Personal Health
February 9, 2024

What triggers migraines? 7 triggers to track

5 minutes

Common migraine triggers include certain foods, alcohol, dehydration, changes in sleeping patterns, and high stress levels.

Migraine pain can make it impossible to carry on with your day-to-day activities. In addition to throbbing headache pain, many people who experience migraines also experience nausea and a painfully heightened sensitivity to light and sound. Migraine attacks can last for days.

Thankfully, identifying your migraine triggers can help you enjoy more pain-free days. Here, we'll take a look at how the medical community defines migraines, common migraine triggers, and how you can manage your triggers to reduce the frequency of your migraines.

What are migraines?

A migraine is a severe throbbing or pulsing headache. Often, migraines are only felt on one side of the head. Some people experience a condition known as aura before they begin to feel the headache pain of a migraine. Symptoms of an aura can include tingling in the face, arm, or leg, difficulty speaking normally, visual disturbances like blind spots in the vision, and more. Some people experience an aura without migraine pain--this is known as a silent migraine.

Common migraine triggers

People who experience migraines typically have triggers that can bring on a migraine attack. It's important to understand your triggers so that you're able to lower the number of migraines you experience. Triggers can differ from person to person, and your triggers may change with age.

1. Unhealthy amount of sleep

Many people know that a lack of sleep can cause headache and migraine pain, but a recent study showed that getting too much sleep can do the same. If changes in your sleeping pattern trigger migraines, it's a good idea to go to bed and wake up at the same time each day.

If you struggle to sleep and notice that it affects your day-to-day well-being, it's a good idea to talk to your doctor to learn more about participating in a sleep study. This can provide you and your healthcare provider with valuable insights on how to improve your sleep, as well as reduce the number of days that you experience migraines.

2. Stress

Lowering your stress levels isn't just good for your blood pressure--it can also help to reduce how often you get migraines as well. Stress is a known trigger of migraine pain, especially in kids and young adults.

Taking steps to lower your daily stress benefits your health in many ways. If stress is a migraine trigger for you, it's especially important that you evaluate where your stress is coming from, and create an action plan to move forward.

Some changes you can make to reduce the amount of stress in your life include participating in meditation or yoga, practicing breathing exercises, journaling a few times each week, getting regular exercise, and talking with a licensed therapist if you need support in lowering your stress levels.

3. Dietary influences

Many people who experience migraines notice that their pain is often tied to food triggers. While exact triggers differ from person to person, many people have the same food-related migraine attack triggers.

Common dietary migraine triggers include:

  • Smoked fish
  • Aged cheese
  • Artificial sweeteners
  • Yeast extract
  • Alcohol
  • Cured meats

Many people find that when they have another risk factor for migraine--such as a high stress level--their dietary triggers are more likely to cause an attack. Keeping a food log can help you learn more about what foods trigger migraines for you.

4. Hormones

Many women find that migraines tend to occur at the same time in their menstrual cycle. Changes in estrogen are related to migraine pain. You may find that you experience migraines just before your period, when estrogen drops.

If you notice that your migraines are related to your hormones, it's a good idea to talk with your doctor about medications and lifestyle changes you can make to reduce your migraines. Your doctor may recommend birth control to make changes to your estrogen levels, or may recommend migraine medication.

5. Caffeine

Caffeine is tricky when it comes to migraines, as the compound can both relieve and trigger attacks. When the body is dependent on caffeine, withdrawal from coffee or other caffeine-containing substances can cause the blood vessels to enlarge (normally, caffeine shrinks the blood vessels). A person who is not dependent on caffeine may be able to drink caffeine during a migraine to shrink the blood vessels.

6. Dehydration

Not getting enough water is a migraine trigger for many people. In addition to drinking plenty of water each day, it's also important to pay attention to how much fluid you lose through physical activity. If you're spending a lot of time outdoors, or you're exercising heavily, it's easy to forget that you're losing water through sweat. Drinking plenty of water can help you avoid a dehydration headache after exercise or hot weather.

If you find that you're extremely dehydrated and drinking water isn't helping you feel better, it's a good idea to go to your local emergency room so that you can get IV fluids to rehydrate quickly.

7. Alcohol

About 33% of people who experience migraines find that drinking alcohol can make them more likely to experience an attack. Researchers are unsure of exactly how alcohol is related to migraines. It's possible that the dehydrating effect of alcohol contributes to the development of a migraine after drinking.

If you find that drinking alcohol is a migraine trigger, it's a good idea to give it up in favor of mocktails. If you choose to drink, have a glass of water between each drink, and be sure to get plenty of sleep to avoid a migraine attack in the morning.

Managing migraine triggers

Once you understand your migraine triggers, it can be helpful to keep a journal of your daily migraine symptoms. Every few weeks, look back at your journal to learn more about your triggers.

Migraines can be hard to decipher, and it can be tough to figure out exactly why you're getting migraines so often. Focusing on (and confirming or eliminating) one potential trigger at a time can help you get to the root cause of your pain.

Evidation: Here to support you through every step of your health journey

If you're dealing with migraines, you know how important it is to keep track of your health data so that you can have more pain-free days. At Evidation, we believe in the importance of tracking--and putting health data to good use. We're excited to provide you with personalized insights, guidelines, and articles to help you feel your best, day after day. Download the Evidation app today to get started.

Personal Health
January 31, 2024

What causes migraine auras?

4 minutes

Migraines with auras affect 1 in 3 migraine sufferers. Learn answers to common questions like "what causes migraine auras'' and "how long do auras last?"

If you’re someone who has migraines, you know that a migraine is more than “just a headache.” There are a wide range of neurological symptoms associated with this condition, and auras are one of them. About one in three people who have migraines also have auras with them.

What are migraine auras?

A migraine aura is a visual and sensory disturbance that occurs with a migraine. Many of the disturbances are visual, such as flashes of light or the development of blind spots. However, these symptoms can also be neurological, such as tingling in the hands or face. Typically, auras occur before the headache, within the hour before the discomfort starts, but they can also happen without head pain. Auras are a symptom of migraine, even if there isn’t a headache.

For many people who experience a migraine aura for the first time, the symptoms are frightening. Thankfully, they don’t cause any damage and aren’t harmful in the long term. Shedding light on this common symptom of migraines and how to best manage them is helpful in assisting people in managing their migraine condition.

Symptoms of migraines with auras

Migraine auras are highly personal to the individual, and as such, there are many different migraine aura types. According to Mayo Clinic, some of the visual disturbances that you may experience include:

  • Blind spots, sometimes with an outline
  • Floating zig zag lines
  • Shimmering or seeing stars
  • Loss of vision
  • Changes in vision
  • Light flashes

In addition to these visual disturbances, you may experience:

  • Weakness in the muscles
  • Difficulty with speech
  • Numbness or tingling in the face or hands, usually one side only

These symptoms can be startling, and they can make you feel as though something even more serious than a migraine is happening. Knowing that auras are a normal part of migraine headaches for some people can be helpful. That said, it’s always a good idea to check with your doctor if you have concerning neurological symptoms just to ensure it’s not something more serious. Cleveland Clinic also recommends an eye exam to ensure that the aura symptoms aren’t due to changes in your vision.

