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p style=\"font-size:24px;line-height:1.2\">Get a Free Online Asthma Coaching Program<\/p>\n\n\n\n<p style=\"font-size:14px\">Get free help to learn about your asthma and how to better manage it through Allergy &amp; Asthma Network&#8217;s<a href=\"https:\/\/allergyasthmanetwork.org\/free-asthma-coach-program\/\"><strong>&nbsp;free Asthma Coach Program<\/strong><\/a>. Connect with a professional asthma coach as part of a 6-week program using your phone, tablet or computer to help you manage your asthma and complete surveys to track your progress.<\/p>\n\n\n\n<p style=\"font-size:14px\">This free program is for U.S. residents living with asthma.&nbsp;<a rel=\"noreferrer noopener nofollow\" href=\"https:\/\/www.surveymonkey.com\/r\/NOMLTMTelehealth\" target=\"_blank\"><strong>Are you eligible? Find out by taking our brief survey.<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_bd1f80-22 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_bd1f80-22 > .kt-inside-inner-col,.kadence-column493_bd1f80-22 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_bd1f80-22 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_bd1f80-22 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_bd1f80-22 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_bd1f80-22 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_bd1f80-22{position:relative;}@media all and (max-width: 1024px){.kadence-column493_bd1f80-22 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_bd1f80-22 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_bd1f80-22 max-width-container\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_3c83d2-e9{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_3c83d2-e9{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_3c83d2-e9 > .kt-inside-inner-col,.kadence-column493_3c83d2-e9 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_3c83d2-e9 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_3c83d2-e9 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_3c83d2-e9 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_3c83d2-e9 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_3c83d2-e9{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_3c83d2-e9{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_3c83d2-e9 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_3c83d2-e9{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_3c83d2-e9 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_3c83d2-e9, .kt-inside-inner-col > .kadence-column493_3c83d2-e9:not(.specificity){margin-right:20px;margin-left:20px;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_3c83d2-e9 max-width-container\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Is there a difference between severe asthma and uncontrolled asthma?<\/h2>\n\n\n\n<p>Yes. Severe asthma can be controlled or uncontrolled. Likewise, uncontrolled asthma is not always classified as severe. Anyone with asthma can have uncontrolled symptoms.<\/p>\n\n\n\n<p>You can check your asthma control using the <strong>Rules of Two\u00ae<\/strong>. If you answer yes to any of the following, your asthma may be uncontrolled and you should see a doctor as soon as possible:<\/p>\n\n\n\n<div id=\"footable_parent_19372530\"\n         class=\" footable_parent ninja_table_wrapper loading_ninja_table wp_table_data_press_parent semantic_ui colored_table\">\n                <table data-ninja_table_instance=\"ninja_table_instance_0\" data-footable_id=\"19372530\" data-filter-delay=\"1000\" aria-label=\"Rules of Two\"            id=\"footable_19372530\"\n           data-unique_identifier=\"ninja_table_unique_id_952963837_19372530\"\n           class=\" foo-table ninja_footable foo_table_19372530 ninja_table_unique_id_952963837_19372530 ui table  nt_type_legacy_table selectable striped vertical_centered ninja_custom_color inverted footable-paging-right ninjatable_hide_header_row ninja_table_search_disabled ninja_table_pro\">\n                <colgroup>\n                            <col class=\"ninja_column_0 \">\n                    <\/colgroup>\n        <thead>\n<tr class=\"footable-header\">\n                        <th scope=\"col\"  class=\"ninja_column_0 ninja_clmn_nm_rules_of_two \">Rules of Two<\/th><\/tr>\n<\/thead>\n<tbody>\n\n        <tr data-row_id=\"88\" class=\"ninja_table_row_0 nt_row_id_88\">\n            <td><span style=\"font-size: 36pt; font-family: 'arial black', sans-serif;\"><strong>Rules of TWO\u00ae<\/strong><\/span> <br \/><strong><span style=\"font-size: 18pt;\">When is quick relief for asthma NOT ENOUGH?<\/span><\/strong> <br \/><span style=\"font-size: 15pt;\">DO YOU....<img decoding=\"async\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/Doctor-graphic.png\" alt=\"Illustration of a healthcare professional wearing glasses and a stethoscope, smiling and gesturing with one hand. The person has curly hair and is dressed in a white coat over a green shirt, suggesting a friendly and approachable demeanor.\" width=\"334\" height=\"301\" class=\"alignright wp-image-675 \" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/Doctor-graphic.png 600w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/Doctor-graphic-300x270.png 300w\" sizes=\"(max-width: 334px) 100vw, 334px\" \/><\/span><br \/><br \/>\u2713 Take your quick relief inhaler more than TWO TIMES A WEEK?<br \/><br \/>\u2713 Awaken at night with asthma more than TWO TIMES A MONTH?<br \/><br \/>\u2713 Do you refill your quick-relief inhaler more than TWO TIMES A YEAR?<br \/><br \/>\u2713 Use prednisone TWO or more times a year for flares of asthma?<br \/>Measure changes in peak flow with asthma symptoms of more than TWO TIMES 10 (20%)?<br \/><span style=\"font-size: 14pt;\"><br \/><strong>If you answer \"yes\" to any of them, talk to your doctor.<\/strong><br \/><\/span> <br \/><span style=\"font-size: 10pt;\"><em>Rules of Two is a registered trademark of Baylor Health Care System<\/em><\/span>\n<div id=\"awebChromeHelper\" data-version=\"1.24.2\"><\/div><\/td>        <\/tr>\n    <\/tbody><!--ninja_tobody_rendering_done-->\n    <\/table>\n    \n    \n    \n<\/div>\n\n\n\n\n<p>Some people with severe asthma may have symptoms under control. Others may struggle with symptoms even on high doses of daily controller medications. These symptoms may be frequent throughout the day and night. The level of asthma severity involves:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>How often you need your quick-relief rescue medication.<\/li>\n\n\n\n<li>The frequency and duration of your daytime and nighttime asthma symptoms.<\/li>\n\n\n\n<li>The impact of asthma on your daily life. Think about the limitations to activities of daily living or ability to exercise.<\/li>\n<\/ul>\n\n\n\n<div id=\"footable_parent_19384878\"\n         class=\" footable_parent ninja_table_wrapper loading_ninja_table wp_table_data_press_parent semantic_ui colored_table\">\n                <table data-ninja_table_instance=\"ninja_table_instance_1\" data-footable_id=\"19384878\" data-filter-delay=\"1000\" aria-label=\"Levels of Asthma Severity\"            id=\"footable_19384878\"\n           data-unique_identifier=\"ninja_table_unique_id_629116233_19384878\"\n           class=\" foo-table ninja_footable foo_table_19384878 ninja_table_unique_id_629116233_19384878 ui table  nt_type_legacy_table selectable striped vertical_centered ninja_custom_color inverted footable-paging-right ninja_table_search_disabled ninja_table_pro\">\n                <colgroup>\n                            <col class=\"ninja_column_0 \">\n                            <col class=\"ninja_column_1 \">\n                            <col class=\"ninja_column_2 \">\n                            <col class=\"ninja_column_3 \">\n                            <col class=\"ninja_column_4 \">\n                    <\/colgroup>\n        <thead>\n<tr class=\"footable-header\">\n                                                                                        <th scope=\"col\"  class=\"ninja_column_0 ninja_clmn_nm_indicators \"><\/th><th scope=\"col\"  class=\"ninja_column_1 ninja_clmn_nm_intermittent_asthma \">Intermittent Asthma<\/th><th scope=\"col\"  class=\"ninja_column_2 ninja_clmn_nm_mild_persistent_asthma \">Mild Persistent Asthma<\/th><th scope=\"col\"  class=\"ninja_column_3 ninja_clmn_nm_moderate_persistent_severe_persistent_asthma \">Moderate Persistent Asthma<\/th><th scope=\"col\"  class=\"ninja_column_4 ninja_clmn_nm_severe_persistent_asthma \">Severe Persistent Asthma<\/th><\/tr>\n<\/thead>\n<tbody>\n\n        <tr data-row_id=\"294\" class=\"ninja_table_row_0 nt_row_id_294\">\n            <td>Daytime Symptoms<\/td><td>Less than 3 times a week<\/td><td>3-6 times a week<\/td><td>Every day<\/td><td>Continuously throughout the day<\/td>        <\/tr>\n            <tr data-row_id=\"295\" class=\"ninja_table_row_1 nt_row_id_295\">\n            <td>Nighttime Symptoms<\/td><td>Less than 2 times a month<\/td><td>3-4 times a month<\/td><td>5 or more times a month but not every night<\/td><td>Every night<\/td>        <\/tr>\n            <tr data-row_id=\"296\" class=\"ninja_table_row_2 nt_row_id_296\">\n            <td>Use of Quick-Relief Medication<\/td><td>Less than 3 times a week for asthma symptoms<\/td><td>More than 2 days a week, but not daily<\/td><td>Daily<\/td><td>Several times a day<\/td>        <\/tr>\n            <tr data-row_id=\"297\" class=\"ninja_table_row_3 nt_row_id_297\">\n            <td>Limitations<\/td><td>No limitations to activities of daily living or exercise<\/td><td>Minor limitations to activities of daily living or exercise<\/td><td>Increased limitations to activities of daily living or exercise (more than 2 times per week)<\/td><td>Extreme limitations to activities of daily living or exercise<\/td>        <\/tr>\n    <\/tbody><!--ninja_tobody_rendering_done-->\n    <\/table>\n    \n    \n    \n<\/div>\n\n\n\n\n<p style=\"padding-top:var(--wp--preset--spacing--60)\">Be sure to monitor your severe uncontrolled asthma symptoms. Are chest tightness and breathlessness increasing? Is your cough and wheezing getting worse? See your doctor or asthma specialist promptly. You could be at risk for severe asthma or an <a href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/asthma-attack\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>asthma attack<\/strong><\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the different types of severe asthma?<\/h2>\n\n\n\n<p>Each person\u2019s asthma is unique. Doctors diagnose it on a spectrum. Severe asthma typically involves symptoms throughout the day and most nights per week. Patients may need to go to the emergency department or hospital often. They may be unable to go to work or school, or do simple activities, due to breathing problems.<\/p>\n\n\n\n<p>Phenotypes (or subtypes) of asthma include <a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/allergyasthmanetwork.org\/news\/allergic-asthma\/\"><strong>allergic asthma<\/strong><\/a> and nonallergic asthma. Allergic asthma involves symptoms that are triggered by exposure to allergens like pollen, mold, dust mites or pet dander. <strong>Nonallergic asthma<\/strong> involves symptoms caused by air pollution, exercise, tobacco smoke, viruses and strong smells. It is often more associated with adult-onset asthma. Allergic asthma and non-allergic asthma can worsen severe asthma symptoms.<\/p>\n\n\n\n<p>Others have a subtype called <a href=\"https:\/\/eosasthma.org\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>eosinophilic asthma<\/strong><\/a>. This is usually a severe form of asthma. High levels of eosinophils \u2013 a type of white blood cell \u2013 in the body can lead to severe asthma or cause an asthma attack. Eosinophilic asthma often involves <a href=\"https:\/\/allergyasthmanetwork.org\/health-a-z\/type-2-inflammation-resources\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Type 2 inflammation<\/strong><\/a>.<\/p>\n\n\n\n<p>Another severe asthma subtype is <strong>neutrophilic asthma<\/strong>. It involves neutrophils, a type of white blood cell that is designed to fight infection. The condition is often more resistant to corticosteroid treatment and involves hard-to-control inflammation not related to Type 2.<\/p>\n\n\n\n<p>Why does the type of severe asthma you have matter? Different types of asthma may need different kinds of treatment. For example, certain <a target=\"_blank\" rel=\"noreferrer noopener nofollow\" href=\"https:\/\/biologicmeds.org\/\"><strong>biologic medications<\/strong><\/a> are prescribed for allergic asthma. Other biologics are prescribed to treat eosinophilic asthma.