Asthma: Symptoms, Causes and Natural Support Strategies
Asthma is one of the most common inflammatory conditions of the lung. It is characterized by variable and recurring symptoms, bronchial spasm and reversible airflow obstructions. In this article, I will go over the major symptoms and root causes of asthma as well as some natural support strategies to improve immune and respiratory health.
Asthma is more of an immune imbalance than it is a lung disease (1, 2). When the immune system gets triggered it causes an inflammatory reaction to occur within the lung epithelial tissue. The bronchial tubes swell with fluid and mucous in order to isolate the insulting allergen. This swelling irritates the airways even further which results in an increased level of sensitivity.
How Asthma Develops
Imagine your lungs as an upside-down tree inside your chest within your respiratory system. Your upper respiratory system includes your nose, sinuses, pharynx (parts of your airways), and parts of your larynx just above your vocal cords. Your lower respiratory system includes your trachea, bronchi, bronchioles, and parts of your larynx located below your vocal cord
The muscles around your airways tighten and contract to make sure that the passageways open and allow healthy airflow. If you have asthma, when you inhale any triggering allergens or irritants, you may experience wheezing or coughing and have difficulty breathing. This experience is called bronchospasm.
Bronchospasm and Asthma
Bronchospasm is a symptom of asthma that happens because of a sudden constriction of your airways due to inflammation and sensitivity. This can lead to audible wheezing, shortness of breath, and coughing. These noisy and visible symptoms are the ones that instantly come to mind when we think about asthma. However, there is more to asthma than bronchospasms.
While bronchospasm is the audible and visible part of asthma, airway inflammation is the silent part. Asthma starts with inflammation that causes the lining of your airways to turn inflamed, swollen, and clogged with fluid and mucus. In a non-asthmatic person, the muscles around the bronchial tubes relax and the tissue thin. This allows easy airflow when the air enters the respiratory system from the nose and mouth, and travels through the bronchial tubes. In an asthmatic person, however, the muscles of the bronchial tubes tighten and thicken.
The air passages become inflamed and mucus-filled which makes it difficult for the air to move. Even though you can see it, asthma inflammation is a quiet yet very important part of asthma. Every time you encounter your asthma triggers, it increases inflammations and increases your chances of more frequent and increased symptoms (3, 4).
Conventional Treatments For Asthma
Conventional treatments for asthma use various medications aiming to stop asthma attacks before they start. Preventative, long-term control medications are designed to lower inflammation and decrease swelling in your airways to prevent asthma symptoms and attacks.
There are a variety of long-term asthma control medications. Inhaled corticosteroids, such as fluticasone propionate, budesonide, ciclesonide, beclomethasone, mometasone, and fluticasone furoate are used to lower your risks of asthma attacks with relatively few side effects. Leukotriene modifiers, including zafirlukast, zileuton, and montelukast are used for relieving asthma symptoms.
Montelukast may have serious psychological side effects, including depression, aggression, hallucinations, and suicidal thoughts. Combination inhalers, such as fluticasone-salmeterol, budesonide-formoterol, formoterol-mometasone, and fluticasone furoate-vilanterol are often used along with cortisosteroids to reduce your asthma attacks. Theophylline is used to help to relax your muscles around your airways. These medications need to be taken daily to lower your risk of asthma attacks.
Asthma Medication Usage:
Additionally, they also use quick-relief inhalers to stop attacks and offer relief. They are created to quickly open up swollen airways and allow normal breathing again. Some may be used just before exercising to prevent exercise-induced asthma symptoms.
Short-acting beta agonists, such as albuterol and levalbuterol are quick-relief bronchodilators that act quickly to relieve symptoms when inhaled through a nebulizer or portable, hand-held inhaler. Anticholinergic agents, such as ipratropium and tiotropium, similarly to bronchodialators, act quickly to relax your airways and offer relief.
They are also used for chronic bronchitis and emphysema. Oral and intravenous corticosteroids, such as prednisone and methylprednisolone offer relief for airway inflammation in case of a severe asthma attack. They can only be used on a short-term basis due to possible serious side effects when used long-term.
Allergy Medication Usage
In some cases, allergy medications may be used for your asthma symptoms if your asthma attacks are triggered or worsened by allergies. Allergy shots (immunotherapy) may help to gradually decrease your body’s reactions to allergies. Biologics, such as omalizma, mepolizumab, dupilumab, reslizumab, and benralizumab is designed for those with severe asthma.