Treatment for migraine auras

Migraine auras are a part of the migraine for some people, so the treatment is the same as the treatment for migraines. Pain relievers and triptans are the most common lines of defense against migraine, but doctors are researching additional medications. With any medication, always follow your doctor’s guidelines and take it as prescribed.

What causes migraine auras?

Doctors are still researching what causes a migraine aura, but the current research indicates it may be due to electrical or chemical waves that move across the brain during a migraine. Your symptoms are connected to the area of the brain that has this electrical or chemical wave. This wave doesn’t harm the brain or the nerves, but it does trigger the aura.

Migraine aura triggers

Like migraines, auras can have many triggers. Each person has their own set of triggers, and a key to managing migraines is learning what yours are. Some common triggers include:

  • Hormonal changes, such as during menstruation
  • Not getting the right amount of sleep
  • Reactions to certain foods
  • Reactions to medications
  • Bright lights
  • Overall stress

Once you identify your triggers, you may be able to reduce the number of migraine aura events you experience through lifestyle changes.

Lifestyle changes to reduce migraine auras

While medications for migraine can help with migraine auras, lifestyle changes to help avoid triggers can also be beneficial. These lifestyle changes might help:

Supplements

Some research has shown that CoQ10, magnesium, and riboflavin can reduce migraine frequencies. Always check with your doctor before starting new supplements, especially if you are on medications that could interact, but these might provide some help.

Stress reduction

Finding healthy ways to manage stress, such as meditation, deep breathing and other relaxation techniques, increased sleep and even counseling, may help you with your migraine. Stress increases the risk of migraines, so reducing stress may reduce the number you have. While you can’t avoid all stress in life, managing it where you can may reduce your migraine and aura frequency.

Trigger avoidance

While it’s not always possible to avoid migraine aura triggers, sometimes you can. For instance, if you’ve determined a certain food triggers a migraine, then try to avoid that food. Environmental triggers, like strong perfumes or bright lights, may not be avoidable.

In order to avoid triggers, you must first identify them. Some people find keeping a migraine journal to be helpful. This journal helps them track their migraines and what they’re doing when one hits. Over time, it can give a snapshot of what might be triggering migraines, so the person can try to avoid those triggers. Of course, sometimes migraines happen with no trigger, but if you can pinpoint a trigger, then you can take steps to avoid it.

Setting a routine

Having a routine for when you sleep and eat is a good idea when dealing with migraines. Getting too much or too little sleep can increase your risk, and drops in blood sugar may spark a migraine as well. Eating and sleeping at the same time every day could help.

Drinking water

Drinking more water rarely hurts anyone, and this is true for people with migraines. Mild dehydration may be a trigger for some people. You might be able to help your symptoms by striving to get the right amount of water for your body and activity level.

Track your health and triggers

If you’re focused on migraine prevention through lifestyle changes, then tracking your health may help. You can use tracking devices and programs to record food intake, water intake and exercise, and then use that along with your migraine journal to track symptoms and triggers. While you’re tracking these things, connect with Evidation to reward yourself for the healthy lifestyle changes you’re making. Download the app today!

Personal Health
January 26, 2024

5 tips for instant migraine relief

4 minutes

Heat packs, cold packs, turning off the lights, using essential oils, and drinking plenty of fluids can all help ease migraine pain.

If you've ever had a migraine, you understand that the pain associated with the condition can be incapacitating. Thankfully, there are options that may help you ease a migraine at home. Here, we'll take a look at options you can try to get quick relief from migraines.

Understanding migraines

Migraines are not fully understood, but researchers have several theories on why the condition occurs. Current migraine researchers believe that certain chemicals and hormones, including estrogen and serotonin, contribute to migraine pain. Today's migraine theories suggest that waves of brain activity trigger chemicals (like serotonin and estrogen) to narrow the blood vessels. This narrowing of blood vessels may result in migraines.

Serotonin-based migraines can occur for both men and women, while estrogen-based migraines only occur in women. 

A migraine with aura is known as a complicated migraine, while a migraine without aura is known as a common migraine.

Symptoms of common migraines include:

  • A drilling or throbbing headache that lasts between four and 72 hours
  • Pain that begins on one side of the head and spreads to the other side
  • Nausea
  • Sweating
  • Mood changes
  • Speech changes
  • Sensitivity to light and sound

About 20% of people who experience migraines have a migraine aura that happens before the pain begins. A migraine aura is often confused for a stroke. The condition can last for up to an hour, and may cause a number of symptoms, including:

  • Blind spots in vision
  • Seeing bright flashing lights, sparkles, or wavy lines
  • Tingling skin
  • Changes in speech
  • Tinnitus (ringing in the ears)
  • Temporary vision loss
  • Changes in sensory perception, especially in smell and taste

Some people experience a condition called silent migraine. When a silent migraine occurs, a person may only experience the debilitating effects of a migraine aura, such as visual, language, sensory, and/or speech disruption. While less painful than a standard migraine, silent migraines can still be debilitating. Silent migraines typically last less than an hour.

Some people also experience a postdromal phase of migraines. This phase occurs after the headache has subsided. People who experience a postdromal migraine phase may feel fatigued, mentally foggy, and experience aches throughout the body. This phase typically lasts for about six hours following the end of a migraine.

Migraines can be extremely painful, and can make it impossible for you to move through your daily activities. Thankfully, there are some home remedies you can try to alleviate your pain and help your migraine symptoms subside.

An important note: While most migraines will go away on their own with home treatment, this isn't always the case. If you or a loved one experience a severe and sudden headache, a headache that you would describe as the worst of your life, a fever with a stiff neck, signs of dehydration, visual changes that are not related to a migraine aura, seizures, or you've recently experienced a head injury, it's important to go to the emergency room. It's also important to seek emergency medical care if your migraine has lasted for more than 72 hours.

5 tips for instant migraine relief

Try these simple at-home remedies to get the relief you need when you feel a migraine coming on.

Use a cold pack

Placing a cold pack on your head can help reduce migraine pain. The application of a cold pack provides you with a mild numbing effect, which can make it easier to feel comfortable. Applying a cold pack can also help decrease swelling, which can help to relieve pain.

Turn the lights down

A 2017 study by Harvard Medical School showed a pathway that connects the eyes to the brain's areas of heightened activity during a migraine. Light can make this pain worse, as it can activate the areas of the brain that are already working overtime. Relaxing in a dark, quiet room can help minimize stimulation to the brain, providing you with pain relief. If you need to be out and about (to make it to a doctor's appointment for treatment, for example), it's important that you don't drive, and that you wear sunglasses to protect your eyes.

Use a heat pack

Sometimes, heat can help with migraine pain, especially if your migraine has been triggered by stress or muscle tension. It can take some time to discover whether hot or cold therapy is a better fit for alleviating pain. Placing the heat pack on tense areas of your body near your head--such as your neck, upper back, or shoulders--may help your muscles relax and allow your migraine symptoms to dissipate.

Hydrate

Dehydration can trigger migraines. Many people who suffer from migraines find that drinking plenty of water can help lessen the number of migraines they get, as well as lessen the pain they feel during a migraine. In addition to drinking water, you may want to try drinking an electrolyte solution that can help your body rehydrate faster. If you're experiencing severe dehydration, you may need to head to the emergency room to get IV fluids.

