title: Identifying asthma triggers.
abstract: Asthma has many triggers including rhinosinusitis; allergy; irritants; medications (aspirin in aspirin-exacerbated respiratory disease); and obesity. Paradoxic vocal fold dysfunction mimics asthma and may be present along with asthma. This article reviews each of these triggers, outlining methods of recognizing the trigger and then its management. In many patients more than one trigger may be present. Full appreciation of the complexity of these relationships and targeted therapy to the trigger is needed to best care for the patient with asthma.
authors.affiliation: Lake Erie of Osteopathic Medicine, 5000 Lakewood Ranch Boulevard, Bradenton, FL 34211-4909, USA.
authors.forename: Justin C
authors.initials: JC
authors.lastname: McCarty
authors.forename: Berrylin J
authors.initials: BJ
authors.lastname: Ferguson
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D000485:Allergens / Q000009:adverse effects; D001241:Aspirin / Q000009:adverse effects; D001249:Asthma / Q000209:etiology / Q000503:physiopathology; D018450:Disease Progression; D005764:Gastroesophageal Reflux / Q000150:complications; D011379:Prognosis; D065631:Rhinitis, Allergic; D012221:Rhinitis, Allergic, Perennial / Q000150:complications; D018570:Risk Assessment; D012852:Sinusitis / Q000150:complications; D064706:Vocal Cord Dysfunction / Q000150:complications
chemical_list: D000485:Allergens; D001241:Aspirin
keywords: Asthma triggers; Food allergies; Inhalant allergies; Obesity; Paradoxic vocal fold dysfunction; Reflux; Sinusitis