Additionally, for those with severe asthma when inhaled corticosteroids or other long-term asthma medications don’t seem to be effective, bronchial thermoplasty may be used. In this case, your doctor heats the inside of your airways with an electrode to smooth the muscles inside your airways making breathing easier and lowering your risk of asthma attacks. These conventional asthma treatments do not address the underlying cause of your asthma inflammation and attacks and may come with unwanted side-effects.
Common environmental allergens that trigger the inflammatory immune response include mold, mites, dust, dander, chemicals & pollutants. It is critical to keep the home clean by using natural cleaning products with grape seed extract which is a potent anti-fungal that keeps mold down. Dust and vacuum the house regularly and use high quality air filters.
The most common food allergens include processed and refined foods of all kinds. Food additives and preservatives like sodium bisulfite, potassium metabisulfite, and sulfur dioxide have caused severe attacks in asthmatics (5, 6). Pasteurized dairy products, gluten containing grains, soy products, & peanuts are also highly inflammatory and mucous forming foods.
The MicroBiome and Asthma:
The gut microflora is responsible for 70% of our bodies innate immune response (7, 8, 9). The natural makeup should help the body recognize between safe environmental particles (pollen, dust, weeds, etc) and unsafe environmental particles (bad bacteria, fungal/yeast overgrowth and viruses).
When the gut microflora is altered early in life it can create an immune malcoordiation where the immune system is oversensitive to safe environmental particles. This may lead to seasonal allergies in some and auto-immunity and/or chronic inflammatory conditions such as asthma in others (10, 11, 12).
Asthmatics also have an altered lung microbiota. Asthmatic patients are found to have a much higher level of proteobacteria and streptococci bacteria. They had reduced levels of both bacteroidetes and firmicutes (13, 14).
Improve the Microbiome:
Asthmatic individuals need to really focus on improving their microbiome. This begins by reducing intake of anti-biotics and NSAID’s. These have a negative effect on the microbiome (15). An anti-inflammatory diet and lifestyle is key for improving the microbiome and reducing inflammatory activity.
Anti-inflammatory foods help to modulate the immune system and give it a more accurate pair of eyes so as to not over-inflame when stimulated. To effectively de-inflame it is key to completely avoiding man-made foods, sugars and food allergens as listed above. The long chain omega 3 fatty acids EPA and DHA powerfully de-inflame the body by restoring natural balance to the lipid wall of the cell membrane (16).
Stabilizing the gut with high quality fermented foods such as red cabbage sauerkraut, kimchee, coconut water kefir, coconut milk kefir, coconut yogurt, raw milk kefir and amasai is very important. Apple Cider vinegar is very useful for providing useful enzymes and reducing mucous formation. Drink a glass of clean water with 1-2 Tsp of ACV throughout the day to reduce mucous and provide beneficial enzymes to help reduce inflammation.
Some individuals with asthma have a histamine intolerance and may not do well with fermented foods. Be careful to notice if you have challenges with fermented foods and they flare up your asthma symptoms or give you hives and allergy symptoms.
Anti-Inflammatory Nutrition Plan:
Be sure to avoid foods that trigger inflammation in the body. This would include gluten, grains, corn, processed sugars, artificial sweeteners, conventional meat and dairy products and processed starches.
Some great anti-inflammatory foods include coconut products, berries and bone broth protein powder. This protein source is also loaded with L-glutamine and enhances cellular glutathione stores which are both necessary for rebuilding the gut and de-inflaming the body. If the individual has a food sensitivity to whey they can use a high quality bone broth protein.
Red onions and garlic contain sulfur compounds and the anti-oxidant flavonoid quercetin. These components have been shown to inhibit an inflammatory enzyme associated with asthma and other inflammatory disorders. Anti-inflammatory herbs such as turmeric, ginger, boswellia, cinnamon, rosemary & oregano among others should be used as much as possible.
Good fibers called arbinogalactans from carrots, onions, radishes & jicama help to feed the gut microbiome and improve the diversity of beneficial species. Other good fibers include those found in seeds like pumpkin seeds, chia seeds and flax seeds.
Vitamin D Deficiency and Asthma:
Vitamin D deficiency has been linked to increased rates of asthma. In over 60 years of research, scientists have found vitamin D deficiency linked to lower lung functions, increased airway reactivity and worse asthmatic control (17, 18).