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_53fe6b-e2 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_53fe6b-e2 > .kt-inside-inner-col,.kadence-column493_53fe6b-e2 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_53fe6b-e2 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_53fe6b-e2 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_53fe6b-e2 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_53fe6b-e2 > .kt-inside-inner-col{background-color:#f8f7f3;}.kadence-column493_53fe6b-e2 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_53fe6b-e2{position:relative;}@media all and (max-width: 1024px){.kadence-column493_53fe6b-e2 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_53fe6b-e2 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_53fe6b-e2\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_38ab14-ca{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_38ab14-ca{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_38ab14-ca > .kt-inside-inner-col,.kadence-column493_38ab14-ca > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_38ab14-ca > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_38ab14-ca > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_38ab14-ca > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_38ab14-ca > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_38ab14-ca{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_38ab14-ca{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_38ab14-ca > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_38ab14-ca{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_38ab14-ca > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_38ab14-ca\"><div class=\"kt-inside-inner-col\"><style>.kb-image493_c781f6-9c33 .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<figure class=\"wp-block-kadence-image kb-image493_c781f6-9c33 size-large\"><img decoding=\"async\" width=\"1080\" height=\"567\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/11\/Doctor-with-pediatric-asthma-patient-1080x567.jpg\" alt=\"A doctor listens to a young girl&#039;s breathing with a stethoscope. The girl is sitting on an examination table, wearing a white tank top and jeans, and appears to be coughing. The room is bright and contains shelves and a desk.\" class=\"kb-img wp-image-19382966\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/11\/Doctor-with-pediatric-asthma-patient-1080x567.jpg 1080w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/11\/Doctor-with-pediatric-asthma-patient-300x158.jpg 300w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/11\/Doctor-with-pediatric-asthma-patient-768x403.jpg 768w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/11\/Doctor-with-pediatric-asthma-patient.jpg 1200w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How is severe asthma diagnosed?<\/h2>\n\n\n\n<p>Doctors diagnose severe asthma by checking how the disease affects a person. This is called a clinical assessment. The goal is to confirm that asthma is truly severe.<\/p>\n\n\n\n<p>To <a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/how-is-asthma-diagnosed\/\"><strong>diagnose severe asthma<\/strong><\/a>, your doctor will&#8230;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Check your medical history.<\/li>\n\n\n\n<li>Review your signs and symptoms.<\/li>\n\n\n\n<li>Perform a physical exam.<\/li>\n\n\n\n<li>Conduct lung function tests, such as spirometry or <a href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/how-is-asthma-diagnosed\/nitric-oxide-testing\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>FeNO<\/strong><\/a>, to identify your level of asthma severity. Spirometry measures your forced expiratory volume (FEV1). It evaluates how much air you can exhale in one second during a forced breath.<\/li>\n\n\n\n<li>Consider what asthma medication you take and evaluate whether it&#8217;s working.<\/li>\n\n\n\n<li>Order blood tests.<\/li>\n<\/ul>\n\n\n\n<p><a target=\"_blank\" rel=\"noreferrer noopener nofollow\" href=\"https:\/\/eosasthma.org\/diagnosis-treatment\/\"><strong>Diagnosis of eosinophilic asthma<\/strong><\/a> may also involve blood tests, a sputum sample, or a bronchial biopsy of fluid examination.<\/p>\n\n\n\n<p>Severe asthma can also be diagnosed by ruling out factors that make asthma harder to control. These factors may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>incorrect inhaler technique;<\/li>\n\n\n\n<li>frequent exposure to environmental triggers (pollen, mold, pet dander, cockroaches or mice);<\/li>\n\n\n\n<li>lack of access to affordable medical care or treatment<\/li>\n\n\n\n<li>poor medication adherence;<\/li>\n\n\n\n<li>poor stress management<\/li>\n\n\n\n<li>other health conditions, such as COPD.<\/li>\n<\/ul>\n\n\n\n<p>If you think you have severe asthma, or your asthma is worsening, speak with a specialist. Get a referral from your primary care doctor to see a board-certified allergist or pulmonologist. Ask for an assessment of your symptoms. Find out if your asthma medication is working.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col,.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col{flex-direction:column;}.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col{background-color:var(--global-palette4, #2D3748);}.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column19383453_d28a7e-a0{position:relative;}@media all and (max-width: 1024px){.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column19383453_d28a7e-a0 > .kt-inside-inner-col{flex-direction:column;}.kadence-column19383453_d28a7e-a0, .kt-inside-inner-col > .kadence-column19383453_d28a7e-a0:not(.specificity){margin-right:var(--global-kb-spacing-xs, 1rem);margin-left:var(--global-kb-spacing-xs, 1rem);}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column19383453_d28a7e-a0\"><div class=\"kt-inside-inner-col\"><style>.kadence-column19383453_eac8a4-88{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column19383453_eac8a4-88{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column19383453_eac8a4-88 > .kt-inside-inner-col,.kadence-column19383453_eac8a4-88 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column19383453_eac8a4-88 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column19383453_eac8a4-88 > .kt-inside-inner-col{flex-direction:column;}.kadence-column19383453_eac8a4-88 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column19383453_eac8a4-88 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column19383453_eac8a4-88{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column19383453_eac8a4-88{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column19383453_eac8a4-88 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column19383453_eac8a4-88{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column19383453_eac8a4-88 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column19383453_eac8a4-88\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading19383453_cde5f6-314, .wp-block-kadence-advancedheading.kt-adv-heading19383453_cde5f6-314[data-kb-block=\"kb-adv-heading19383453_cde5f6-314\"]{padding-right:var(--global-kb-spacing-xs, 1rem);padding-left:var(--global-kb-spacing-xs, 1rem);font-size:24px;line-height:1.2;font-style:normal;color:#fffdfd;}.wp-block-kadence-advancedheading.kt-adv-heading19383453_cde5f6-314 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading19383453_cde5f6-314[data-kb-block=\"kb-adv-heading19383453_cde5f6-314\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}@media all and (max-width: 1024px){.wp-block-kadence-advancedheading.kt-adv-heading19383453_cde5f6-314, .wp-block-kadence-advancedheading.kt-adv-heading19383453_cde5f6-314[data-kb-block=\"kb-adv-heading19383453_cde5f6-314\"]{font-size:22px;}}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading19383453_cde5f6-314, .wp-block-kadence-advancedheading.kt-adv-heading19383453_cde5f6-314[data-kb-block=\"kb-adv-heading19383453_cde5f6-314\"]{font-size:20px;}}<\/style>\n<p class=\"kt-adv-heading19383453_cde5f6-314 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading19383453_cde5f6-314\">There are several asthma assessment tools you can use to determine if your asthma is in control or not:<\/p>\n<\/div><\/div>\n\n\n<style>.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-sm, 1rem);row-gap:var(--global-kb-gap-none, 0rem );max-width:900px;margin-left:auto;margin-right:auto;padding-top:0px;padding-bottom:0px;}.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}.kb-row-layout-id19383453_967d73-f4 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}}@media all and (max-width: 1024px){.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id19383453_967d73-f4 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id19383453_967d73-f4 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-3-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column19383453_575133-46 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column19383453_575133-46 > .kt-inside-inner-col,.kadence-column19383453_575133-46 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column19383453_575133-46 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column19383453_575133-46 > .kt-inside-inner-col{flex-direction:column;}.kadence-column19383453_575133-46 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column19383453_575133-46 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column19383453_575133-46{position:relative;}@media all and (max-width: 1024px){.kadence-column19383453_575133-46 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column19383453_575133-46 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column19383453_575133-46\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedbtn.kb-btns19383453_48d45e-fa{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:center;align-items:center;}.kt-btns19383453_48d45e-fa .kt-button{font-weight:normal;font-style:normal;}.kt-btns19383453_48d45e-fa .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns19383453_48d45e-fa .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns19383453_48d45e-fa .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns19383453_48d45e-fa .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns19383453_48d45e-fa .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns19383453_48d45e-fa .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns19383453_48d45e-fa .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns19383453_48d45e-fa\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn19383453_36edf1-3b.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn19383453_36edf1-3b.kb-button{background:#025d86;border-top-left-radius:20px;border-bottom-right-radius:20px;padding-top:23px;padding-right:20px;padding-bottom:23px;padding-left:20px;box-shadow:0px 12px 18px -6px rgba(0, 0, 0, 0.3);}.wp-block-kadence-advancedbtn .kb-btn19383453_36edf1-3b.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn19383453_36edf1-3b.kb-button:focus{background:var(--global-palette7, #EDF2F7);}<\/style><a class=\"kb-button kt-button button kb-btn19383453_36edf1-3b kt-btn-size-standard kt-btn-width-type-full kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false button-hover-zoom wp-block-kadence-singlebtn\" href=\"https:\/\/www.asthma.com\/understanding-asthma\/severe-asthma\/asthma-control-test\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><span class=\"kt-btn-inner-text\">Asthma Control Test for Adults<\/span><\/a><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column19383453_356edc-37 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column19383453_356edc-37 > .kt-inside-inner-col,.kadence-column19383453_356edc-37 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column19383453_356edc-37 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column19383453_356edc-37 > .kt-inside-inner-col{flex-direction:column;}.kadence-column19383453_356edc-37 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column19383453_356edc-37 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column19383453_356edc-37{position:relative;}@media all and (max-width: 1024px){.kadence-column19383453_356edc-37 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column19383453_356edc-37 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column19383453_356edc-37\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedbtn.kb-btns19383453_898d34-4e{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:center;align-items:center;}.kt-btns19383453_898d34-4e .kt-button{font-weight:normal;font-style:normal;}.kt-btns19383453_898d34-4e .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns19383453_898d34-4e .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns19383453_898d34-4e .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns19383453_898d34-4e .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns19383453_898d34-4e .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns19383453_898d34-4e .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns19383453_898d34-4e .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns19383453_898d34-4e\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn19383453_49f55d-08.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn19383453_49f55d-08.kb-button{background:var(--global-palette1, #3182CE);border-top-left-radius:20px;border-bottom-right-radius:20px;padding-top:23px;padding-right:20px;padding-bottom:23px;padding-left:20px;box-shadow:0px 12px 18px -6px rgba(0, 0, 0, 0.3);}.wp-block-kadence-advancedbtn .kb-btn19383453_49f55d-08.