Our mission is to provide patient-centered care for allergies and asthma.

Why Has My Asthma Gotten Worse?

About one out of every 13 Americans — both adults and children — are living with asthma. Each day, an average of 10 people die from asthma, according to the Asthma and Allergy Foundation of America (AAFA). With proper care and awareness, many of those deaths could have been prevented.

Is Your Asthma Getting Worse?

If you are concerned your or your child’s asthma has gotten worse, the first step to finding a solution is to determine a cause. Asking these questions can help:

  • Are you using your preventative inhaler as directed?
  • Are you using your inhaler in the proper way?
  • Have you been around any asthma triggers?
  • Could you have encountered a new asthma trigger?
  • Have there been any other changes in your life that could be causing the asthma flare-up?
  • For women, hormonal changes can aggravate asthma. Have you experienced any hormonal changes?

It is also important to watch for common signs that your asthma is worsening such as:

  • Feeling more breathless
  • Coughing more
  • Not sleeping well
  • Tightness in the chest
  • Increased wheezing
  • Using relief inhaler more than usual
  • Not being able to do everyday activities

Paying Attention to Asthma Triggers

Each person with asthma may have different triggers that cause an attack. There are some common triggers, however. These include allergens such as mold, dust mites, dog dander, cockroach dander, and pollen. Other triggers are common irritants like dust, chemicals, smoke, and car exhaust.

Additionally, conditions like sinus inflammation or gastroesophageal reflux disease (GERD) can cause lung inflammation that will make asthma worse.

Identifying your personal triggers can help you in making lifestyle modifications. For instance, if dust is a trigger, you may want to switch to hardwood floors where possible in your home. This will help you avoid carpets that can trap dust. If pollen is a problem, you can check weather apps to see when tree, grass, or weed pollens are high and limit your time outdoors.

How Serious is Your Asthma Flare-up?

Flare-ups can vary in intensity. Consider using a peak flow meter to measure your peak expiratory flow (PEF). Over a two-week period of well-controlled asthma, you can use the meter to determine your personal best peak flow.

During a mild flare-up, your PEF will be about 80 to 100% of your best. You may notice such symptoms as shortness of breath when walking or exercising and some wheezing.

A moderate flare-up may cause shortness of breath when talking, the use of neck muscles to help take deeper breaths, and loud wheezing. During this phase, your PEF will register between 50 to 80% of your best. You should seek urgent medical treatment if a moderate flare is not controlled with the use of your current asthma regimen.

A severe flare-up will result in a PEF of less than 50%, difficulty breathing even when still, and feelings of anxiety or sleepiness. If you experience a severe flare-up, you should seek treatment immediately.

Columbia Allergy takes a patient-focused approach that views every person as an individual with unique challenges and goals. If you are seeking treatment for asthma or allergies, including desensitization treatments for shrimp and nut allergies, contact us at any of our convenient locations in California, Oregon, Idaho, or Washington.

This is not medical advice. Make sure to consult a medical professional for a diagnosis.

Do You Suffer From Allergies?

Don’t let allergies run your life. Talk to a Columbia Allergy clinic today to find relief.

Monica H.
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David W.
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“Absolutely exceptional. The doctor, team and facilities are the best you could ask for. We have never felt more comfortable and safe. With the approach we have taken with our son and has made the whole process so much easier. You guys makes difference in people’s lives”
Noah J.
“Nothing worse than worrying about every cookie and ice cream snack out there that sends us to the ER. Dr.Jain and Dr. Gandhe who are the best. Their expertise and kindness have given us back both dessert and peace of mind. I don't know which one is more appreciated. ”
Hana L.
"Dr.Gandhe always puts my son at ease before treatment. She talks to him directly and in an age appropriate way. My son looks forward to visiting her and the other staff. When I have questions about treatment she responds clearly and, during after hours, Dr. Gandhe responds very quickly. We feel well cared for."
Amy M.
"Dr. Gandhe gives us excellent personalized treatment for my son’s peanut and tree nut allergy. She has a heart for kids with allergies and I feel very safe under her care. My son has already made great progress with his tree nut allergy"
Nikko Y.
"Best Office Ever!"
Georgia B.
"One of the best doctors + staff I have ever met. The care and professionalism is out of this world! We feel comforted and safe at our visit "
Pierre
"Dr. Jain is very kind and friendly as well as the staff "
Graciela R.
"Dr.Jain and Melissa Hutton PA-C are the best allergy providers I have ever had the pleasure of meeting. The entire staff is kind and helpful. My allergy care is comprehensive and I never feel rushed through an appointment-"
Miko
"Best decision we have made in my son’s life so far"
Merritt F.
"We are very confident with Dr. Jain’s treatment plans and recommendations. The staff at the Fremont office is amazing"
Cherylyn V.
"Amazing and awesome team for scary and life-threatening allergies"
Manalie J.
"Dr.Gandhe is very patient, explains everything in great detail and answered all of our questions. It helped to ease out our Anxiety about OIT"
Walter M.
"Dr. Gandhe is great, thoughtful, and a caring provider. All staff is fantastic as well!"
Sarah S.
"We are likely (5 stars) to recommend Dr. Jain to friends and family. Our experience here has been so positive and supportive. It is great clinic and has given us great hopes in treating our son"
Khushi P.
"Extremely great experience. Truly God sent figures. Dr. Jain and Melissa are such wonderful and humble doctors, I have ever met. Thank You. Dr Jain and the entire staff for being with us through the journey. I will recommend him to all the people that I know with allergies
Amrita M.
"Dr. Gandhe has been more than a blessing for us. We love her! She’s so great at talking explaining and planning everything. Her treatment has been spot on and I am so thankful we found you. We love all the nurses, they are so patient and loving"
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