Vitamin D plays a strong role in modulating the inflammatory immune response by blocking pro-inflammatory cytokines such as interleukin 10. Asthma typically worsens in the winter and early spring when vitamin D is at its lowest.
5 Key Supplements for Respiratory and Immune Health:
These 5 nutrients are important for helping to improve the inflammatory response and support respiratory health. It is important to know that these strategies are not at this time FDA approved to prevent, mitigate, treat or cure asthma and should not be confused as such.
1. Vitamin D3: Vitamin D3 is crucial for immune coordination in the body. Low levels of vitamin D3 are associated with chronic inflammation, asthma & allergies (19). I recommend getting high quality sun exposure on a regular basis or supplementing with 1,000 IU of vitamin D3 with 4.5 mcg of K2 per 25 lbs of body weight daily.
2. Probiotics: Probiotics play an important role in the gut microbiome and immune coordination. Studies have shown that supplemental probiotics are very effective at reducing allergy and asthma symptoms (20).
3. Quercetin & BioFlavonoids: Quercetin, dihydroquercetin (DHQ) and rutin are active bioflavonoids that modulate an exaggerated immune response. Bioflavonoids work synergistically with other antioxidants to protect tissues from the negative effects of oxidation and inflammation often observed during hyperimmune reactions (21).
4. Bromelein: Bromelain is an enzyme complex extracted from the stem and fruit of the pineapple. Its modulation of the inflammatory response is thought to exert a beneficial effect in combating hypersensitive immune reactions (22) Studies identified its positive effects on controlling edema, tissue permeability and vasodilation (23). Bromelain is also found to enhance the absorption of quercetin (24).
5. Stinging Nettle: Stinging nettle leaf has been found to regulate a variety of inflammatory activities associated with hyperimmune response, including mast-cell degranulation, prostaglandin formation, and histamine action (25, 26)
Chiropractic Care and Asthma:
Physical trauma to the upper cervical spine can impact the developing immune system of an infant or child. This form of trauma could include a slip or fall, a car accident, bad sleeping habits, or poor posture. This leads to an upper cervical (neck) subluxation that puts pressure on the brain stem.
Upper cervical subluxations lead to malcoordinated immunity which can lead to asthmatic reactions in many individuals (27, 28, 29). Chiropractic adjustments help to restore normal motion to the spine and optimal function to the neurological system. This modulates the immune system and reduces inflammation throughout the body.
Respiratory Health Support Strategies:
Here is a list of action steps to take to begin the process of improving respiratory and immune health. These strategies are not currently FDA approved to prevent, mitigate, treat or cure asthma and should not be confused as such.
This is not an exhaustive list, but it is the first few steps to take and most people will see a significant improvement in overall respiratory health. You should always discuss any lifestyle change with your physician and this is especially important if you are taking medications.
Change Your Diet:
Eating an anti-inflammatory diet rich in nutrient-dense foods is the first best thing you can do to prevent chronic inflammatory conditions like asthma. First, eliminate all inflammatory foods, including refined sugar, gluten, refined oils, deep-fried and processed foods, conventional dairy, grain-fed meat and eggs, soda and sugary drinks, and foods that you are sensitive to.
Instead, it is important to eat an anti-inflammatory diet that is rich in nutrient dense vegetables, low glycemic index fruits, herbs, spices, healthy fats, grass-fed meat, and wild-caught fish. I also recommend a ketogenic approach for individuals with asthma. Getting into ketosis will enhance mitochondrial function and significantly reduce inflammation in the body.
Test For Food Sensitivities:
Most people with chronic inflammatory conditions such as asthma have leaky gut and food sensitivities. These sensitivities can be hard to pinpoint as they result in delayed symptoms that are not life threatening.
The most common food sensitivities include gluten, corn, dairy, soy, peanuts and sugar. Some other potential food sensitivities to consider include all grains, eggs, nuts, seeds and nightshade vegetables (tomatoes, potatoes, peppers and eggplant).
It can be helpful to do a 28 day elimination diet where you remove all of these and then slowly add these back in one at a time. You can also do both biofeedback and blood testing to determine what foods are causing stress in your system and an elimination diet to test how you are responding to eliminating certain foods for periods of time. You can also
Intermittent fasting is a form of fasting cycles between not eating (fasting) and eating (feasting) over a period of time. The benefits of intermittent fasting benefits include cellular repair, autophagy, immune regulation, inflammation levels, and insulin sensitivity.
