Find out how heat waves make asthma symptoms worse.


While the national capital bore the brunt of the heat, several other Indian states are facing similar sweltering conditions (PTI File)

Dr Vikas Doshi, Consultant Physician at Bhaial Amin General Hospital, Vadodara, shares how heat waves worsen asthma symptoms.

Heat waves significantly worsen asthma symptoms by increasing air pollution and triggering respiratory inflammation. During extreme heat, pollutants such as ozone and particulate matter increase, worsening air quality. Additionally, high temperatures can cause dehydration and stress the respiratory system, making it difficult for asthmatics to breathe. Increased pollen counts during heat waves further exacerbate allergic reactions, increasing respiratory burden. This combination of factors makes controlling asthma particularly challenging during periods of intense heat.

Heat waves can exacerbate asthma symptoms in several ways:

  1. Air qualityDuring heat waves, there is often an increase in air pollution due to factors such as increased use of air conditioning, vehicle emissions, and industrial activities. Higher levels of pollutants such as ozone and particulate matter can irritate the airways and trigger asthma attacks.
  2. High temperaturesHot weather can cause dehydration and increased breathing rate, which can cause the airways to become dry and irritated, making it difficult for asthma patients to breathe. Additionally, extreme heat can cause bronchoconstriction, a tightening of the muscles around the airways, making it difficult for asthma patients to breathe properly.
  3. AllergensHeat waves can cause the proliferation of allergens such as pollen, mold and dust mites. These allergens can trigger allergic reactions in patients with asthma, causing inflammation of the airways and worsening asthma symptoms.
  4. Increase in respiratory infectionsHeat waves can also coincide with increased transmission of respiratory infections, such as the common cold and flu. Respiratory infections can exacerbate asthma symptoms and increase the risk of asthma attacks.
  5. Indoor air qualityDuring heat waves, people tend to spend more time indoors with windows and doors closed to keep cool air in and hot air out. This can lead to poor indoor air quality as pollutants and allergens become trapped indoors, further exacerbating asthma symptoms. To minimize the impact of heat waves on asthma patients, it is important that they stay indoors during the hottest hours, keep windows and doors closed to prevent outdoor pollutants from entering your home, use air conditioning or air purifiers to improve indoor air quality, stay hydrated, and continue taking your prescribed asthma medications as directed by your healthcare provider.

    What specific physiological responses make asthma patients more vulnerable during heat waves?

    Several specific physiological responses make asthma patients more vulnerable during heat waves:

  6. Inflammation of the airwaysAsthma is characterized by chronic inflammation of the airways. During a heat wave, exposure to heat and air pollutants can further increase inflammation in the airways, making them more sensitive and prone to constriction.
  7. BronchoconstrictionHeat and humidity can cause bronchoconstriction, which is the narrowing of the airways in the lungs. In patients with asthma, this can cause increased difficulty breathing, wheezing, and chest tightness.
  8. increase of the respiratory frequenceHigh temperatures can cause an increased breathing rate as the body tries to cool down. This increased breathing rate can cause dehydration and dry airways, exacerbating asthma symptoms.
  9. DehydrationHeat waves can cause excessive sweating and fluid loss, leading to dehydration. Dehydration can make the mucus in your airways thicker and harder to clear, exacerbating asthma symptoms.
  10. Allergen sensitivityPatients with asthma are often sensitive to allergens such as pollen, mold, and dust mites. Heat waves can cause increased levels of these allergens in the environment, triggering allergic reactions and exacerbating asthma symptoms.
  11. Immune responseHeat waves can stress the immune system, making asthma patients more susceptible to respiratory infections. Respiratory infections can worsen asthma symptoms and increase the risk of asthma attacks.
  12. Drug absorptionIn extreme heat, asthma medications may not be as effective due to changes in absorption rates. This can make it harder for asthma patients to control their symptoms during heat waves.

    Overall, the combination of airway inflammation, bronchoconstriction, increased respiratory rate, dehydration, allergen sensitivity, immune response, and potential medication problems can significantly increase the vulnerability of asthma patients during heat waves. . It is important for asthma patients to be aware of these risks and take appropriate precautions to manage their condition during hot weather conditions.

Q. What preventive measures can be taken to mitigate the risks of heat waves for people with asthma?

To mitigate the risks of heat waves for people with asthma, several preventive measures can be taken:

  1. Stay indoors during the hottest hoursEncourage patients with asthma to stay indoors during the hottest hours of the day, usually between 10 a.m. and 4 p.m., when temperatures are highest and air quality may be worse.
  2. Use air conditioningEnsure indoor spaces are adequately cooled with air conditioning, which can help maintain a comfortable temperature and reduce humidity levels. Use air purifiers with HEPA filters to improve indoor air quality and remove allergens and contaminants.
  3. Stay hydratedDrink plenty of fluids, preferably water, to stay hydrated, especially during hot weather. Proper hydration helps keep airway mucus thin and easier to clear, reducing the risk of asthma exacerbations.
  4. Avoid outdoor exerciseEncourage patients with asthma to avoid strenuous outdoor activities during heat waves, particularly exercise that involves prolonged exertion. Instead, suggest indoor exercise options or outdoor activities during cooler parts of the day.
  5. Monitor air qualityStay informed about air quality levels in the area by using local air quality monitoring resources or apps. Limit outdoor activities on days when air quality is poor, as high levels of pollutants can exacerbate asthma symptoms.
  6. Keep windows and doors closedDuring heat waves, keep windows and doors closed to prevent outdoor pollutants and allergens from entering indoor spaces. Use fans or air conditioning to circulate air inside the house.
  7. Take medications as prescribedMake sure asthma patients continue taking prescribed asthma medications as directed by their healthcare provider, even during heat waves. Quick-relief medications, such as bronchodilators, should be available for use in case of asthma symptoms or exacerbations.
  8. Create an asthma action planDevelop an asthma action plan in collaboration with a healthcare provider. This plan should describe the steps to take if your asthma symptoms or asthma attacks get worse, including when to seek medical help.
  9. Wear protective clothingWhen outdoors, encourage asthma patients to wear light, loose-fitting clothing to stay cool and protect themselves from the sun's rays. Hats and sunglasses can also provide additional protection.
  10. stay informedStay up to date with weather forecasts and heat wave warnings in the area. Take proactive steps to prepare for warm weather conditions and follow any guidance or recommendations from local health authorities.

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