How Is Asthma Diagnosed? | American Lung Association

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How Is Asthma Diagnosed?

If you or your child experience symptoms such as wheezing, frequent cough, shortness of breath or chest tightness, it is important to see a healthcare provider to determine if the symptoms point to asthma.

To diagnose asthma, a doctor will evaluate these symptoms, ask for a complete health history, conduct a physical exam and look at test results.

Health History

You will be asked for some medical history, which should include family members with asthma, allergies, smoking and exposure to secondhand smoke, and exposure to pollutants in your workplace.

Testing for Asthma

Spirometry: There are also several breathing tests your healthcare provider may perform. The most common test is called spirometry. Spirometry uses a device called, a spirometer, to measure the amount and speed of the air you blow out. This helps your healthcare provider see how well your lungs are working.

There are other lung diseases that may cause some of the same symptoms as asthma. If your doctor thinks you might have something else, he or she may order additional tests.

Diagnosing Asthma in Children

A young child who has frequent wheezing with colds or respiratory infections is more likely to have asthma if:

  • a parent has asthma
  • the child has signs of allergies, including the allergic skin condition eczema
  • the child wheezes even when he or she doesn't have a cold or other infection

To help your child's healthcare provider make a correct diagnosis, be prepared to provide information about family history of asthma or allergies, the child's overall behavior, breathing patterns and responses to foods or possible allergy triggers. Lung function tests are often used to make an asthma diagnosis, but they are very hard to do with young children. The doctor may use a 4- to 6-week trial of asthma medicines to see if they make a difference in your child's symptoms. Get more information for parents of children with asthma.

Discussing a Treatment Plan

If you are diagnosed with asthma, you and your doctor will discuss a treatment plan just for you, including the use of medicines. Learn more about asthma medicines, treatment options and managing asthma.


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