Essential oils

Essential oils are plant-based liquids that are highly concentrated and give off a strong scent. Some people who deal with migraines find that diffusing essential oils or applying them topically using a carrier oil can help to provide migraine headache relief. There are several essential oils that are known for helping with migraine headaches, including peppermint, rosemary, lavender, and chamomile. Less is more when it comes to essential oils--start with just a few drops, as the smell of oils can be quite strong.

If you get migraines frequently, it's smart to talk with your doctor about solutions that can help you experience the condition less frequently.

Evidation: Here to help you feel your best

It takes work to feel your best--and we're here to help. The Evidation app provides you with suggestions and guidelines to help you feel your best. Download the app today and start making your health data work for you.

Personal Health
January 24, 2024

How to prevent asthma: a comprehensive guide

9 minutes

Asthma symptom prevention strategies include avoiding triggers, using acute and preventative medications, lowering stress, getting exercise, changing your diet, and more.

There's no way around it: asthma is complicated. If you’re at risk for asthma, or you've been diagnosed with the disease, it makes sense that you're interested in learning more about how to prevent the breathing difficulties associated with the condition. Many parents who experienced asthma as children are also curious about the steps they can take to stop their children from developing the disease, or from experiencing severe symptoms if they've already shown signs of asthma.

Here, we'll take a look at everything you need to know about preventing asthma, including triggers that can cause asthma to develop, how nutrition, exercise, and stress management can help to prevent or temper asthma symptoms, and how to set up an action plan in the event that you experience asthma.

Understanding asthma

Asthma is a chronic disease, meaning it is a long-term condition. People with asthma experience problems with the airways in their lungs. The airways in the lungs are comprised of small tubes that work to carry air into and out of the body.

When a person develops asthma, these tubes can become inflamed and/or narrowed, making it difficult for your body to get the oxygen that it needs to thrive.

If you, your child, or another family member are concerned about developing asthma, it's important to understand how the disease can develop. While the exact cause of asthma has yet to be discovered, research supports the idea that a combination of genetic and environmental factors contribute to the development of the condition.

Some people who have asthma experience issues with their breathing daily, and may need to rely on daily preventative and acute prescription medications in order to maintain healthy oxygen levels. Others may only experience asthma symptoms occasionally (such as when they're sick or when they're exercising), and may be able to rely on acute medication only. Those who experience mild asthma may be able to manage the condition by identifying triggers and making lifestyle changes that help to keep their symptoms at bay.

Asthma can present in a variety of ways. Some of the most common symptoms of asthma include:

  • Wheezing (a high-pitched squeaking sound) when breathing, especially when exhaling
  • Shortness of breath that doesn't have a clear cause, or shortness of breath after activity that doesn't resolve in a reasonable amount of time
  • A feeling of tightness or pain in the chest
  • Difficulty breathing while experiencing a respiratory virus (like the flu)

An important note: if you're experiencing an asthma attack, it's important that you seek emergency medical care right away. Left untreated, severe asthma attacks can be fatal.

Thankfully, there are several steps you can take to make it less likely that you’ll experience asthma symptoms. Over time, asthma can go into remission, allowing you to experience a symptom-free life. Here, we'll take a look at what you can do to lower or eliminate your asthma symptoms.

Identifying asthma triggers

One of the first steps necessary toward controlling asthma symptoms is identifying the factors that cause you to have trouble breathing. These symptoms can vary from person to person. Keeping a journal of your symptoms and factors that may be exacerbating your asthma can help you pinpoint your triggers.

Common asthma triggers include:

  • Air pollution: If you spend a significant amount of time in an area with poor air quality, you may experience a flare-up. Seasonal wildfires can create a sudden downturn in air quality that may cause an increase in symptoms.
  • Allergies: Seasonal allergies, as well as pet allergies, are a common asthma trigger. People with severe asthma may find that even visiting a home with pets can cause their symptoms to worsen.
  • Exercise: Working out can be a double-edged sword for people with asthma, as the increased breathing rate that comes with exercise can exacerbate symptoms. Moderate exercise helps overall asthma symptoms to decrease over time, however, and it's key for long-term health (more on that in a bit).
  • Cold air: Many people who have asthma find that exposure to very cold air (such as going from a warm house to freezing outdoor temperatures) causes their symptoms to flare.
  • Illness: Respiratory viruses and sinusitis are common triggers for asthma symptoms. If you have asthma and your symptoms are exacerbated by illness, it's a good idea to talk with your doctor when you feel like you're getting sick, so you can make adjustments to your asthma action plan if necessary.
Infographics of bronchial asthma causes flat cartoon style, vector illustration isolated on white background. Respiratory disease triggers, lungs and inhaler and asthma risk factors icons

Maintaining a healthy environment

Keeping your environment as clean as possible can help to decrease triggers that may exist in your home or workplace. Dust mites, pests, and smoke can all trigger asthma.

Some simple steps you can take to support your respiratory health in your environment include:

  • Stay away from smoke. If someone in your household smokes, it's important that they do so outside. The residual irritants on their skin, hair, and clothes can be especially triggering, and encouraging them to quit can be a valuable conversation that can benefit you both.
  • Control pests. Bugs, mice, and other pests can leave behind dander and waste that can trigger asthma for many people. Keep your kitchen as clean as possible, and make sure you put away food and wash dishes immediately. It's also important to get rid of clutter, clean spills immediately, and to keep food in airtight containers.
  • Ask a family member or friend to vacuum. If possible, it's a good idea to have someone else in the house vacuum for you. While regular vacuuming can help keep dust at bay, the process may irritate your asthma. If your budget permits, purchasing an automatic vacuum that can run while you're away from home may be a good idea if you don't have someone in your household who can vacuum for you.
  • Wash your bedding regularly. No matter how clean you keep your home, dust mites will take up residence in your bedding. Washing your pillow and bedding weekly in hot water kills them, and can help to lessen your nighttime asthma symptoms.
  • Run a dehumidifier. Dust mites thrive in humid environments. Keeping your home between 30% and 50% humidity can help to lower their numbers and lessen the effect they have on your asthma.

Nutrition and asthma prevention

Many people find that making changes to their nutrition plan helps to alleviate some or all of their asthma symptoms. Let's explore the steps you can take to ensure that your nutrition plan is helping--not hurting--your efforts to reduce or eliminate asthma symptoms.

Increasing your vitamin D levels may prevent asthma symptoms. Research shows a link between low vitamin D levels and asthma attacks. Increasing your intake of orange juice, eggs, salmon, and fortified milk can all help you increase your vitamin D levels.

Boosting your vitamin E intake can also help to reduce symptoms, as the vitamin contains tocopherol, a compound that can help to reduce asthma symptoms. You can boost your body's levels of vitamin E by enjoying hazelnuts, almonds, raw seeds, mustard greens, kale, broccoli, and Swiss chard.

It's also smart to know what foods to avoid in order to prevent an increase in asthma symptoms. Avoiding sulfites (found in pickled food, alcohol, maraschino cherries, shrimp, dried fruit, and bottled lemon and lime juice) can help. It's also a good idea to avoid foods that make you feel bloated or gassy, as this can make it feel harder to breathe. Pay attention to how you feel after drinking coffee or tea as well--both contain salicylates, a naturally-occurring chemical that can increase asthma symptoms in some people.

