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Asthma diagnosis

Asthma diagnosis typically involves a combination of medical history, physical examination, and diagnostic tests.

Key points:

  • Medical History: A provider gathers information about your symptoms and factors that affect your breathing difficulties.

  • Physical Examination: A provider assesses your lung function, and looks for signs of asthma, such as wheezing.

  • Rule Outs: A provider rules out other conditions, such as chronic obstructive pulmonary disease (COPD), allergic bronchopulmonary aspergillosis, or cardiac conditions that affect breathing.

Diagnostic tests:

  • Spirometry: You will take a deep breath and then blow forcefully into a tube. This measures how much air you can exhale and how quickly you can do it.

  • Peak Flow Measurement: This portable device measures how fast you can exhale.

  • Bronchoprovocation testing: This test involves inhaling a substance that can trigger bronchoconstriction, which is a hallmark of asthma.

  • Positive response to medication: If you use a bronchodilator and you improve, this suggests that you may have asthma. This is often referred to as a "reversible" or "treatable" airway obstruction.

  • Allergy testing: Allergy skin testing or blood tests may be conducted to determine if allergens are contributing to your symptoms.