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn19383453_49f55d-08.kb-button:focus{background:var(--global-palette7, #EDF2F7);}<\/style><a class=\"kb-button kt-button button kb-btn19383453_49f55d-08 kt-btn-size-standard kt-btn-width-type-full kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false button-hover-zoom wp-block-kadence-singlebtn\" href=\"https:\/\/www.nationaljewish.org\/getmedia\/bd7ec0b4-4982-4217-bfee-39f0ef5d5482\/pdf-Childhood-ACT.pdf\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><span class=\"kt-btn-inner-text\"><strong>Asthma Control Test<br><\/strong>for children ages 4 to 11 years <br>and teens 12 and older<\/span><\/a><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column19383453_ced51d-16 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column19383453_ced51d-16 > .kt-inside-inner-col,.kadence-column19383453_ced51d-16 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column19383453_ced51d-16 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column19383453_ced51d-16 > .kt-inside-inner-col{flex-direction:column;}.kadence-column19383453_ced51d-16 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column19383453_ced51d-16 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column19383453_ced51d-16{position:relative;}@media all and (max-width: 1024px){.kadence-column19383453_ced51d-16 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column19383453_ced51d-16 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column19383453_ced51d-16\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedbtn.kb-btns19383453_c31490-02{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:center;align-items:center;}.kt-btns19383453_c31490-02 .kt-button{font-weight:normal;font-style:normal;}.kt-btns19383453_c31490-02 .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns19383453_c31490-02 .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns19383453_c31490-02 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns19383453_c31490-02 .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns19383453_c31490-02 .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns19383453_c31490-02 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns19383453_c31490-02 .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns19383453_c31490-02\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn19383453_6c4256-9f.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn19383453_6c4256-9f.kb-button{background:var(--global-palette1, #3182CE);border-top-left-radius:20px;border-bottom-right-radius:20px;padding-top:23px;padding-right:20px;padding-bottom:23px;padding-left:20px;box-shadow:0px 12px 18px -6px rgba(0, 0, 0, 0.3);}.wp-block-kadence-advancedbtn .kb-btn19383453_6c4256-9f.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn19383453_6c4256-9f.kb-button:focus{background:var(--global-palette7, #EDF2F7);}<\/style><a class=\"kb-button kt-button button kb-btn19383453_6c4256-9f kt-btn-size-standard kt-btn-width-type-full kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false button-hover-zoom wp-block-kadence-singlebtn\" href=\"https:\/\/www.chestnet.org\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><span class=\"kt-btn-inner-text\">Asthma Control &amp; <br>Severity Assessment Tool<\/span><\/a><\/div>\n<\/div><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n\n<style>.kadence-column493_243fbd-d0 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_243fbd-d0 > .kt-inside-inner-col,.kadence-column493_243fbd-d0 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_243fbd-d0 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_243fbd-d0 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_243fbd-d0 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_243fbd-d0 > .kt-inside-inner-col{background-color:#f8f7f3;}.kadence-column493_243fbd-d0 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_243fbd-d0{position:relative;}@media all and (max-width: 1024px){.kadence-column493_243fbd-d0 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_243fbd-d0 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_243fbd-d0 max-width-container\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_281328-10{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_281328-10{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_281328-10 > .kt-inside-inner-col,.kadence-column493_281328-10 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_281328-10 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_281328-10 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_281328-10 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_281328-10 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_281328-10{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_281328-10{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_281328-10 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_281328-10{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_281328-10 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_281328-10, .kt-inside-inner-col > .kadence-column493_281328-10:not(.specificity){margin-right:20px;margin-left:20px;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_281328-10 max-width-container\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">What is the Asthma Control Test?<\/h2>\n\n\n\n<p>For people with severe asthma, staying ahead of symptoms is critical. The <a target=\"_blank\" rel=\"noreferrer noopener nofollow\" href=\"https:\/\/www.asthma.com\/understanding-asthma\/severe-asthma\/asthma-control-test\/\"><strong>Asthma Control Test (ACT)<\/strong><\/a> is a 5-question test. It helps patients and doctors measure asthma control over the last four weeks. It can help determine if any treatment adjustments are needed. The ACT asks about symptoms, activity limitations, nighttime awakenings, and how often quick-relief inhalers are needed.<\/p>\n\n\n\n<p>Each question is scored from 1 (worst) to 5 (best), for a total score ranging from 5 to 25:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>20\u201325<\/strong>: Asthma is well-controlled.<\/li>\n\n\n\n<li><strong>16\u201319<\/strong>: Asthma is somewhat controlled.<\/li>\n\n\n\n<li><strong>15 or below<\/strong>: Asthma is poorly controlled, and medical attention is needed.<\/li>\n<\/ul>\n\n\n\n<p>A similar test is the <a target=\"_blank\" rel=\"noreferrer noopener nofollow\" href=\"https:\/\/www.airqscore.com\/en\/main-page\/home.html\"><strong>Asthma Impairment and Risk Questionnaire (AirQ)<\/strong><\/a>. This is a 10-question test of &#8220;yes&#8221; or &#8220;no&#8221; answers. It is for adults and children ages 12 and older. The AirQ can help determine if asthma is well-controlled, not well-controlled or very poorly controlled. It asks about your asthma medications and symptoms. The total number of &#8220;yes&#8221; responses is your AirQ score.<\/p>\n\n\n\n<p>The ACT and AirQ are not intended to diagnose severe asthma. They do not take the place of what your primary care doctor or asthma specialist recommends for severe asthma treatment. Use these tests to determine your level of asthma control at any given time. Then talk with your doctor or asthma specialist about whether you need to adjust your medication or treatment plan.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column1133_cecd52-a9 > .kt-inside-inner-col{padding-top:10px;padding-bottom:10px;}.kadence-column1133_cecd52-a9 > .kt-inside-inner-col,.kadence-column1133_cecd52-a9 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1133_cecd52-a9 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1133_cecd52-a9 > .kt-inside-inner-col{flex-direction:column;}.kadence-column1133_cecd52-a9 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1133_cecd52-a9 > .kt-inside-inner-col{background-color:#025d86;}.kadence-column1133_cecd52-a9 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1133_cecd52-a9{position:relative;}.kadence-column1133_cecd52-a9, .kt-inside-inner-col > .kadence-column1133_cecd52-a9:not(.specificity){margin-top:0px;margin-bottom:0px;}@media all and (max-width: 1024px){.kadence-column1133_cecd52-a9 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1133_cecd52-a9 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1133_cecd52-a9\"><div class=\"kt-inside-inner-col\"><style>.kadence-column1133_9165fe-f9 > .kt-inside-inner-col{display:flex;}.kadence-column1133_9165fe-f9{max-width:1000px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column1133_9165fe-f9{-webkit-flex:0 1 1000px;flex:0 1 1000px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column1133_9165fe-f9 > .kt-inside-inner-col,.kadence-column1133_9165fe-f9 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1133_9165fe-f9 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1133_9165fe-f9 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1133_9165fe-f9 > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column1133_9165fe-f9{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1133_9165fe-f9{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1133_9165fe-f9 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1133_9165fe-f9 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1133_9165fe-f9{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column1133_9165fe-f9{-webkit-flex:0 1 1000px;flex:0 1 1000px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column1133_9165fe-f9{align-self:center;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1133_9165fe-f9{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1133_9165fe-f9 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column1133_9165fe-f9 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column1133_9165fe-f9{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1133_9165fe-f9{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1133_9165fe-f9 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column1133_9165fe-f9{max-width:1000px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column1133_9165fe-f9 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1133_9165fe-f9 max-width-container banner\"><div class=\"kt-inside-inner-col\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-364161cd wp-block-columns-is-layout-flex\" style=\"margin-top:0px;margin-bottom:0px;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:20%\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/respiratory-treatment-icon.webp\" alt=\"a poster showing respiratory treatments\" class=\"wp-image-1009\" style=\"width:auto;height:165px\" title=\"\"><\/figure><\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-kb-palette-6-color has-text-color has-link-color wp-elements-09420b6c6110bf8cc6282ec740bb50d1\" style=\"font-size:28px;line-height:1.2\">Visit our online store to download our free&nbsp;<a href=\"https:\/\/store.allergyasthmanetwork.org\/?s=respiratory+treatments&amp;post_type=product&amp;dgwt_wcas=1\" target=\"_blank\" rel=\"noreferrer noopener\">r<strong>espiratory treatment poster<\/strong><\/a>&nbsp;or purchase print copies.<\/p>\n\n\n\n<p class=\"has-kb-palette-6-color has-text-color has-link-color wp-elements-d615b99b26bd18ef95e1e34a47325f7b\" style=\"font-size:14px;line-height:1.2\">The respiratory treatment poster is an\u00a0<a href=\"https:\/\/store.allergyasthmanetwork.org\/posters\/respiratory-treatments-english-version-11-x-8-1-2\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>asthma medication chart.<\/strong><\/a>\u00a0It lists asthma inhalers by brand name as well as biologic medications used to treat asthma.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_4a5802-aa > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_4a5802-aa > .kt-inside-inner-col,.kadence-column493_4a5802-aa > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_4a5802-aa > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_4a5802-aa > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_4a5802-aa > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_4a5802-aa > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_4a5802-aa{position:relative;}@media all and (max-width: 1024px){.kadence-column493_4a5802-aa > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_4a5802-aa > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_4a5802-aa\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_fbbba7-e2{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_fbbba7-e2{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_fbbba7-e2 > .kt-inside-inner-col,.kadence-column493_fbbba7-e2 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_fbbba7-e2 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_fbbba7-e2 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_fbbba7-e2 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_fbbba7-e2 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_fbbba7-e2{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_fbbba7-e2{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_fbbba7-e2 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_fbbba7-e2{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_fbbba7-e2 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_fbbba7-e2\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading has-text-align-left\">How is severe asthma treated?<\/h2>\n\n\n\n<p>Treatment for severe asthma focuses on controlling inflammation and reducing symptoms. It also aims to reduce the risk of asthma attacks and improve quality of life. Severe asthma doesn\u2019t always respond well to standard treatments. So doctors may use a combination of therapies tailored to the patient\u2019s needs.