Incorporating physical activity

Many people who have asthma understandably feel nervous about exercise. That being said, healthy movement is an important part of a healthy lifestyle. Your asthma action plan can help you get the activity you need while keeping your asthma symptoms at bay.

Some tips for exercising with asthma include:

  • If it's a part of your asthma action plan, take your acute relief medication (such as an albuterol inhaler) within 15 minutes of beginning to warm up. Take your time warming up before beginning to exercise. If you notice that your warm-up is triggering symptoms, utilize your asthma action plan and consider taking it easy for the day.
  • Pay attention to your asthma symptoms while you're exercising. If you're developing symptoms, stop exercising, take your acute relief medication, and wait for your symptoms to resolve. If you experience symptoms again after you return to your workout, it's recommended that you stop exercising for the day.
  • Don't exercise when you're in the middle of an asthma flare-up. Controlling your symptoms is an important part of setting yourself up for success with exercise.
  • Keep paying attention to your symptoms after you cool down. Many people experience flares after their workout is finished as their breathing begins to return to normal. Take your acute relief medication after exercising if necessary.

Stress management and asthma

An increased respiration rate is a common response to stress, but for people with asthma, stress can set off a cascade of asthma symptoms that can be difficult to stop. Many people who have asthma experience additional stress when they feel their symptoms begin to flare, creating a pile-on effect on the original stressor.

There's no way to avoid stress, unfortunately. That being said, changing your approach to stress management can be an important part of your asthma action plan.

If you're experiencing acute or chronic stress that's increasing your asthma symptoms, it can be helpful to talk with a therapist or other trained professional who can help you examine your thoughts and develop new thinking patterns that can reduce stress.

Taking time to reset throughout the day with meditation and exercise can help. If you're experiencing a flare up and don't feel comfortable exercising, moving through a gentle stretching video (like this one) can provide a chance to reset without triggering additional symptoms. Getting plenty of high-quality sleep can also reduce day to day stress, as can limiting sugar, alcohol, and caffeine.

Creating an asthma action plan

If you've been diagnosed with asthma, or you're experiencing asthma symptoms, it's important that you talk with your healthcare provider about developing an asthma action plan, which will include signs that indicate that your asthma symptoms are worsening, triggers to avoid, what medicines you need to take, and what to do in the event of an asthma emergency.

Many people with mild asthma or asthma that only shows symptoms during exercise only need acute relief medication. These work to open airways quickly, often allowing you to return to your normal activity in just a few minutes. If it's your first time using acute relief medication, it's important to reach out to your doctor if you feel that your symptoms aren't fully relieved by using your medication. You may need long-term control medication to keep your symptoms at bay.

Your doctor may prescribe long-term medication that can help reduce the likelihood of an asthma attack. It's important that you carefully follow your doctor's instructions, as missing a dose of your long-term control medication can make it more likely that you'll experience asthma symptoms.

Your doctor will also talk with you about what situations or environments you need to avoid in order to lessen the likelihood that you'll experience an asthma flare-up. Your doctor will also talk with you about the signs of worsening asthma (such as needing to use your acute relief medication more often, or struggling to fall asleep at night due to asthma symptoms), and how to know when you need to go to the emergency room.

Many asthma action plans also include a point of contact who you can call or text in the event that you need help or support getting the care that you need during an asthma attack.

Get the support you need with Evidation

Whether you're just getting started with learning how to prevent asthma or you're looking to create a healthier, happier life for yourself, we've got you covered. At Evidation, we're here to provide you with the guidelines and support you need to become your healthiest self. Download the app and start making the most of your health data today.

Personal Health
January 19, 2024

Recognizing and managing asthma symptoms in kids

9 minutes

Wheezing, coughing, shortness of breath, and a feeling of tightness in the chest are all signs of childhood asthma.

More than 6% of children have asthma. The condition is manageable, but can make it hard for your little one(s) to fully participate in the joys of being a child. Thankfully, understanding signs of asthma in toddlers and older kids can help you understand how to give your child the help they need to breathe easily. With treatment, the vast majority of children with asthma are able to live full, healthy lives, unencumbered by the condition.

Here, we'll take a look at the common symptoms shown by kids who experience asthma, how asthma is diagnosed, and how you can make adjustments to your environment to help your toddlers or kids with asthma get the medication and support they need to thrive.

Common asthma symptoms in kids

It can be tough to figure out if your kids are showing symptoms of asthma. Many kids exhibit common asthma symptoms, such as coughing or wheezing, when they have a cold or other illness. While asthma symptoms can increase when a child is sick, they tend to come and go, even in times of wellness.

Asthma can present differently from person to person, and it's important to keep an eye on your child's symptoms so that you can describe information to their healthcare provider.

Common symptoms of asthma in kids include:

  • Breathing problems, including gasping, breathing rapidly, or experiencing shortness of breath
  • Poor sleep (signs may include feeling tired and irritable, or having dark circles under the eyes that don't go away)
  • Coughing (tends to occur most frequently upon waking or just before going to sleep
  • Chest tightness (your child may describe the feeling as itchy)
  • A whistling sound when they breathe out (wheezing)
  • Infants and babies may struggle to eat or suck
  • Symptoms can come and go. Your child may experience symptoms more often when sleeping, which can make it harder to track how often they experience flare-ups.

While asthma is typically a controllable condition, some children (and adults) experience asthma attacks.

An asthma attack is different from the day-to-day symptoms of asthma. During a severe asthma attack, it may be hard for your child to control their symptoms with medication. Severe asthma attacks can be life-threatening, and may include a variety of symptoms such as serious breathing problems, uncontrollable coughing, a very pale or blue appearance (especially in the face, lips, and fingernails). If your child has an asthma attack, it's essential that you get immediate medical attention.

Diagnosing asthma in children

It can be difficult for healthcare providers to diagnose asthma in babies, toddlers, and children. As we mentioned, many common childhood conditions--such as run-of-the-mill respiratory issues--can cause asthma-like symptoms. Before meeting with your child's healthcare provider, you may want to keep a journal of their symptoms so they have the information necessary to assess the frequency and severity of your child's breathing issues. If your child is in school, take a moment at the end of each day to ask them about their asthma symptoms.

Your child's doctor will likely use a number of measures to diagnose your child's condition. Asthma diagnosis tools can include:

  • Physical exam
  • Chest x-ray
  • Discussion and review of your child's health history
  • Tests that show how your child's lungs function (very young children may not be able to perform these tests)
  • Blood tests or allergy skin tests if your child has had allergic reactions in the past

After your child is diagnosed with asthma, your physician will work with you to help you create your asthma action plan. Having a plan in place for the prevention, management, and treatment of asthma can help your child live an active, healthy life after their diagnosis.

Managing asthma triggers at home

Both genetic and environmental factors can contribute to the development of asthma symptoms. Paying attention to the environmental factors that seem to trigger your child's asthma can help to lessen their symptoms over time.