It also helps to lower the risk of developing autoimmune and chronic inflammatory conditions such as asthma (30). Going 16–18 hours between dinner and breakfast is one of the best ways to improve mitochondrial production. Your body improves energy efficiency by increasing and strengthening the mitochondria during periods of fasting. Consume your meals in a 6-8 hour window such as 11am–7pm or 12–6pm.
When you do this you enhance cellular healing and respiratory function. To learn more about the benefits of intermittent fasting and best intermittent fasting practices, I recommend this article.
Optimize Your Vitamin D3 Levels:
Vitamin D is more of a hormone than it is a vitamin. Hormones interact with cells directly to elicit specific biological processes. Low vitamin D3 is associated with chronic inflammation and autoimmune conditions. Vitamin D is arguably one of the most powerful nutrients responsible for modulating and coordinating the immune system.
Sunshine is the best way to get enough vitamin D, however, our indoor lifestyle and in some places, cold climate and cloudy weather, makes it practically impossible to meet all your requirements. Taking a good quality vitamin D3 supplement on a regular basis and testing your 25-OH vitamin D3 levels a few times a year to make sure it is in the optimal 50-100 ng/mL range is recommended.
Support Gut Health
Your respiratory system and gut are closely connected and supporting your gut is important for preventing and reducing respiratory problems. Make sure gut-friendly, anti-inflammatory, and nutrient-dense diet abundant in veggies, healthy fats, clean protein and probiotic-rich foods, such as sauerkraut, kimchi, and kefir.
Additionally, I recommend taking a daily probiotic supplement. Probiotics helps to optimize your gut health and improve your nutrient absorption while reducing gut related inflammation. When gut inflammation goes down it also reduces inflammatory mediators in the lungs.
Focus on Deep Breathing:
Improving your posture, seeing a high quality chiropractor and optimizing your breathing patterns is highly recommended. Taking time to slow down your breathing and take long-deep breaths for a few minutes every hour will help reduce the sympathetic, fight or flight part of the nervous system.
The better we breathe, the better we will heal and the more blood flow we will get and the better our immune and inflammatory health will be. Follow these tips here to improve your breathing patterns.
Reducing stress is a critical for reducing inflammation and improving respiratory health. Most people with asthma notice a significant worsening of symptoms when they are under a lot of stress. I recommend that you reduce stressors from your life as much as possible. Turn off the news, and only look at it once a day or a few times a week for a specific period. Reduce your social media use and time on the internet.
Avoid people and situations that bring you down. Surround yourself with loving and uplifting people. Engage in uplifting and relaxation-promoting activities. Read, try some arts and crafts, play cards or board games, sing, and dance.
Spend time in nature and do some grounding walking barefoot on grass. Practice daily gratitude and try positive affirmations. Practice self-love and laugh with friends and family. Meditate, pray, journal, and try daily breathwork. Be grateful and smile more.
Improve Your Sleep:
Prioritizing good sleep is just as important as reducing your stress levels. The better you sleep, the less you provoke inflammation in your respiratory pathways. Many people with asthma have noted that they have worsening symptoms on days after they sleep poorly.
Develop a regular schedule going to bed and getting up at the same time every day to support your circadian rhythms. Avoid electronics, sugar, caffeine, heavy foods, and stress close to the bed. Engage in relaxing activities, including stretching, relaxing baths, meditation, and prayer. Make sure that you have a supporting bed, pillow, and bedding, and sleep in a dark calming room.
Supplement With Omega 3’s:
Omega 3 fatty acids and in particular the long chain variety EPA and DHA are critical for stabilizing blood sugar, reducing inflammation and improving respiratory health (29). Consume grass-fed meat, grass-fed butter, wild-caught fish and spirulina to get it in your diet.
Plant based omega 3’s such as flax oil only contain the small chain omega 3 called ALA and do not have any DHA. It is very hard for our body to convert ALA into DHA so it is best to get a high quality fish or krill oil that is rich in EPA and DHA. You want to find a brand that is molecularly distilled to take out any heavy metals and other unwanted contaminants.
Be sure to discuss with your physician before using as fish oils have a blood thinning affect and can be contraindicated if you are on blood thinning medications.
Asthma is a serious chronic inflammatory issue that affects millions of people around the world. It happens when the immune system within the respiratory system gets over activated. The symptoms of asthma include difficulty breathing, chest pain, cough, and wheezing. Follow the strategies in this article to help support a healthy immune, respiratory and inflammatory process.
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