<\/p>\n\n\n\n<p>Most people with asthma are prescribed a <strong>quick-relief albuterol inhaler<\/strong>. These short-acting beta2-agonists (SABA) work by relaxing the airway muscles and treating symptom flare-ups. A <a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/allergyasthmanetwork.org\/news\/airsupra-asthma-inhaler-albuterol-ics\/\"><strong>quick-relief inhaler called AIRSUPRA\u00ae<\/strong><\/a> can benefit severe asthma patients. It combines albuterol with an inhaled corticosteroid. This approach provides the quick relief of symptoms while also working to calm the inflamed airways in the short and long term. Asthma guidelines support the use of AIRSUPRA for moderate to severe asthma.<\/p>\n\n\n\n<p>Your doctor may prescribe a <strong>long-acting beta2-agonist <\/strong>and <strong>inhaled corticosteroid<\/strong> for long-term asthma control. LABAs relax the muscles around the airways. ICS works to reduce inflammation in the airways. Severe asthma is sometimes the diagnosis when LABA and ICS are not effective. Doctors then turn to different medications, or a combination of medications, for better control.<\/p>\n\n\n\n<p>One asthma therapy <strong>combines a LABA and ICS<\/strong>. It&#8217;s called <a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/allergyasthmanetwork.org\/news\/asthma-smart-therapy\/\"><strong>SMART therapy<\/strong><\/a>, for Single Maintenance and Reliever Therapy. (It&#8217;s sometimes called MART therapy.) This combo allows a patient with moderate to severe asthma to use one inhaler for both quick relief and maintenance therapy. It&#8217;s available in two medications:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>budesonide\/formoterol (Symbicort\u00ae)<\/li>\n\n\n\n<li>mometasone\/formoterol (Dulera\u00ae)<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-left\">Budesonide and mometasone are inhaled corticosteroids. Formoterol is a LABA. SMART therapy can be prescribed to adults and children ages 5 and older with severe asthma. It is considered an easier treatment plan to follow because it involves just one device.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Biologics<\/h3>\n\n\n\n<p><a target=\"_blank\" rel=\"noreferrer noopener nofollow\" href=\"https:\/\/biologicmeds.org\/\"><strong>Biologics<\/strong><\/a> are injectable medications. They target cells, pathways and proteins that cause inflammation in the body. Biologics focus on treating the source of symptoms at the cell level rather than the symptoms themselves.<\/p>\n\n\n\n<p>Biologics are typically prescribed as an add-on therapy for severe asthma. This means you continue to take a daily controller medication in addition to the biologic.<\/p>\n\n\n\n<p>Biologics are usually administered as an injection every 2 to 8 weeks. (One biologic is available as an infusion.) They are intended to help patients gain long-term asthma control. They help improve asthma by reducing inflammation and the risk of an asthma attack.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">What are different types of biologics for asthma?<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Anti-IgE biologics<\/strong>&nbsp;work to interrupt a protein (antibody) called IgE. This antibody is part of the allergic response to an allergen and the start of the inflammatory process. The medication in this category is omalizumab.&nbsp;<\/li>\n\n\n\n<li><strong>Eosinophil biologics&nbsp;<\/strong>decrease eosinophils (a white blood cell) in the body that promote inflammation. These medications include benralizumab, dupilumab, mepolizumab and reslizumab.&nbsp;<\/li>\n\n\n\n<li><strong>TSLP (thymic stromal lymphopoietin) blockers<\/strong>&nbsp;work by blocking cytokines from starting airway inflammation. The medication in this category is tezepelumab-ekko.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Biologics with William Berger, MD\" width=\"720\" height=\"405\" src=\"https:\/\/www.youtube.com\/embed\/lCbNC3iezho?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Oral corticosteroids (OCS)<\/h3>\n\n\n\n<p><a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/how-is-asthma-treated\/oral-corticosteroids-for-asthma\/\"><strong>Oral corticosteroids<\/strong><\/a> are prescribed to treat acute asthma flares. They are sometimes referred to as oral steroids. OCS is usually given only for short periods of time (5-7 days) \u2013 called a burst. The pill gradually reduces asthma symptoms and opens up the airways.<\/p>\n\n\n\n<p>Some people with severe asthma may rely too much on OCS to control symptoms. OCS is not meant for long-term therapy or for use more than two times per year. The dosage of an oral corticosteroid is 10 times the dose of an inhaled corticosteroid. As a result, there is an increased risk of side effects, especially if OCS is taken long-term. These side effects may include weight gain, high blood sugar, eye problems, thinning bones, mood swings and depression. Talk with your doctor about the risks vs. benefits of long-term oral corticosteroid use.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Leukotriene modifiers<\/h3>\n\n\n\n<p>These are pills that help block chemicals in the body called leukotrienes. When activated, leukotrienes can cause inflammation and tightening of the airways. Montelukast (Singulair\u00ae) is a leukotriene modifier prescribed for people with asthma. It is important to note the montelukast drug package contains a <a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/allergyasthmanetwork.org\/news\/fda-to-require-boxed-warning-for-montelukast\/\"><strong>boxed warning<\/strong><\/a> for mental health side effects. These side effect may include anxiety, sleep disorder, depression, and behavior and mood-related changes. Discuss the risks of side effects with your physician.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Long-acting muscarinic antagonists (LAMA)<\/h3>\n\n\n\n<p>These are also called anticholinergic medications. LAMAs work by blocking a neurotransmitter called acetylcholine. This is a chemical messenger that plays a role in causing bronchoconstriction of the airways. LAMAs are primarily prescribed to treat COPD, but one \u2013 tiotropium bromide (Spiriva\u00ae Respimat\u00ae) \u2013 is approved for severe asthma. They are typically used in combination with LABAs or ICS to treat severe asthma.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Phosphodiesterase-4 (PDE-4) inhibitors<\/h3>\n\n\n\n<p>PDE-4 inhibitors, primarily roflumilast (Daliresp\u00ae), offer a novel treatment option for severe asthma with chronic inflammation that is not well controlled by traditional therapies. PDE-4 is an enzyme that plays a key role in regulating levels of inflammatory cells like eosinophils and neutrophils. They can help reduce airway inflammation, limit immune cell activation, and decrease the frequency of asthma attacks. Their use is generally limited to more difficult-to-treat cases.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Treatments for Severe Asthma Phenotypes<\/strong><\/h3>\n\n\n\n<p>Once considered a single disease, asthma is now recognized as a spectrum of diseases. Severe asthma is one form of the disease. It has many subtypes that respond to targeted treatments and medications. These subtypes include allergic, non-allergic, and eosinophilic asthma.<\/p>\n\n\n\n<div id=\"footable_parent_19384890\"\n         class=\" footable_parent ninja_table_wrapper loading_ninja_table wp_table_data_press_parent semantic_ui colored_table\">\n                <table data-ninja_table_instance=\"ninja_table_instance_2\" data-footable_id=\"19384890\" data-filter-delay=\"1000\" aria-label=\"what-is-severe-asthma\"            id=\"footable_19384890\"\n           data-unique_identifier=\"ninja_table_unique_id_658202183_19384890\"\n           class=\" foo-table ninja_footable foo_table_19384890 ninja_table_unique_id_658202183_19384890 ui table  nt_type_legacy_table celled striped vertical_centered ninja_custom_color inverted footable-paging-right ninja_table_search_disabled ninja_table_pro\">\n                <colgroup>\n                            <col class=\"ninja_column_0 \">\n                            <col class=\"ninja_column_1 \">\n                            <col class=\"ninja_column_2 \">\n                    <\/colgroup>\n        <thead>\n<tr class=\"footable-header\">\n                                                        <th scope=\"col\"  class=\"ninja_column_0 ninja_clmn_nm_asthmaphenotype \">Asthma Phenotype<\/th><th scope=\"col\"  class=\"ninja_column_1 ninja_clmn_nm_characterizedbydifficulttotreatasthmaplus \">Characterized by difficult-to-treat asthma plus: <\/th><th scope=\"col\"  class=\"ninja_column_2 ninja_clmn_nm_targetedtreatment \">Targeted Treatment<\/th><\/tr>\n<\/thead>\n<tbody>\n\n        <tr data-row_id=\"302\" class=\"ninja_table_row_0 nt_row_id_302\">\n            <td>Allergic asthma (IgE)<\/td><td>Total serum IgE level = 30-700 IU\/ml with demonstrated IgE-mediated hypersensitivity to a perennial allergen.<\/td><td>Add anti-IgE biologic (omalizumab)<\/td>        <\/tr>\n            <tr data-row_id=\"303\" class=\"ninja_table_row_1 nt_row_id_303\">\n            <td>Eosinophilic<\/td><td>Blood eosinophils above 300 cells\/uL with either 2 or more asthma attacks requiring OCS in past year; or blood eosinophils above 150 cells\/uL with 3 or more asthma attacks requiring OCS in past year.<\/td><td>Add anti-IL5 biologic (mepolizumab, reslizumab, benralizumab) or anti-IL4\/IL13 biologic (dupilumab).<\/td>        <\/tr>\n            <tr data-row_id=\"304\" class=\"ninja_table_row_2 nt_row_id_304\">\n            <td>Nonallergic asthma<\/td><td>Symptoms not caused by allergens or high levels of eosinophils; instead, symptoms are triggered by environmental irritants such as air pollution, viruses, or exercise-induced asthma.<\/td><td>Add anti-thymic stromal lymphopoietin (TSLP) biologic (tezelepumab-ekko)<\/td>        <\/tr>\n            <tr data-row_id=\"305\" class=\"ninja_table_row_3 nt_row_id_305\">\n            <td>Neutrophilic asthma<\/td><td>Patient who doesn't qualify for other targeted therapies and\/or has tried and failed targeted therapies for which s\/he might be eligible and demonstration of variable airflow obstruction by bronchodilator reversibility<\/td><td>Add a macrolide antibiotic or a phosphodiesterase-4 (PDE-4) inhibitor<\/td>        <\/tr>\n    <\/tbody><!--ninja_tobody_rendering_done-->\n    <\/table>\n    \n    \n    \n<\/div>\n\n\n\n\n<p><em>Note: tezelepumab-ekko can also treat allergic asthma and eosinophilic asthma.<\/em><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What is bronchial thermoplasty for severe asthma?<\/h3>\n\n\n\n<p>Bronchial thermoplasty is an outpatient surgical procedure. It is for adults ages 18 and older with severe persistent asthma symptoms despite using standard therapy. The procedure is performed in three outpatient visits under moderate or general anesthesia.<\/p>\n\n\n\n<p>A pulmonologist or other qualified physician inserts a long, slender tube called a bronchoscope through the mouth and into the lungs and surrounding airways. It heats and shrinks the size of muscle tissue. This allows more air to pass through and make breathing easier. Potential side effects may include a short-term worsening of asthma symptoms. These side effects usually resolve within a week.<\/p>\n\n\n\n<p>If you have severe and difficult-to-control asthma, ask your doctor if bronchial thermoplasty is right for you. And be sure to check your health insurance to confirm if the procedure is covered.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col{padding-top:10px;padding-bottom:10px;}.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col,.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col{flex-direction:column;}.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col{background-color:var(--global-palette4, #2D3748);}.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1138_9d6ca8-55{position:relative;}.kadence-column1138_9d6ca8-55, .kt-inside-inner-col > .kadence-column1138_9d6ca8-55:not(.specificity){margin-top:10px;margin-bottom:10px;}@media all and (max-width: 1024px){.