How can I control my asthma, now and during pregnancy?

Question

Hello doctor,

I am a 29-year-old woman who has had asthma since childhood. Recently, my symptoms have been worsening, particularly at night or when I am exposed to dust or strong scents like perfume. Despite using my inhaler regularly, I still experience wheezing.

I am wondering if factors like my weight or stress levels could be contributing to these flare-ups. I am also planning to become pregnant soon, and I would like to know whether my current asthma medications are safe to continue during pregnancy.

My doctor has suggested allergy testing and possibly switching inhalers. Ultimately, I am looking for the most effective way to manage my asthma long-term, reduce symptoms, and hopefully avoid another hospital visit.

What would you recommend as the best approach to gaining better control over my asthma? Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Based on your symptoms, it sounds like your asthma may not be fully controlled at the moment. This often indicates ongoing inflammation in the airways, which usually requires consistent use of a controller medication rather than relying solely on your rescue inhaler.

Both weight and stress can indeed worsen asthma. Adopting gentle lifestyle changes such as gradual weight management, regular light exercise like walking or yoga, and stress-reduction techniques can make a meaningful difference over time.

As you are planning for pregnancy, it is important to know that most modern asthma medications, particularly inhaled corticosteroids like budesonide, are considered very safe during pregnancy. In fact, maintaining good asthma control is crucial for both your health and your baby’s. Poorly controlled asthma, which can lead to low oxygen levels, poses a greater risk than continuing your prescribed medications. So please do not stop your inhalers without consulting your doctor.

Your doctor’s suggestion to pursue allergy testing is also a good step. Identifying specific triggers can guide targeted strategies, and in some cases, allergy immunotherapy (like allergy shots) may offer long-term benefits. Additionally, minimizing exposure to common triggers such as dust, strong perfumes, incense, and indoor allergens can significantly reduce the severity of symptoms. Using an air purifier and maintaining a clean home environment are also helpful.

For long-term asthma control, you may benefit from a combination inhaler (such as Budesonide/Formoterol 200/6 or 400/6) used twice daily. These “single inhaler” therapies act as both a maintenance and a reliever option, and have been shown to reduce flare-ups and the risk of hospitalization.

It is also important to schedule regular follow-ups, ideally every few months, and undergo repeat lung function testing (spirometry) to track your progress. Be sure to check for any coexisting conditions, like acid reflux, sinus issues, or thyroid imbalances, as these can also impact asthma control.

Wishing you a clear, easy breathing ahead!

Feel free to reach out anytime.

I am here to support you on your path to confident, well-managed asthma care.

Thank you.