Asthma triggers differ from person to person. Some common triggers that can exacerbate asthma symptoms include:

  • Pest waste (such as waste from mice, rats, and cockroaches)
  • Pollen
  • Pets
  • Dust mites
  • Mold
  • Secondhand smoke
  • Air pollution
  • Cleaning chemicals
  • Scented home and body care products
  • Exposure to cold air
  • Physical activity

Your child's asthma triggers may change as they get older. Children with asthma who exercise regularly are likely to show an improvement in asthma symptoms and quality of life, according to recent studies. If your child is beginning to exercise for the first time, or is exercising at a new intensity level, it's important to carefully monitor symptoms and have rescue medication readily available.

Understanding asthma medications for kids

While lifestyle changes and trigger avoidance can go a long way in preventing asthma symptoms, medication is typically necessary, even if your child doesn’t have to use an acute rescue inhaler very often.

It can take some time for your child's care provider to discover what medicine, or combination of medicines, works best to alleviate their symptoms. Your doctor may prescribe your child medicines on a trial basis to see what works best for their needs. Asthma medicine can be prescribed in several forms, including pills, liquids for nebulizers, inhalers, and injections. For most kids, inhaled medications are most effective for the treatment of asthma.

It's likely that your child's provider will prescribe at least one acute rescue medication. These medications are given in the form of an inhaler or nebulizer. Albuterol is the most commonly used acute rescue medication for kids with asthma. Your child will only need to take this medication when they have symptoms. If you find that your child's acute rescue medication doesn’t work, or that they need to take it more often than prescribed to keep their symptoms at bay, it's important to seek medical attention right away.

Preventative medicines work to control your child's symptoms long-term. These medications are taken every day and can ease your child's reliance on their acute rescue medication. 

If your child shows symptoms of asthma more than two times per week, it's likely that their care provider will provide preventative medicines. These medications are typically in the form of corticosteroid inhalers, combination inhalers, or tablets that can work to keep the airways open. If these options aren't working for your child, your doctor may talk about adding an injectable medication that can work to control their symptoms.

An important note: Asthma is a nuanced, highly individual disease. While the medications described here are often prescribed for asthma symptoms in kids, it's important to work closely with your child's pediatrician to understand their unique symptom management needs. 

If your child has an asthma attack and their rescue medication does not relieve their symptoms, it's important to seek immediate medical attention by calling 911.

Creating an asthma action plan

It's important that you and your child have a plan of attack when their asthma symptoms appear or worsen. Talking with your pediatrician or respiratory therapist can help you decide when your child can manage their symptoms at home--and when they need to get specialized medical care.

Managing triggers is an important part of any asthma action plan. While many triggers can be avoided (such as spending time in enclosed spaces with someone who is smoking), others cannot (such as pollen and other seasonal allergens). Avoiding triggers when possible and limiting exposure time to triggers that you can't avoid can help to lessen your child's asthma symptoms.

Your child's pediatrician or respiratory therapist may ask that your child use a peak flow meter to understand the severity of their asthma from day to day. To use a peak flow meter, your child will simply forcefully breathe into a plastic tube. The meter will provide their peak flow rate, which indicates how quickly they're able to move air out of their lungs.

In many cases, preventative medication is a key factor in creating a successful asthma action plan. Not all children need preventative medication (especially those who have mild asthma), but kids with moderate to severe asthma symptoms can benefit from daily medication that works to support healthy breathing. Preventative medications are usually in the form of an inhaler or a pill.

Acute rescue medications are key for kids with asthma. It's usually recommended that your child keep their asthma medication with them whenever they're out of the house. Keeping the medication in a teacher's desk or nurse's office can work if your child isn't old enough to use their medication responsibly, but taking this route can cost your child valuable seconds in the event that their symptoms begin to flare.

Finally, it's essential that you have a plan for swift action in the event that your child's rescue medication isn't providing them with the relief they need. Your child's pediatrician or respiratory therapist may recommend that they keep a nebulizer (a machine that delivers a fine mist of asthma medication over an extended period of time) at home, which can help to relieve exacerbated symptoms. It's also important to know the signs that you need to take your child to the emergency room, or call 911.

Signs that your child with asthma needs immediate medical attention include:

  • A peak flow rate in the yellow or red zone (less than 50% of their normal peak flow rate)
  • You suspect the attack may be caused by an allergic reaction
  • Struggles to lie down flat (more comfortable to sit down)
  • Shortness of breath while resting
  • Severe trouble breathing, talking, and/or crying
  • Ribs pull in with each breath
  • Loss of consciousness
  • Change in appearance, including a bluish face or lips, or looking very ill
  • Severe chest pain
  • Need to use acute rescue medication more than every four hours

It's important to keep teachers and coaches in the loop. Even the most conscientious child can get caught up in a fun activity and miss the signs that their asthma is beginning to act up. Talking with your child's teacher, coaches, and other caregivers about your child's asthma warning signs can help ensure that your child gets the help they need, even when you're not around.

Promoting overall wellness in kids with asthma

Tips to help your child with asthma fully enjoy physical activity include:

Keep it fun. Exercise is important for kids with asthma, and many parents and kids find that asthma symptoms in kids begin to dissipate when exercise is included as a part of their normal routine. If your child has recently been diagnosed with asthma, there's a good chance they haven't had a great experience with exercise thus far. Talking with them about what type of activities they enjoy and participating with them--even if you're just playing tag in the backyard--can help boost their health and their confidence.

Teach your child to monitor their symptoms (in an age-appropriate way). Sudden breathing difficulty can be scary, and the feelings of panic that come with the onset of asthma symptoms can contribute to an attack. Helping your child understand how to recognize and treat their symptoms can provide them with a sense of agency over their asthma. Teaching your child to understand when they need to take their rescue medication--and when they need to ask for help--can be an important part of helping your child navigate asthma.

Keep their medication current. Most inhalers have a number on the back of the activator that shows how many doses are remaining in the canister. It's important to keep an eye on this number, so your child doesn't run out of medication. It may not seem like a big deal to skip a dose of preventative medication, but doing so can cause your child's symptoms to flare, triggering an attack.

Evidation: Here to help you feel your best

Just like you track your child's asthma symptoms, it's important to keep track of your own health. At Evidation, our team works to give you the suggestions and tips that you need to be your healthiest self. Download the app today to start making your health data work for you.

Personal Health
January 12, 2024

Navigating health: understanding obesity as a risk factor

6 minutes

Have you ever asked, "What does obesity cause?" If so, then it's time to learn more about conditions that have obesity as a risk factor.

Obesity is a disease that affects nearly 42% of Americans, according to the CDC. If you are a person with obesity, you’re not alone. And it’s important to know this health condition affects more than just your weight. Obesity is connected to many serious health concerns, and understanding these risks and comorbidities will help you understand why prioritizing your health is so important.

Obesity as a risk factor: health risks associated with obesity

Obesity has a clear connection to several serious health conditions. That’s why doctors are so careful to recommend healthy changes if they see a patient’s weight increasing. While there may not be a direct link between obesity and specific conditions, the increased risk is clear.

Why is this? For one thing, too much extra weight takes a toll on the bones, joints, heart, brain, muscles, and additional body systems. Visceral fat, which is the fat around internal organs, can raise blood cholesterol and blood pressure levels while also increasing the risk of developing Type 2 diabetes. Fatty material can build up in the arteries. Sometimes, this can lead to clogs that can prevent blood from flowing properly to the heart or brain. This fact, combined with the higher risk of high blood pressure or high cholesterol levels, increases your chances of developing more serious heart health issues.