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1138_9d6ca8-55 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1138_9d6ca8-55\"><div class=\"kt-inside-inner-col\"><style>.kadence-column1138_a8763a-ba > .kt-inside-inner-col{display:flex;}.kadence-column1138_a8763a-ba{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column1138_a8763a-ba{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column1138_a8763a-ba > .kt-inside-inner-col,.kadence-column1138_a8763a-ba > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1138_a8763a-ba > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1138_a8763a-ba > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1138_a8763a-ba > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column1138_a8763a-ba{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1138_a8763a-ba{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1138_a8763a-ba > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1138_a8763a-ba > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1138_a8763a-ba{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column1138_a8763a-ba{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column1138_a8763a-ba{align-self:center;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1138_a8763a-ba{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1138_a8763a-ba > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column1138_a8763a-ba > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column1138_a8763a-ba{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1138_a8763a-ba{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1138_a8763a-ba > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column1138_a8763a-ba{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column1138_a8763a-ba > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1138_a8763a-ba max-width-container banner\"><div class=\"kt-inside-inner-col\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-364161cd wp-block-columns-is-layout-flex\" style=\"margin-top:0px;margin-bottom:0px;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30%\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\" style=\"margin-bottom:0\"><img decoding=\"async\" width=\"250\" height=\"166\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/EOS-Asthma-logo-250.webp\" alt=\"\" class=\"wp-image-807\" style=\"aspect-ratio:1;object-fit:cover;width:auto;height:166px\" title=\"\"><\/figure><\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"padding-top:0;padding-right:var(--wp--preset--spacing--60);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--60)\"><style>.wp-block-kadence-advancedheading.kt-adv-heading1138_e2b192-255, .wp-block-kadence-advancedheading.kt-adv-heading1138_e2b192-255[data-kb-block=\"kb-adv-heading1138_e2b192-255\"]{padding-bottom:0px;margin-bottom:0px;text-align:center;font-size:36px;font-style:normal;color:#ffffff;}.wp-block-kadence-advancedheading.kt-adv-heading1138_e2b192-255 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1138_e2b192-255[data-kb-block=\"kb-adv-heading1138_e2b192-255\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}@media all and (max-width: 1024px){.wp-block-kadence-advancedheading.kt-adv-heading1138_e2b192-255, .wp-block-kadence-advancedheading.kt-adv-heading1138_e2b192-255[data-kb-block=\"kb-adv-heading1138_e2b192-255\"]{padding-left:0px;}}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading1138_e2b192-255, .wp-block-kadence-advancedheading.kt-adv-heading1138_e2b192-255[data-kb-block=\"kb-adv-heading1138_e2b192-255\"]{font-size:26px;}}<\/style>\n<p class=\"kt-adv-heading1138_e2b192-255 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1138_e2b192-255\"><strong>Is Your Asthma Bad?<\/strong><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487, .wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487[data-kb-block=\"kb-adv-heading1138_1eeac8-487\"]{text-align:center;font-size:22px;font-style:normal;color:#ffffff;}.wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487[data-kb-block=\"kb-adv-heading1138_1eeac8-487\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487[data-kb-block=\"kb-adv-heading1138_1eeac8-487\"] a, .kt-adv-heading-link1138_1eeac8-487, .kt-adv-heading-link1138_1eeac8-487 .kt-adv-heading1138_1eeac8-487[data-kb-block=\"kb-adv-heading1138_1eeac8-487\"]{color:#ffffff;}@media all and (max-width: 1024px){.wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487, .wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487[data-kb-block=\"kb-adv-heading1138_1eeac8-487\"]{font-size:22px;}}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487, .wp-block-kadence-advancedheading.kt-adv-heading1138_1eeac8-487[data-kb-block=\"kb-adv-heading1138_1eeac8-487\"]{font-size:20px;}}<\/style>\n<p class=\"kt-adv-heading1138_1eeac8-487 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1138_1eeac8-487\">You may have&nbsp;<a href=\"https:\/\/eosasthma.org\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>eosinophilic asthma<\/strong><\/a>&nbsp;\u27a4<\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_04bb40-7f > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_04bb40-7f > .kt-inside-inner-col,.kadence-column493_04bb40-7f > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_04bb40-7f > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_04bb40-7f > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_04bb40-7f > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_04bb40-7f > .kt-inside-inner-col{background-color:var(--global-palette9, #ffffff);}.kadence-column493_04bb40-7f > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_04bb40-7f{position:relative;}@media all and (max-width: 1024px){.kadence-column493_04bb40-7f > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_04bb40-7f > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_04bb40-7f max-width-container\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_16e9cf-a7{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_16e9cf-a7{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_16e9cf-a7 > .kt-inside-inner-col,.kadence-column493_16e9cf-a7 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_16e9cf-a7 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_16e9cf-a7 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_16e9cf-a7 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_16e9cf-a7 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_16e9cf-a7{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_16e9cf-a7{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_16e9cf-a7 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_16e9cf-a7{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_16e9cf-a7 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_16e9cf-a7, .kt-inside-inner-col > .kadence-column493_16e9cf-a7:not(.specificity){margin-right:20px;margin-left:20px;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_16e9cf-a7 max-width-container\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">How can I keep severe asthma under control?<\/h2>\n\n\n\n<p>If your asthma is persistent, severe, and not getting better on your current medications, speak with your doctor, preferably an asthma specialist. These doctors can work with you to develop a more effective treatment plan.<\/p>\n\n\n\n<p>Here are some additional steps you can take to help control severe asthma:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Work closely with your doctor to create and follow an <a href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/asthma-action-plan\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Asthma Action Plan<\/strong><\/a>.<\/li>\n\n\n\n<li>Take medications as prescribed, even when symptoms feel under control. If you take biologics, don&#8217;t miss a scheduled dose.<\/li>\n\n\n\n<li>Monitor symptoms regularly using tools like the Asthma Control Test.<\/li>\n\n\n\n<li>Identify and avoid triggers like allergens, smoke, and pollution.<\/li>\n\n\n\n<li>Address coexisting conditions, such as allergies or acid reflux, that can worsen asthma.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What is Type 2 inflammation for asthma?<\/h2>\n\n\n\n<p><a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/allergyasthmanetwork.org\/health-a-z\/type-2-inflammation-resources\/\"><strong>Type 2 inflammation<\/strong><\/a> is an overactive immune system response. It plays a major role in chronic diseases such as asthma, allergies, eczema, and more. Type 2 inflammation and asthma involves high levels of IgE antibodies and\/or white blood cells called eosinophils. This can lead to excess inflammation in the airways for people with asthma.<\/p>\n\n\n\n<p>People with asthma who have Type 2 inflammation often have severe asthma or eosinophilic asthma.<\/p>\n\n\n\n<p>Biologic medications are often recommended for people with Type 2 inflammation. These medications work by blocking the activity of IgE or the molecules that activate eosinophils. By targeting the immune response at the cellular level, biologics help prevent inflammation. This can lead to better symptom control.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How can immunotherapy help severe allergic asthma?<\/h2>\n\n\n\n<p>Managing severe asthma triggers and symptoms can feel like a constant battle. Allergens such as pollen, dust mites, pet dander, or mold can trigger asthma attacks, even with medications. One treatment that can desensitize you to these allergens is <a href=\"https:\/\/allergyasthmanetwork.org\/health-a-z\/immunotherapy\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>allergen immunotherapy<\/strong><\/a>. It&#8217;s more commonly known as allergy shots or sublingual tablets.<\/p>\n\n\n\n<p>Allergen immunotherapy gradually reduces your body\u2019s sensitivity to specific allergens. It involves giving small, controlled doses of the allergen over time. It is given through either injections or tablets that dissolve under the tongue. The idea is to teach the immune system to tolerate these allergens instead of overreacting. Treatment lasts 3-5 years.<\/p>\n\n\n\n<p>Over time, allergen immunotherapy can reduce sensitivity to asthma triggers. It can also reduce asthma symptoms and improve quality of life.<\/p>\n\n\n\n<p>Allergen immunotherapy is not recommended for everyone. It may not be suitable for people with severe asthma that isn\u2019t well-controlled. There is a risk of a severe reaction that can worsen asthma symptoms. Consult a board-certified allergist to assess whether immunotherapy can help your severe asthma.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col,.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col{background-color:var(--global-palette4, #2D3748);}.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_3d5d0a-b3{position:relative;}@media all and (max-width: 1024px){.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_3d5d0a-b3 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_3d5d0a-b3, .kt-inside-inner-col > .kadence-column493_3d5d0a-b3:not(.specificity){margin-right:var(--global-kb-spacing-xxs, 0.5rem);margin-left:var(--global-kb-spacing-xxs, 0.5rem);}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_3d5d0a-b3\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_71547d-05{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_71547d-05{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_71547d-05 > .kt-inside-inner-col,.kadence-column493_71547d-05 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_71547d-05 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_71547d-05 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_71547d-05 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_71547d-05 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_71547d-05{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_71547d-05{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_71547d-05 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_71547d-05{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_71547d-05 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_71547d-05\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-23f9ac72ccd9213062041fe93955971f\" style=\"color:#ffffff\">What Tools Can Doctors Use for Asthma Patient Visits<\/h2>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color wp-elements-0bfd6b449ce1c9f036ce584af582c567\" style=\"color:#ffffff\">A checklist helps move the office visit along with patients with uncontrolled asthma<\/p>\n\n\n<style>.wp-block-kadence-advancedbtn.kb-btns493_c7d779-cb{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:center;align-items:center;}.kt-btns493_c7d779-cb .kt-button{font-weight:normal;font-style:normal;}.kt-btns493_c7d779-cb .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns493_c7d779-cb .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns493_c7d779-cb .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns493_c7d779-cb .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns493_c7d779-cb .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns493_c7d779-cb .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns493_c7d779-cb .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns493_c7d779-cb\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn493_a4d91b-d8.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn493_a4d91b-d8.kb-button{color:#ffffff;background:var(--global-palette1, #3182CE);border-top-left-radius:20px;border-top-right-radius:0px;border-bottom-right-radius:20px;border-bottom-left-radius:0px;padding-top:20px;padding-right:10px;padding-bottom:20px;padding-left:10px;margin-right:10px;margin-left:10px;}<\/style><a class=\"kb-button kt-button button kb-btn493_a4d91b-d8 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn\" href=\"\/images\/Asthma\/provider-asthma-pre-consultantion-checklist.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"kt-btn-inner-text\">A Provider\u2019s Asthma Pre-Consultation Checklist<\/span><\/a>\n\n<style>ul.menu .wp-block-kadence-advancedbtn .kb-btn493_fe123b-3d.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn493_fe123b-3d.kb-button{background:var(--global-palette1, #3182CE);border-top-left-radius:20px;border-top-right-radius:0px;border-bottom-right-radius:20px;border-bottom-left-radius:0px;padding-top:20px;padding-right:10px;padding-bottom:20px;padding-left:10px;margin-right:10px;margin-left:10px;}.wp-block-kadence-advancedbtn .kb-btn493_fe123b-3d.