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The Cause of Asthma

ASTHMA is CAUSED by: a widespread, reversible, inflammatory condition of the lung's airways resulting in narrowing. To grasp this asthma information we need to take a microscopic look at your lungs.

lung picture

Your lungs are like an upside down tree. In fact, you can feel the trunk in the front of your neck as part of the Adam's apple. The trunk divides over and over again like branches and twigs behind your breast bone. The leaves at the ends are where air swirls and gases exchange with your blood.

One important difference however, is that this 'tree' is hollow. When you breathe you suck air through the trunk, past the divisions, and ultimately to the 'leaves', or alveoli, where your blood takes up the oxygen it needs and gets rid of carbon dioxide it made from burning your food.

An asthma attack is when the branches and twigs of the lungs narrow. That narrowing is like the difference between blowing through a pipe (1) or a straw (2). Not only is blowing through the straw noisy i.e. wheezing, but it's also more difficult i.e. you feel short of breath.

airway picture


The reason your airways narrow in asthma is because of inflammation. You already know what inflammation is if you've ever been bitten by a mosquito. The bitten area reacts to the irritant mosquito saliva by swelling, itching, and reddening. A similar thing happens when you breathe in something your lungs find irritating. The lining of the airways swell, minuscule muscles in the airways contract clamping down the size of its branch - preventing more coming in - mucous making is stepped up to help wash it back out, and white blood cells come to the area to destroy the substance. The end result is a narrowed, noisy airway. But unlike the mosquito bite which only affects one area of your skin, when you breathe in something it gets spread to all of your airways so all are affected. That's what makes asthma so dangerous; with all of your airways suddenly trickling air to the 'leaves' you find yourself suffocating. This is called an 'Asthma Attack'.

The irritants which cause these events can vary from colds, allergies, perfumes, and many more as we'll see later under Types of Asthma.

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