Cardiovascular disease is just one health risk people with obesity may face. According to the CDC, other health factors include:

  • Type 2 diabetes
  • Gallbladder disease
  • Osteoarthritis
  • Sleep apnea
  • Cancer
  • Mental health concerns
  • Body pain

This list can feel a little overwhelming, but remember, you’re not alone. If you have obesity, many others are also facing these challenges. Understanding these risk factors will help you take the best possible care of your health and wellness.

Obesity and comorbidity

While obesity is a risk factor for several serious conditions, it’s also often found along with other conditions. This is known as comorbidity. Comorbid conditions don’t necessarily cause each other, but they are found together. Interestingly, there’s some overlap between risk factors and comorbid conditions when it comes to obesity. Specifically, obesity is often comorbid with:

Diabetes

According to Harvard, Type 2 diabetes is the health condition most strongly influenced by body weight. Someone who has a BMI of 35 or higher is 93 times more likely to also have diabetes. Researchers theorize that inflammation produced by fat cells may contribute to this link, especially abdominal fat cells. Too much inflammation affects blood sugar levels, which may be why these conditions are often found together.

Cardiovascular disease

Several cardiovascular diseases are directly connected to obesity. For instance, Harvard also indicates excess body weight is directly associated with coronary artery disease. In one study, individuals with obesity had an 81% higher risk of developing this condition. Stroke is also connected to excess body weight. Many people who suffer cardiovascular death also have obesity.

Cancer

Cancer and obesity are also connected, but the connection isn’t as clear as the connection between diabetes and cardiovascular disease because there are many different types of cancers with different causes. Some of the types of cancer connected to obesity include cancers of the:

  • Digestive system
  • Esophagus
  • Pancreas
  • Breast
  • Endometrium
  • Kidney
  • Gallbladder

Many of these cancers have the highest connection to fat in the abdominal area rather than other areas of the body.

Reading a list like this can feel overwhelming. Yet it’s important to know these connections so you can make informed choices about your health. With some changes, you may be able to lower your risk and lessen the chance of developing a comorbid condition.

Impact on energy levels

When someone has obesity, they often have lower energy levels or overall feelings of just being tired. There are several reasons for this. First, many people with obesity struggle with their sleep, often due to sleep apnea. Also, the body has to work harder to move when it carries excess weight. Finally, excess body fat can impact the hormones connected to energy levels. 

Thankfully, if you’re dealing with lower energy levels, there are some positive steps you can make to improve. One idea is to move your body more often. Exercise may feel difficult when you’re tired, but as soon as you get moving, you’ll start feeling the impact of endorphins, which can increase your energy and boost your mood. Movement doesn’t have to be strenuous, either. A simple walk around the block can have great positive impacts on your energy.

Second, consider drinking more water. Hydration increases energy levels, and water intake requirements have a direct link to your body’s size. You may need more than you think!

Obesity and mental health

Poor energy and other health conditions can all impact your mental health. You may be a victim of body-shaming as well as over half of all adults experience stigma related to their weight in some way. As many as 20 to 60 percent of people with obesity are also suffering some sort of psychiatric illness, which is a higher rate than the general population. Understanding that you aren’t alone in these struggles, and empowering yourself to make positive health changes, may help lessen the impact on your mental health. Always remember to seek professional care, too, if you have a mental health concern. 

Practical tips for health prioritization

These risks of obesity are serious, but the good news is that positive health changes make a big difference. While each individual’s approach to health will be unique due to their personal life experiences, most people can make changes that will lower their risk of developing these conditions. The key is to prioritize your health. 

If you’re struggling with being overweight and are aware of obesity risk factors, you may already know changes you can make that could help you live a healthier lifestyle. If these changes feel challenging, remember that every small step you take can have a big impact on your overall health. 

Before you start any health changes, consider having a check-up with your doctor. You might have underlying health conditions making it harder to work on your weight. If you treat these, you might find your healthy lifestyle changes are more effective. You can also get the green light from your doctor for the changes you want to make.

Another strategy to consider is a change in your diet, which can start with portion control. Eating smaller portions can help you lower your calorie intake, which is a good first step. You can also increase the number of fruits, vegetables, and lean proteins you eat, which give you more nutrients than other foods. As you start making dietary changes, check out some common health myths, such as the idea that all carbs are bad, and make changes a little bit at a time. 

Remember that water is a way to boost your energy? It’s also a way to achieve other health goals. Drinking the right amount of water for your body and your activity levels can not only increase energy, but it could also help you eat less. If you add water a little bit at a time, you’ll likely find that it becomes a habit, and it also may help you eat less as you work to reduce your body weight.

Finally, remember the importance of exercise! Find times when you can incorporate more movement into your day, such as by taking the stairs instead of the elevator or having a dance party at home at the end of the day. If you have mobility challenges, a seated workout might be a good way to get started. You’ll likely find that doing so boosts your energy levels and your motivation.  

Making health changes and embracing healthy living can feel overwhelming at first, but every little change adds up over time. You can use tools to track these changes to help you stay motivated. You can also pair Evidation with your favorite health and fitness tracking program to reward yourself for the healthy changes you make. Download the app today to take back your health with Evidation.

Personal Health
December 8, 2023

What causes high diastolic blood pressure?

4 minutes

Is your diastolic blood pressure high? This guide will answer your questions, including, "how do you fix high diastolic blood pressure?"

When you go to the doctor and get your blood pressure measured, the nurse reads back a number like this: 120/80. Most people don’t think twice about what that number means, but what happens if a measurement starts to creep up? For most patients with hypertension, both numbers will increase, but sometimes, just one. If only the bottom number starts to go up, you’re dealing with high diastolic blood pressure. Here’s a closer look at what causes high diastolic blood pressure and how you can treat this rare condition.

What is diastolic blood pressure?

When doctors measure blood pressure, they measure systolic and diastolic. The systolic number is listed on top of the diastolic number. Diastolic measures the pressure in your blood vessels in the period between your heartbeats. In contrast, systolic measures the pressure when the heart muscle contracts.

What causes diastolic blood pressure to increase?

Currently, any reading above 80 millimeters of mercury for diastolic blood pressure is considered high as long as the systolic blood pressure is within normal parameters. So what causes this level to increase?

General hypertension, which is elevated levels for both types of blood pressure, often occurs due to lifestyle factors. Someone who eats a diet high in fat and salt or someone who is living with obesity may have high blood pressure. However, high diastolic blood pressure is rare, affecting only about 20% of patients with high blood pressure. It may be caused by endocrine disorders, renovascular disorders, and even sleep apnea, in addition to the factors that can cause overall high blood pressure. Sometimes, stress and anxiety or excessive alcohol consumption can also cause it, and some medications, including atypical antipsychotics and amphetamines, can cause it. In many cases, however, doctors aren’t sure why a person develops high diastolic blood pressure. If you’re concerned about these potential causes, always consult with your doctor, and don’t change your medication without a doctor’s oversight.