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn493_fe123b-3d.kb-button:focus{background:var(--global-palette7, #EDF2F7);}<\/style><a class=\"kb-button kt-button button kb-btn493_fe123b-3d kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn\" href=\"\/images\/Misc\/steps-to-shared-decision-making-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"kt-btn-inner-text\">Steps to Shared Decision Making<\/span><\/a>\n\n<style>ul.menu .wp-block-kadence-advancedbtn .kb-btn493_2edc69-5d.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn493_2edc69-5d.kb-button{background:var(--global-palette1, #3182CE);border-top-left-radius:20px;border-top-right-radius:0px;border-bottom-right-radius:20px;border-bottom-left-radius:0px;padding-top:20px;padding-right:10px;padding-bottom:20px;padding-left:10px;margin-right:10px;margin-left:10px;}.wp-block-kadence-advancedbtn .kb-btn493_2edc69-5d.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn493_2edc69-5d.kb-button:focus{background:var(--global-palette7, #EDF2F7);}<\/style><a class=\"kb-button kt-button button kb-btn493_2edc69-5d kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn\" href=\"\/images\/Asthma\/asthma-follow-up-checklist.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"kt-btn-inner-text\">Asthma focused follow-up visit checklist<\/span><\/a><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_0ce2d8-54 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_0ce2d8-54 > .kt-inside-inner-col,.kadence-column493_0ce2d8-54 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_0ce2d8-54 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_0ce2d8-54 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_0ce2d8-54 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_0ce2d8-54 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_0ce2d8-54{position:relative;}@media all and (max-width: 1024px){.kadence-column493_0ce2d8-54 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_0ce2d8-54 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_0ce2d8-54\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_664c62-2d{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_664c62-2d{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_664c62-2d > .kt-inside-inner-col,.kadence-column493_664c62-2d > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_664c62-2d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_664c62-2d > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_664c62-2d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_664c62-2d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_664c62-2d{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_664c62-2d{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_664c62-2d > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_664c62-2d{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_664c62-2d > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_664c62-2d\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">What are the long-term effects of poor asthma control?<\/h2>\n\n\n\n<p>Poorly controlled asthma with chronic inflammation can lead to serious long-term effects. These can affect your overall health and quality of life.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Airway remodeling<\/h3>\n\n\n\n<p>When there&#8217;s chronic inflammation, your body will work to correct the damage. In severe cases, this can result in airway remodeling. Airway remodeling involves thickening of airways walls and scarring. It can result in permanent changes to lung structure and loss of lung function, making it harder to breathe.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Frequent asthma attacks<\/h3>\n\n\n\n<p>Poorly controlled asthma increases the risk of life-threatening asthma attacks that require emergency medical care. Repeated attacks can weaken the lungs over time.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Increased risk of other health issues<\/h3>\n\n\n\n<p>Poor asthma control is linked to a higher likelihood of developing chronic obstructive pulmonary disease (COPD) in later life. Chronic inflammation may also increase the risk of cardiovascular issues like high blood pressure and heart disease.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Dependence on high-dose medications<\/h3>\n\n\n\n<p>Unmanaged asthma often requires higher doses of medications like oral corticosteroids. But it is usually recommended for short-term use, or a &#8220;burst.&#8221; Overuse or prolonged use of OCS and cause severe side effects. These may include weight gain, bone loss (osteoporosis), diabetes or suppressed immune function.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_ffe793-ca > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_ffe793-ca > .kt-inside-inner-col,.kadence-column493_ffe793-ca > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_ffe793-ca > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_ffe793-ca > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_ffe793-ca > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_ffe793-ca > .kt-inside-inner-col{background-color:var(--global-palette9, #ffffff);}.kadence-column493_ffe793-ca > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_ffe793-ca{position:relative;}@media all and (max-width: 1024px){.kadence-column493_ffe793-ca > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_ffe793-ca > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_ffe793-ca\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_ba4a96-81{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_ba4a96-81{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_ba4a96-81 > .kt-inside-inner-col,.kadence-column493_ba4a96-81 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_ba4a96-81 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_ba4a96-81 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_ba4a96-81 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_ba4a96-81 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_ba4a96-81{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_ba4a96-81{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_ba4a96-81 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_ba4a96-81{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_ba4a96-81 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_ba4a96-81\"><div class=\"kt-inside-inner-col\"><style>.kb-image493_6777c7-8b16 .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<figure class=\"wp-block-kadence-image kb-image493_6777c7-8b16 size-large\"><img decoding=\"async\" width=\"1080\" height=\"567\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/parent-child-doctor-1080x567.jpg\" alt=\"A doctor in a white coat sits at a desk talking to a woman and a young girl. The woman is sitting on a chair, and the girl is sitting next to her. An office setup with a computer and plant is in the background.\" class=\"kb-img wp-image-620\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/parent-child-doctor-1080x567.jpg 1080w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/parent-child-doctor-300x158.jpg 300w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/parent-child-doctor-768x403.jpg 768w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/08\/parent-child-doctor.jpg 1200w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How should I discuss my asthma severity with my doctor?<\/h2>\n\n\n\n<p>Discussing asthma severity with a doctor is essential for getting the right care. Before an appointment, keep track of your asthma symptoms, their frequency, and your triggers. Record what happens when you take medications. Each of these can help your doctor decide the best treatment options.<\/p>\n\n\n\n<p>Make a list of questions or concerns you want addressed. Here are some tips to make the most out of your doctor appointments:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Be honest about symptoms<\/h3>\n\n\n\n<p>Share how often you have symptoms of asthma. Discuss when symptoms are worse (during exercise, at night, or in certain environments). Be honest about your compliance with medications. Talk about how your asthma affects your daily life, like if you miss school, work, or activities.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Talk about medication use<\/h3>\n\n\n\n<p>Explain how often you use your quick-relief inhaler. Mention if you\u2019ve noticed changes, like needing your inhaler more often or having more frequent symptoms. Using it more than twice a week may mean your asthma is not well controlled. Tell the doctor if you have missed any doses of your daily controller medication.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Share past asthma attacks<\/h3>\n\n\n\n<p>Describe any severe asthma attacks you have had in recent months. Share if they required emergency treatment, hospitalization, or oral corticosteroids. Let the doctor know if you feel scared or worried about having another attack.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Describe your triggers<\/h3>\n\n\n\n<p>Let the doctor know about anything that seems to make your asthma worse, like allergens (pets, dust, pollen), weather changes, smoke, or exercise. Mention if you\u2019ve noticed triggers that are hard to avoid.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Discuss quality of life<\/h3>\n\n\n\n<p>Talk about how asthma affects your sleep, energy level, ability to exercise, or social life. Let your doctor know if your symptoms are stopping you from doing things you enjoy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ask questions<\/h3>\n\n\n\n<p>Make a list of questions you want to ask. Discuss if your current medications are the best ones for you. If your asthma is severe, ask about other treatments like biologics or specialized care.<\/p>\n\n\n\n<p>There are many different terms your doctor may use to describe your asthma. Ask for an explanation if you don&#8217;t understand the terms your doctor uses for your condition.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_02ec9b-1d > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_02ec9b-1d > .kt-inside-inner-col,.kadence-column493_02ec9b-1d > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_02ec9b-1d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_02ec9b-1d > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_02ec9b-1d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_02ec9b-1d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_02ec9b-1d{position:relative;}@media all and (max-width: 1024px){.kadence-column493_02ec9b-1d > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_02ec9b-1d > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_02ec9b-1d\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_714c2d-67{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_714c2d-67{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_714c2d-67 > .kt-inside-inner-col,.kadence-column493_714c2d-67 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_714c2d-67 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_714c2d-67 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_714c2d-67 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_714c2d-67 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_714c2d-67{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_714c2d-67{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_714c2d-67 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_714c2d-67{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_714c2d-67 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_714c2d-67\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Questions &amp; Answers (Q&amp;As) on severe asthma<\/h2>\n\n\n\n<p>Severe asthma can be challenging to manage and understand. Learning more about it can help you take control of your condition. Here are some common questions about severe asthma. Please <a href=\"mailto:editor@allergyasthmanetwork.org\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>email our editor<\/strong><\/a> if you would like to see a specific question addressed here.<\/p>\n\n\n<style>.kt-accordion-id493_eecdd5-b5 .kt-accordion-inner-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:20px;}.kt-accordion-id493_eecdd5-b5 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;border-bottom-right-radius:20px;background:var(--global-palette9, #ffffff);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id493_eecdd5-b5 .wp-block-kadence-pane .kt-accordion-header-wrap .kt-blocks-accordion-header{border-top:1px solid #eeeeee;border-right:1px solid #eeeeee;border-bottom:1px solid 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.kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle ) .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:before, body:not(.hide-focus-outline) .kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle ) .kt-blocks-accordion--visible .kt-blocks-accordion-icon-trigger:after, body:not(.hide-focus-outline) .kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle ) .