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Medical Forum / Diseases and Disorders / Asthma / November 2008

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Does Altitude Affect Your Asthma?

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damon harvey - 23 Oct 2008 09:48 GMT
If you have asthma and you enjoy outside activities that take you to
higher elevations or much, much higher, the possible danger has
certainly crossed your mind. Well, the news isn't all bad, though it
is cautionary.
Asthma is a chronic lung condition, characterized by a difficulty with
breathing. People with asthma have extra sensitive or hyper-responsive
airways. During an asthma attack, their airways become irritated and
react by narrowing and constructing, causing increased resistance to
airflow, and obstructing the flow of the air passages to and from the
lungs.
There's no question, as an asthma sufferer you're more likely to be
affected by altitude sickness than if you didn't have the disease.
However, if you're fit and healthy, with asthma that's well
controlled, you should have no problems coping. This is, of course,
provided you ascend slowly and recognize and accept your limitations.
Altitude will generally have little effect on stable asthmatics.
If your asthma is so severe that your blood oxygen is low, then air
travel can put you in danger of reducing your blood oxygen level even
further. That, combined with the dry, cool conditions generally
encountered at high altitudes, could trigger asthma symptoms. In
addition, if your destination is a high altitude, a city such as
Denver for example, and you're unaccustomed to that altitude and have
little opportunity to acclimatize, you may experience heightened
symptoms. As always, discuss this with your doctor ahead of time....

Natural Asthma Treatment: http://groups.google.com/group/asthmacvh
dudleybates - 12 Nov 2008 13:02 GMT
> If you have asthma and you enjoy outside activities that take you to
> higher elevations or much, much higher, the possible danger has
> certainly crossed your mind. Well, the news isn't all bad, though it
> is cautionary.
> There's no question, as an asthma sufferer you're more likely to be
> affected by altitude sickness than if you didn't have the disease.

Altitude sickness has nothing to do with asthma, and the primary
symptoms are headache, nausea, fatigue, dizziness, insomnia, rapid
pulse, swollen ankles, and general malaise.  Shortness of breath can
be one symptom, though it is not the main symptom.

> However, if you're fit and healthy, with asthma that's well
> controlled, you should have no problems coping. This is, of course,
> provided you ascend slowly and recognize and accept your limitations.

If you're going to elevations such as Denver (which is a mile high),
how fast you ascend to that elevation has *nothing* to do with how
well you'll tolerate the elevation (unless you're hiking.)  How much
water you drink, how much sleep you've gotten, and taking it easy,
will make the difference.  Most people notice nothing.

On the other hand, if you are climbing Everest or K2, I agree,
ascending slowly would be best.

> Altitude will generally have little effect on stable asthmatics.
> If your asthma is so severe that your blood oxygen is low, then air
> travel can put you in danger of reducing your blood oxygen level even
> further.

Oh bullhockey.  Airplanes are pressurized and supply their own
oxygen.  Did you finish high school?  Or did you ride the short yellow
bus?

>That, combined with the dry, cool conditions generally
> encountered at high altitudes, could trigger asthma symptoms.

Altitude problems generally occur with the first couple of days only
because yes, there is less oxygen at higher altitude.  This can
usually be offset by drinking extra water and taking it extra easy for
those first few days.  However even asthmatics become quickly
acclimated to altitude for two reasons.  First, since the atmosphere
is thinner, it's easier to get into what may be tighter airways.  And
more importanly, our bodies go into high gear making extra hemoglobin
to compensate for the low oxygen.  The International Olympic Committee
and Training Center is here in Colorado Springs, which is a thousand
feet higher than Denver.  Why?  Most of the athletes train at
altitude.  That way, when they go down to sea level to compete, they
have the equivalent of a whole extra unit of blood (hemoglobin only)
to carry extra oxygen ... a way to cheat without cheating.

Whether it's cool or not depends on the time of year.  Denver averages
80 degrees much of the year.

I know many, many, asthmatics and patients with COPD who move up here
*because* of the elevation, one of them being myself.

If you're going to make pitiful efforts to disguise your ad for your
paid product, please get your facts right.
 
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