Dangers of high diastolic blood pressure

High diastolic blood pressure may be rare, but it’s still an important thing to note because diastolic blood pressure is an important indication of cardiovascular health. Since this number measures the blood pressure between heartbeats, a high level may mean less effective delivery of oxygen to the heart's muscles. This, in turn, can lead to an increased risk of heart disease.

The risk is fairly high, too. According to Medical News Today, an increase of 10 millimeters of mercury for this measure doubles an adult’s risk of heart disease or stroke, as well as some additional health concerns. This risk appears once someone reaches age 40, and high diastolic blood pressure doesn’t have the same impact on younger individuals.

Specifically, increased diastolic blood pressure increases your risk of having:

  • Heart disease
  • Stroke
  • Heart attack
  • Heart failure
  • Peripheral arterial disease
  • Chronic kidney disease
  • Vision loss
  • Aneurysm
  • Atrial fibrillation

Symptoms and diagnosis

High blood pressure of any kind rarely has symptoms. That’s why it’s sometimes called the “silent killer.” When blood pressure levels are severe, it may lead to headaches, anxiety, nosebleeds, and nervousness. An irregular heartbeat or vision problems may also occur.

Because symptoms typically don’t develop until the disease has progressed quite far and levels are extremely high, most people get diagnosed at a routine medical examination or when they’re being seen for something else. Doctors typically take blood pressure at every appointment, noting elevated levels. Occasionally, elevated diastolic blood pressure may not be a cause for alarm, but if it’s staying elevated regularly, you’ll want to talk to your doctor about how to best manage it.

Improve your blood pressure with treatments and lifestyle modifications

Managing your blood pressure, including your diastolic blood pressure, is an important part of keeping your heart healthy. The first line of defense for mildly elevated blood pressure and improving cardiovascular health may be lifestyle modifications. If lifestyle modifications aren’t sufficient, or if the diastolic blood pressure level is extremely high, your doctor may choose to use medications to treat it.

Increased exercise

First, consider adding more exercise to your routine. You can exercise safely with high blood pressure using a few modifications. Always check with your doctor, but getting more activity may help lower your blood pressure over time.

Increased water intake

Another way to manage blood pressure through lifestyle changes is by increasing your water intake. Drink the appropriate amount for your gender and age, and consider increasing it slightly if necessary to improve your health. Staying hydrated supports good heart health, and that includes improving blood pressure levels.

Balanced diet with less salt and alcohol

Managing your diet may also have a positive effect on diastolic blood pressure levels. Reducing alcohol consumption, limiting salt intake, and focusing on eating a balanced diet all play a role in keeping blood pressure levels in check. You can use tools like Evidation and your favorite fitness tracker and food tracking apps to monitor how well you’re doing to reach these goals.

Home monitoring of blood pressure

Monitoring your blood pressure levels at home will also be helpful. This shows you if the lifestyle modifications are working and will also help you know if you need further medical intervention.

Medication treatment options

Because high diastolic blood pressure is rare, most patients will need to get some medical oversight. If your systolic blood pressure is normal, but your diastolic is high, your doctor may want to proceed with caution. Medical News Today warns that treating high diastolic blood pressure with medication, particularly if the patient is young, can increase the risk of heart problems.

That said, if levels get high enough, doctors will recommend medication. Some options include:

  • Diuretics
  • Angiotensin receptor blockers
  • Angiotensin-converting enzyme inhibitors
  • Calcium channel blockers

Adding medication will mean an increased level of monitoring from your doctor. Sometimes, medications need adjustment until the ideal blood pressure level is reached.

Monitor your health goals with Evidation

If you’re struggling with your diastolic blood pressure, you’ll want to take a multifaceted approach to managing it. Tracking your health will be part of this. Evidation can add motivation to help you take charge of your health by rewarding you for making better health choices. Start tracking your health with Evidation today.

Personal Health
September 8, 2023

Understanding the different types of Multiple Sclerosis

5 minutes

No two MS diagnoses are the same. Understanding different types of MS can help you understand your diagnosis.

If you or a loved one has been diagnosed with multiple sclerosis (MS), you may be unsure of where to turn. MS is a complex autoimmune condition, and no two people experience multiple sclerosis symptoms in exactly the same way.

Here, we'll explore exactly what a multiple sclerosis diagnosis means, the different types of MS and how they can show up in the brain and the body, and how to take steps to take control of your health following a tough diagnosis.

What is multiple sclerosis?

Multiple sclerosis affects several parts of the body, including the optic nerves, brain, and spinal cord. These components make up the body's central nervous system, which is responsible for receiving, processing, and responding to information perceived by the senses.

While researchers don't fully understand what causes MS, it's clear that the condition causes the body's immune system to attack the central nervous system. The nerve fibers that run through the body are coated in a protective layer called myelin. When a person develops MS, the myelin is damaged, which interferes with the messaging between the brain and other parts of the nervous system.

There are many different symptoms of MS, including:

  • Numbness
  • Mood changes
  • Tingling
  • Memory issues
  • Pain
  • Paralysis
  • Fatigue
  • Blindness

Some people find that they only experience multiple sclerosis symptoms during flare-ups, while others experience symptoms on a more consistent basis. Flare-ups can be caused by an infection in the body, not getting enough sleep, and inflammation in the body that may or may not be related to eating certain foods.

Understanding how your body is responding to MS is a key first step in managing your condition. In addition to knowing what causes your symptoms to worsen, it's also important to understand your classification of multiple sclerosis.

Multiple sclerosis or MS. autoimmune disease. the nerves of the brain and spinal cord are damaged by one's own immune system.

Types of MS

The type of MS you have may change over time. As you work with your healthcare provider to understand and manage your symptoms, they'll keep you updated on the current classification of your condition.

Here, we'll explore the three main types of multiple sclerosis--relapsing-remitting, primary-progressive, and secondary progressive, as well as clinically isolated syndrome.

Relapsing remitting MS (RRMS)

The most common type of multiple sclerosis, RRMS is characterized by periods of fewer or no symptoms, followed by periods of relapse. About 85% of people with MS are diagnosed with RRMS.

During the recovery period between each relapse, RRMS does not get worse. During each relapse, however, symptoms tend to increase in severity.

Relapses of MS are defined as the appearance of new symptoms or the resurgence of old symptoms. Keeping a journal of your symptoms can help you and your doctor to understand lifestyle factors or foods that may push your body to relapse. Typically, relapse symptoms begin and worsen within a matter of hours or days, and may remain active for just a few days or for several months.

While some relapses require inpatient treatment, often, symptoms can be managed at home. Some people find that symptoms come and go during an RRMS relapse. The return to the recovery period is often gradual, with relapse symptoms fading over time.

Primary progressive MS (PPMS)

Most commonly diagnosed in people aged 40-49, primary-progressive MS becomes worse over time. PPMS only accounts for about 15% of all MS cases. Many people don't notice that they're showing symptoms of MS at the start of the disease, as early indicators of PPMS are typically mild.

Unlike other types of MS, people with PPMS don't usually experience relapses. Their symptoms usually stay consistent for long periods of time, with a gradual increase as the disease begins to progress.