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:before{background:#444444;}.kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger, body:not(.hide-focus-outline) .kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger{background:#444444;}.kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:before, body:not(.hide-focus-outline) .kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:after, body:not(.hide-focus-outline) .kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:before{background:#ffffff;}.kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible, .kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header.kt-accordion-panel-active{color:#000000;background:var(--global-palette9, #ffffff);border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom:0px solid #eeeeee;border-left-color:#eeeeee;border-left-style:solid;}.kt-accordion-id493_eecdd5-b5:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id493_eecdd5-b5:not( 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.kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}@media all and (max-width: 1024px){.kt-accordion-id493_eecdd5-b5 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;}}@media all and (max-width: 1024px){.kt-accordion-id493_eecdd5-b5 .wp-block-kadence-pane .kt-accordion-header-wrap .kt-blocks-accordion-header{border-top:1px solid #eeeeee;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;}}@media all and (max-width: 1024px){.kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header:hover, body:not(.hide-focus-outline) .kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible{border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}}@media all and (max-width: 1024px){.kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible, .kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header.kt-accordion-panel-active{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom:0px solid #eeeeee;border-left-color:#eeeeee;border-left-style:solid;}}@media all and (max-width: 767px){.kt-accordion-id493_eecdd5-b5 .kt-accordion-inner-wrap{display:block;}.kt-accordion-id493_eecdd5-b5 .kt-accordion-inner-wrap .kt-accordion-pane:not(:first-child){margin-top:20px;}.kt-accordion-id493_eecdd5-b5 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;}.kt-accordion-id493_eecdd5-b5 .wp-block-kadence-pane .kt-accordion-header-wrap .kt-blocks-accordion-header{border-top:1px solid #eeeeee;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;}.kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header:hover, body:not(.hide-focus-outline) .kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible{border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}.kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible, .kt-accordion-id493_eecdd5-b5 .kt-accordion-header-wrap .kt-blocks-accordion-header.kt-accordion-panel-active{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom:0px solid #eeeeee;border-left-color:#eeeeee;border-left-style:solid;}}<\/style>\n<div class=\"wp-block-kadence-accordion alignnone\"><div class=\"kt-accordion-wrap kt-accordion-id493_eecdd5-b5 kt-accordion-has-20-panes kt-active-pane-0 kt-accordion-block kt-pane-header-alignment-left kt-accodion-icon-style-basiccircle kt-accodion-icon-side-right\" style=\"max-width:none\"><div class=\"kt-accordion-inner-wrap\" data-allow-multiple-open=\"false\" data-start-open=\"none\">\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-1 kt-pane493_49335e-8e\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What is considered severe asthma?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>People with severe asthma experience daily symptoms that are difficult to control. Symptoms often get worse at night. It often involves frequent airway inflammation.<\/p>\n\n\n\n<p>Asthma treatment guidelines define severe asthma as when&#8230;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>a person needs high-dose treatment to keep it under control.<\/li>\n\n\n\n<li>symptoms persist or occur often, even with high-dose treatment.<\/li>\n<\/ul>\n\n\n\n<p>People with severe asthma may also use their quick-relief inhaler several times throughout the day.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-5 kt-pane493_24f92a-9d\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">How do you know when asthma is severe?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>Asthma is diagnosed as severe when symptoms are intense, frequent, and hard to control, even with high doses of medication. Here are questions to ask yourself about asthma severity:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Do I have daily symptoms? Is my asthma frequent and persistent?<\/li>\n\n\n\n<li>Is my quick-relief inhaler ineffective in keeping asthma symptoms in check?<\/li>\n\n\n\n<li>Are high-dose controller medications such as inhaled corticosteroids not effective in keeping symptoms under control?<\/li>\n\n\n\n<li>Do I have frequent asthma attacks that require emergency medical care?<\/li>\n\n\n\n<li>Do lung function tests show airways are restricted?<\/li>\n\n\n\n<li>Do you feel winded or struggle to breathe, even during mild activity? Does it impact your ability to do daily life tasks?<\/li>\n<\/ul>\n\n\n\n<p>If you answered yes to one or more of these questions, you may have severe asthma. Talk with your doctor or an asthma specialist to learn about treatment options.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-6 kt-pane493_5123b4-95\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">How do you know when asthma is serious?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>All asthma is serious. Anyone with asthma, whether mild or severe, can have a sudden, life-threatening asthma attacks. And the more often you experience symptoms, the more serious it can become. Work with your doctor to get control of your asthma and reduce your risk of a severe asthma attack.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-7 kt-pane493_c82d57-e4\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What happens when you have severe asthma?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>People with severe chronic asthma often have frequent asthma attacks. This may result in frequent emergency department visits and hospitalizations.<\/p>\n\n\n\n<p>People with severe asthma may also often miss school or work due to symptoms. They may find themselves unable to perform simple activities of daily living.<\/p>\n\n\n\n<p>Long-term severe chronic asthma can lead to thickening of airways walls and scarring in the lung \u2013 called airway remodeling. This can worsen breathing.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-8 kt-pane493_89eaa2-49\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Is severe asthma life-threatening?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>Any kind of asthma can be life-threatening. People with severe asthma have more frequent symptoms and more asthma attacks.<\/p>\n\n\n\n<p>Develop an Asthma Action Plan with your doctor or asthma specialist. This gives you a plan for what to do if severe asthma symptoms occur or worsen.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-9 kt-pane493_54dbb7-1a\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">When should you go to the ER for an asthma attack?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>Symptoms of an asthma attack include difficulty breathing, coughing, wheezing and chest tightness. These symptoms may be more intense if you have severe asthma. You should go to the ER if:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>You feel faint.<\/li>\n\n\n\n<li>You don&#8217;t have a quick-relief inhaler when symptoms arise.<\/li>\n\n\n\n<li>You are having an asthma attack and your quick-relief inhaler isn&#8217;t helping.<\/li>\n\n\n\n<li>You can&#8217;t talk in full sentences.<\/li>\n\n\n\n<li>Your nostrils flare when breathing.<\/li>\n\n\n\n<li>Your lips, nails, or skin are turning blue.<\/li>\n<\/ul>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-10 kt-pane493_a8ff78-46\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Are asthmatics immunocompromised?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>People with asthma are not immunocompromised in the way most of us think, such as a person whose immune system is suppressed after undergoing chemotherapy. However, people with asthma are more prone to respiratory infections. Some may have a&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30939053\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>weakened immune system<\/strong><\/a>&nbsp;or reduced lung function due to asthma or another respiratory illness. It is important for people with asthma to be especially careful to prevent respiratory infections that may worsen symptoms. Getting the annual flu vaccines is a good way to start.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-11 kt-pane493_2bace0-de\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What is occupational asthma?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>People with occupational asthma develop asthma as a result of their daily exposures through their occupation. It occurs primarily in adults. Some workplaces may have poor air quality due to presence of mold, a proximity to highways or ongoing construction. Other workplaces may use cleaning products that contain harmful irritants from chemicals. These can trigger asthma symptoms in some people.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-12 kt-pane493_0d980d-b7\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Why does asthma make it hard to breathe?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>The inflammation and the swelling cause airways to narrow and then spasm. This causes coughing, wheezing and shortness of breath.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-13 kt-pane493_385de2-ae\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What is wheezing?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>Wheezing is a a high-pitched whistling sound during breathing. The sound is the result of air moving through the inflamed and swollen bronchial tubes. Sometimes wheezing is heard easily. Other times you need a stethoscope.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-14 kt-pane493_a17699-53\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Is there a diet for asthma patients?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>There is no specific diet for asthma patients, but there are certain foods that may reduce the risk of airway inflammation. People with asthma should focus on eating a healthy, well-balanced diet consisting of fresh fruit and vegetables. These foods, along with fish containing Omega 3 fatty acids, have been shown to have an anti-inflammatory effect. Foods with vitamin D may also help reduce the risk of asthma symptoms.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-15 kt-pane493_897823-75\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Can asthma be cured?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>Asthma cannot be cured. It can be controlled. Work together with your healthcare provider to achieve asthma control. This can be done through medication and, if needed, lifestyle changes. If you have&nbsp;<a href=\"https:\/\/allergyasthmanetwork.org\/news\/allergic-asthma\/\"><strong>allergic asthma<\/strong><\/a>, consider allergen immunotherapy (also called allergy shots or tablets). Immunotherapy can help build your tolerance to an allergen, with the goal of reducing or even eliminating symptoms.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-16 kt-pane493_116589-f9\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">How to make your home asthma friendly<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>There is a lot you can do at home to&nbsp;<a rel=\"noreferrer noopener nofollow\" href=\"https:\/\/www.epa.gov\/sites\/default\/files\/2013-08\/documents\/10_steps_en.pdf\" target=\"_blank\"><strong>make your home asthma friendly<\/strong><\/a>!<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Quit smoking<\/strong>&nbsp;\u2013 until you or your family members quit smoking, make sure they only smoke outside<\/li>\n\n\n\n<li><strong>Avoid dust mites<\/strong>&nbsp;\u2013 use dust-proof covers on pillows and mattresses and wash bedding in hot water weekly.<\/li>\n\n\n\n<li><strong>Breathe healthy air<\/strong>&nbsp;\u2013 watch the air quality index daily. If air quality is poor, keep windows closed.<\/li>\n\n\n\n<li><strong>Keep it fresh<\/strong>&nbsp;\u2013 dust and vacuum regularly to avoid buildup of dust and other triggers.<\/li>\n\n\n\n<li><strong>Limit pets<\/strong>&nbsp;\u2013 skin, urine and saliva of pets can trigger allergies, so limit where pets can go inside. Keep them out of the bedroom.<\/li>\n\n\n\n<li><strong>Clean up food right away<\/strong>&nbsp;\u2013 don\u2019t invite critters such as cockroaches by leaving food out.<\/li>\n\n\n\n<li><strong>Avoid sprays<\/strong>&nbsp;\u2013 sprays used to control pests can trigger asthma. Use baits or traps instead.<\/li>\n\n\n\n<li><strong>Keep mold at bay<\/strong>&nbsp;\u2013 mold is a major asthma trigger, so clean regularly to avoid buildup of moisture. Fix leaks quickly to prevent mold. Get rid of any moldy items such as carpets, insulation, or walls. Use fans to keep air circulating.<\/li>\n<\/ul>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-17 kt-pane493_13148b-7e\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What are asthma doctors called?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>Asthma doctors, or asthma specialists, are allergists\/immunologists or pulmonologists. These doctors have specialized medical education in the treatment of asthma, allergies and related diseases.