Definition of acute asthma

Acute asthma is also referred to as an asthma exacerbation or asthma attack

Asthma exacerbations are episodes characterized by a progressive increase in symptoms of shortness of breath, cough, wheezing or chest tightness and progressive decrease in lung function.

Exacerbations occur in

  • People with pre-existing diagnosis of asthma
  • First presentation of asthma
Asthmatic airway comparison

Key features of acute asthma

  • Inflammation (oedema)
  • Smooth muscle contraction
  • Airway narrowing

Definition of asthma exacerbation in young children

For children aged 5 years and below, consider the following symptoms:

Cough, Shortness of breath or difficulty in breathing, Wheezing, Chest tightness.

In addition to the above symptoms, consider the following:

Early symptoms of an asthma exacerbation in ‘young children’ may include the following:

  • Onset of symptoms of a respiratory tract infection
  • Acute or a sub-acute increase in wheeze or shortness of breath
  • Increase in coughing especially during sleep
  • Lethargy or reduced exercise tolerance
  • Impairment of daily activities including feeding