People are diagnosed with PPMS when their MS symptoms are apparent and get worse over the course of a year (rather than relapsing MS, in which symptoms get better and worse over time). In order to diagnose PPMS, your doctor will take an MRI of your brain and/or your spinal cord, looking for at least two lesions that formed at different times. You'll also have a lumbar puncture procedure. Your treatment team will analyze your spinal fluid, looking for antibodies that indicate the presence of MS.

There are many ways to manage the symptoms of PPMS, including lifestyle changes and medications. You may find that a combination of medication and lifestyle changes works to slow the progression of your symptoms.

Secondary-progressive MS (SPMS)

Sometimes, MS progresses into different stages as the severity and frequency of symptoms begins to increase. Relapse remitting MS (RRMS) can progress into SPMS for many people. During this stage of the disease, symptoms are continual, without a recovery period. In order to diagnose a progression to this stage of MS, healthcare professionals look for a six-month period during which symptoms have continually become worse.

While there's no cure for MS, some drug therapies can be helpful for people with SPMS, including beta interferons and siponimod. Your doctor will also work with you to develop lifestyle strategies to help you manage your symptoms.

Clinically isolated syndrome (CIS)

If your brain shows signs of damage that's similar to MS, and you've had symptoms in line with MS, it's possible that you may be diagnosed with clinically isolated syndrome, or CIS. Many people who are diagnosed with CIS are never diagnosed with MS.

Autoimmune diseases and your health

Autoimmune diseases are complicated, and it can be hard to pinpoint the link between worsening symptoms and lifestyle factors. With the permission of our app users, Evidation is putting health data to work in the fight against autoimmune conditions. Click here to learn more about the research we’re doing to further the medical community’s understanding of autoimmune diseases.

Ready to take control of your health? Download Evidation today.

No matter what health conditions you're working to manage, understanding your health data can provide you with a great starting point. When you download Evidation, you'll have access to your health data and trends, allowing you to get a picture of how your lifestyle affects your well-being. Download the Evidation app today to get started.

Personal Health
August 2, 2023

Is asthma genetic? Understanding the role of genetics in asthma development

5 minutes

If you or someone in your family is living with asthma, you may wonder what caused the disease, and whether it can be passed on genetically.

If you or someone in your family is living with asthma, you may wonder what caused the disease, and whether it can be passed on genetically. Here, we'll explore the symptoms of asthma, the genes that are associated with an increased risk of asthma development, and the treatments that can help control asthma symptoms.

What is asthma?

Asthma is a respiratory disorder in which airways become inflamed and cause recurring breathing difficulties. Sometimes, asthma episodes are referred to as asthma attacks.

During an asthma attack, the muscles around the airway tighten, making it difficult for the person experiencing the attack to breathe. Over time, this can have a compounding effect, as the tightening and strengthening of the muscles around the airways can cause the muscles to become larger, resulting in additional breathing difficulty due to airway compression.

Many people who have asthma experience mild symptoms regularly, and more severe symptoms less frequently. Asthma can flare up with seasonal changes, exercise, and illness, including the flu. Over time, people who have asthma often learn to understand their triggers, allowing them to utilize self-care and medication to prevent an attack.

Asthma symptoms can include:

  • A feeling of tightness or itchiness in the chest
  • Extreme sensitivity to environmental irritants and/or allergens
  • Shortness of breath, even while performing everyday activities
  • Wheezing (a whistling or squeaking sound in the chest that occurs while inhaling or exhaling)
  • Excessive coughing (often flares up at night)

Is asthma genetic?

Asthma is a complex condition. Research shows that asthma is caused by both environmental and genetic factors. People who have a close relative who has asthma are more likely to develop asthma, but there's no guarantee. Research shows that people who are genetically likely to develop asthma develop the condition in about 75% of cases.

Genes and asthma: what you need to know

3D rendering of DNA.

There is not a single gene that causes asthma, but there are genes that make it more likely that a person will develop the condition.

Genes associated with the development of asthma include ADAM 33, PHF11, DPP10, GRPA, and SPINK5. Since asthma has both environmental and genetic factors, it can be helpful to know if a person is likely to develop the condition.

While asthma development cannot be totally prevented, parents who have asthma can take steps to make it less likely that their child will experience severe symptoms. Reducing exposure to allergens, encouraging regular exercise, and working closely with a pediatrician to reduce the risk of severe symptoms can all help a child who is likely to develop asthma breathe easily.

Allergies can also make it more likely that a person will develop asthma. Allergies to dust mites, cats, dogs, cockroaches, fungi, and mold may be a predictor of an asthma diagnosis.

Genetic risk scores: predicting asthma susceptibility

Some asthma develops solely due to environmental factors, so it can be tough to correctly determine a person's likelihood of being diagnosed with the condition. According to the Centers for Disease Control, a person who has at least one parent with asthma is up to six times more likely to develop the condition.

Male children are more likely to develop asthma than female children, as 8.3% of males are diagnosed with childhood asthma, compared to just 6.7% of females. Researchers aren't sure what role sex plays in this difference. And, unfortunately, lack of research on childhood asthma rates for intersex individuals means we don’t have a full picture. 

As time goes on, however, there's a shift--among adults who were diagnosed with asthma as children. 9.8% of females still have the condition as adults, and 5.5% of males still have the condition as adults. As with children, there is unfortunately a gap in research when it comes to the incidence of asthma in intersex adults.

There are also racial differences when it comes to the development of asthma. According to Lung.org, "Blacks and American Indian/Alaska Natives have the highest current asthma rates compared to other races and ethnicities. In 2018, Black people (10.9%) were 42 percent more likely than white people (7.7%) to have asthma. Hispanics (6.4%) and Asians (4.0%) had lower current asthma prevalence rates than other ethnic groups."

Household income is also correlated with the likelihood of an asthma diagnosis. Of people who live in a home with an income level that falls below the poverty threshold, 11% are typically diagnosed with asthma, according to Lung.org.

Exposure to cigarette smoke and weight can also contribute to the development of asthma. People who weigh more may be more likely to develop asthma and tend to have more days during which they experience severe asthma symptoms. Weight can also play a role in how well someone is able to manage their asthma symptoms with medication. 

Asthma treatment

While it can be scary to get an asthma diagnosis, it's the first step toward learning more about how you can best support your (or your child's) health.

Left untreated, asthma can turn deadly. It's important that you work closely with your doctor to ensure that you're controlling the condition.

For many people, a combination of asthma medication and lifestyle can help ease symptoms. Your doctor may recommend that you take a daily asthma medication to keep your symptoms in check, while also keeping a quick-relief medication on hand for flare-ups.

Asthma medications are typically in the form of an inhaler or a pill. Some people may also keep a nebulizer at home, which is a machine that vaporizes asthma medication, allowing it to quickly get into the body in large doses. This is the same machine that's often used in the emergency room to help quell an asthma attack.

Your doctor may also recommend lifestyle changes to ease the symptoms of your asthma. These may include exercising regularly, losing weight, quitting smoking, avoiding certain allergens, and making dietary changes.

Ready to take your health to new heights? Keep track with Evidation.

If you have asthma, you know how your physical well-being can help to control your symptoms, and keeping your finger on the pulse of your overall health can empower you to breathe easily--literally.

Knowledge is power, and tracking your health can be the first step toward living your best life. Download the Evidation app today to help you get the insights you need to live well.

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