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-18 kt-pane493_dbcba7-54\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Can you outgrow asthma?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>It is rare for children to outgrow asthma. Even if symptoms are well controlled for years, the disease often persists into adulthood. If symptoms diminish as a child grows, it could be the result of the child\u2019s lungs or immune system adapting and improving over time. Or the child gradually learned to avoid asthma triggers, such as allergens. But it is rare for asthma to go away for good. Some adults have reported their asthma symptoms, first diagnosed in childhood, reappeared after many years.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-19 kt-pane493_5b0fd7-71\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What is moderate to severe asthma?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>People with&nbsp;<a href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/what-is-severe-asthma\/\"><strong>moderate to severe asthma<\/strong><\/a>&nbsp;require strong medications to keep symptoms under control. These medications may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>high-dose inhaled corticosteroids plus long-acting beta2-agonists and\/or additional controller medications;<\/li>\n\n\n\n<li><a href=\"https:\/\/allergyasthmanetwork.org\/what-is-asthma\/how-is-asthma-treated\/oral-corticosteroids-for-asthma\/\"><strong>oral corticosteroids<\/strong><\/a>.<\/li>\n<\/ul>\n\n\n\n<p>If moderate to severe asthma remains uncontrolled despite treatment and symptoms impact your ability to perform daily activities, then talk with your doctor about the next tier of medications:&nbsp;<a rel=\"noreferrer noopener nofollow\" href=\"https:\/\/biologicmeds.org\/\" target=\"_blank\"><strong>biologics<\/strong><\/a>.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-20 kt-pane493_c07971-0a\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Can I have severe persistent asthma?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>Severe persistent asthma is the diagnosis when people experience symptoms at least twice a week and need to frequently use their quick-relief inhaler. They may also wake up at night one or more times per week with asthma symptoms. Severe persistent asthma may significantly impair a person\u2019s daily life.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_93fec0-0c > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_93fec0-0c > .kt-inside-inner-col,.kadence-column493_93fec0-0c > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_93fec0-0c > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_93fec0-0c > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_93fec0-0c > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_93fec0-0c > .kt-inside-inner-col{background-color:#ffffff;}.kadence-column493_93fec0-0c > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_93fec0-0c{position:relative;}@media all and (max-width: 1024px){.kadence-column493_93fec0-0c > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_93fec0-0c > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_93fec0-0c\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_10279c-83{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_10279c-83{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_10279c-83 > .kt-inside-inner-col,.kadence-column493_10279c-83 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_10279c-83 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_10279c-83 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_10279c-83 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_10279c-83 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_10279c-83{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_10279c-83{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_10279c-83 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_10279c-83{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_10279c-83 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_10279c-83\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Severe asthma resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nhlbi.nih.gov\/resources\/asthma-management-guidelines-and-your-care-fact-sheet\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>Asthma Management Guidelines and Your Care Fact Sheet: English Version<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.nhlbi.nih.gov\/resources\/las-guias-para-el-manejo-del-asma-y-su-atencion-medica-asthma-management-guidelines-and\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>Asthma Management Guidelines and Your Care Fact Sheet: Spanish Version<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.nhlbi.nih.gov\/resources\/2020-focused-updates-asthma-management-guidelines\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>National Asthma Education and Prevention Program (NAEPP)<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/ginasthma.org\/reports\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><strong>Global Initiative for Asthma (GINA)<\/strong><\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_ee1137-39 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_ee1137-39 > .kt-inside-inner-col,.kadence-column493_ee1137-39 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_ee1137-39 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_ee1137-39 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_ee1137-39 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_ee1137-39 > .kt-inside-inner-col{background-color:var(--global-palette4, #2D3748);}.kadence-column493_ee1137-39 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_ee1137-39{position:relative;}@media all and (max-width: 1024px){.kadence-column493_ee1137-39 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_ee1137-39 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_ee1137-39\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_07bc35-51{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_07bc35-51{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_07bc35-51 > .kt-inside-inner-col,.kadence-column493_07bc35-51 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_07bc35-51 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_07bc35-51 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_07bc35-51 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_07bc35-51 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_07bc35-51{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_07bc35-51{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_07bc35-51 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_07bc35-51{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_07bc35-51 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_07bc35-51\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading has-text-align-center has-kb-palette-6-color has-text-color has-link-color wp-elements-90a200918c4143854f5fca5fdf2be404\">Are there other conditions that may look like asthma or complicate asthma?<\/h3>\n\n\n\n<p class=\"has-text-align-center has-kb-palette-6-color has-text-color has-link-color wp-elements-4f929bf7bab1f13af19537db0c0d8068\"><strong>There are other types of respiratory conditions that are different than asthma.&nbsp; The symptoms, diagnosis and treatment can vary depending upon the condition. Here are some of them.<\/strong><\/p>\n\n\n<style>.kadence-column493_b5015b-fe{max-width:450px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_b5015b-fe{-webkit-flex:0 1 450px;flex:0 1 450px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_b5015b-fe > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_b5015b-fe > .kt-inside-inner-col,.kadence-column493_b5015b-fe > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_b5015b-fe > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_b5015b-fe > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_b5015b-fe > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_b5015b-fe > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_b5015b-fe{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_b5015b-fe{-webkit-flex:0 1 450px;flex:0 1 450px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_b5015b-fe > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_b5015b-fe{max-width:450px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_b5015b-fe > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_b5015b-fe\"><div class=\"kt-inside-inner-col\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-2edb0647 wp-block-columns-is-layout-flex\" style=\"margin-top:0;margin-bottom:0\">\n<div class=\"wp-block-column has-theme-palette-9-color has-text-color has-link-color wp-elements-f9709c62c3e3aa3d0929fd2e300bcca5 is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-theme-palette-9-color has-text-color has-link-color wp-elements-1c4b4e391550f8ec888509e1f1792abc\">\u27a4 <a href=\"\/health-a-z\/aerd-aspirin-exacerbated-respiratory-disease\/\" target=\"_blank\" rel=\"noreferrer noopener\">AERD<\/a><\/p>\n\n\n\n<p>\u27a4 <a href=\"\/health-a-z\/alpha-1-antitrypsin-deficiency\/\" target=\"_blank\" rel=\"noreferrer noopener\">alpha-1 antitrypsin deficiency<\/a><\/p>\n\n\n\n<p>\u27a4 <a href=\"\/health-a-z\/bronchiectasis\/\" target=\"_blank\" rel=\"noreferrer noopener\">bronchiectasis<\/a><\/p>\n\n\n\n<p>\u27a4 <a href=\"\/health-a-z\/chronic-obstructive-pulmonary-disease\/\" target=\"_blank\" rel=\"noreferrer noopener\">COPD<\/a><\/p>\n\n\n\n<p>\u27a4 <a href=\"\/health-a-z\/covid-19\/\" target=\"_blank\" rel=\"noreferrer noopener\">COVID-19<\/a><\/p>\n\n\n\n<p>\u27a4 <a href=\"\/health-a-z\/infections-and-viruses\/\" target=\"_blank\" rel=\"noreferrer noopener\">influenza, infections &amp; viruses<\/a><\/p>\n\n\n\n<p>\u27a4 <a href=\"\/health-a-z\/rsv-respiratory-syncytial-virus\/\" target=\"_blank\" rel=\"noreferrer noopener\">RSV<\/a><\/p>\n\n\n\n<p>\u27a4 <a href=\"\/health-a-z\/sleep-apnea\/\" target=\"_blank\" rel=\"noreferrer noopener\">sleep apnea<\/a><\/p>\n\n\n\n<p>\u27a4 <a href=\"\/health-a-z\/vcd-vocal-cord-dysfunction\/\" target=\"_blank\" rel=\"noreferrer noopener\">vocal cord dysfunction<\/a><\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column493_1bcb81-5e > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column493_1bcb81-5e > .kt-inside-inner-col,.kadence-column493_1bcb81-5e > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_1bcb81-5e > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_1bcb81-5e > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_1bcb81-5e > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_1bcb81-5e > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_1bcb81-5e{position:relative;}.kadence-column493_1bcb81-5e, .kt-inside-inner-col > .kadence-column493_1bcb81-5e:not(.specificity){margin-right:20px;margin-left:20px;}@media all and (max-width: 1024px){.kadence-column493_1bcb81-5e > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column493_1bcb81-5e > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_1bcb81-5e\"><div class=\"kt-inside-inner-col\"><style>.kadence-column493_22cc71-40{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column493_22cc71-40{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column493_22cc71-40 > .kt-inside-inner-col,.kadence-column493_22cc71-40 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column493_22cc71-40 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column493_22cc71-40 > .kt-inside-inner-col{flex-direction:column;}.kadence-column493_22cc71-40 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column493_22cc71-40 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column493_22cc71-40{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column493_22cc71-40{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column493_22cc71-40 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column493_22cc71-40{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column493_22cc71-40 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column493_22cc71-40\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-spacer.kt-block-spacer-493_bb0022-d0 .kt-block-spacer{height:30px;}.wp-block-kadence-spacer.kt-block-spacer-493_bb0022-d0 .kt-divider{border-top-width:1px;height:1px;border-top-color:var(--global-palette3, #1A202C);width:100%;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-493_bb0022-d0\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><hr class=\"kt-divider\"\/><\/div><\/div>\n\n\n\n<p style=\"margin-top:0\"><em>Reviewed by:<\/em><br><strong>William E. Berger, MD, FACAAI,<\/strong> is a board-certified allergist and immunologist who serves as a media spokesperson and Chair of the Medical Advisory Council for Allergy &amp; Asthma Network. He is a Distinguished Fellow and Past President (2002-03) of the American College of Allergy, Asthma &amp; Immunology (ACAAI).<\/p>\n<\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Severe asthma is a type of asthma that is hard to control. Symptoms may occur most days and most nights. Severe asthma can involve constant or frequent inflammation in your airways. Unlike mild asthma, severe asthma doesn\u2019t get better easily with treatment. Symptoms persist \u2013 coughing, wheezing, chest tightness and shortness of breath. 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