How Air Quality Impacts Asthma Management in Polluted Cities
Many people with asthma in urban areas feel frustrated and anxious when pollution worsens their symptoms and disrupts daily life. Studies estimate that about 34.3 million people in India live with asthma, which is one of the highest burdens globally 1. You deserve clear advice you can use to look after your lungs when the air feels unsafe. Air pollution, from traffic exhaust to fine particulates, can cause asthma and make treatment harder for you.
In this blog, we will explore how air quality affects asthma management and what you can do about it.
Key Takeaways:
- Poor air quality enhances asthma symptoms, increasing the rate of flare-ups and making asthma management critical.
- Effective asthma management in polluted environments involves using air purifiers, monitoring AQI, and avoiding exposure to triggers.
- Consulting a specialist and following a personalised asthma action plan helps reduce asthma exacerbations and improve long-term control.

Key Impacts of Poor Air Quality on Asthma
Poor air quality exacerbates asthma symptoms by inflaming the airways, making it more challenging to manage the condition.
- Increased airway inflammation: Exposure to pollutants irritates the bronchial tubes, leading to swelling that restricts airflow and worsens asthma symptoms.
- More frequent flare-ups: Poor air quality can lead to more frequent asthma attacks, requiring more aggressive treatment and medication adjustments.
- Reduced lung function: Prolonged exposure to polluted air can impair lung function, making breathing even more difficult over time.
Increased sensitivity to allergens: Pollution can heighten sensitivity to allergens such as pollen, worsening asthma symptoms. - Impaired medication effectiveness: Poor air quality can reduce the efficacy of asthma medications, leading to more frequent doctor visits.
With appropriate knowledge on the effects of poor air quality, let’s evaluate some of the symptoms of asthma.
Symptoms of Asthma
The quality of air affects acute asthma management among most individuals, and asthma symptoms vary widely. Such diversifications may lead to infrequent asthma attacks and may have exacerbations while exercising and in other physical activities.
Here are some of the common symptoms which are critical for appropriate asthma management:
- Shortness of breath, chest tightness, and more are the primary symptoms often associated with asthma.
- Wheezing and the generation of breath sounds are also accompanied by and affect overall lung health.
- Difficulty sleeping is also a significant symptom that ultimately affects overall quality of life. Moreover, lack of sleep also corresponds to fatigue.
- Persistent coughing worsens with a respiratory virus and is also a characteristic feature of flu and other respiratory conditions, which require appropriate asthma management.
Let’s explore why an appropriate diagnosis is critical for proper asthma management.
Diagnostic Measures for Asthma Management
Physical examination is vital for ruling out respiratory infections and protecting against recurrent infections.
Here are some of the appropriate diagnostic procedures for accurate asthma management:
- Spirometry: The test is critical for asthma management, and the procedure helps estimate the degree of narrowing of the bronchial tubes. Moreover, it is helpful to understand how quickly you can exhale.
- Peak Flow: It is a device which measures how well you can exhale. Lower values of usual peak values signify a clear sign of asthma and deterioration of the condition. It is essential to consult a doctor for low peak flow readings.
- Imaging Test: A chest X-ray can help you identify structural abnormalities or diseases, such as infections. Such infections also aggravate breathing issues among most individuals. Such tests are critical for the management of bronchial asthma and other respiratory diseases.
- Allergy Testing: Skin and blood tests are critical for acute asthma management and for isolating potential allergens. If allergens are isolated, your doctor may recommend specific allergy tests.
Both chronic and acute asthma management require proactive measures, and it is essential to maintain lung health in polluted areas.

Effective Strategies for Asthma Management in Polluted Environments
Air quality has a significant impact on your asthma management, and data show that air pollution contributes to a substantial share of respiratory issues in urban areas. Exposure to higher levels of PM2.5, ozone, and other gaseous compounds accounts for 30% of asthma-related emergency room visits in Indian cities 2.
- Monitor local air quality: Before going outside, check the AQI. If pollution levels are high, it’s safer to limit outdoor activities, especially during peak pollution hours.
- Stay indoors on polluted days: On days with poor air quality, try to stay indoors with windows closed to avoid exposure to harmful pollutants.
- Invest in air purifiers: Use an air purifier with a HEPA filter in your home, especially in bedrooms, to help reduce indoor pollutants and create a safer space for breathing.
- Wear a protective mask: If you must go outdoors on high-pollution days, wear a mask that filters fine particles, which can help reduce inhalation of harmful dust and chemicals.
- Create a clean indoor environment: Keep your living spaces free of dust and other substances that can aggravate asthma. Regular cleaning and the use of non-toxic cleaning products can help maintain good indoor air quality.
Next, let’s evaluate some of the long-term medical interventions for asthma.
Long-Term Medical Interventions for Asthma
Long-term medical interventions for asthma management focus on controlling inflammation, preventing flare-ups, and improving lung function over time. These interventions are tailored to the individual’s needs, aiming to reduce asthma symptoms.
- Developing a tailored asthma action plan with your healthcare provider ensures effective management, identifying triggers and appropriate responses to worsening symptoms.
- Identifying and avoiding allergens that trigger asthma can reduce symptoms and the need for emergency treatment.
- Engaging in regular, mild physical activity and learning breathing techniques can enhance lung capacity and overall respiratory health.
- Regular check-ups with doctors help track your lung function and avoid chronic obstructive pulmonary disease (COPD), enabling early adjustments to asthma management strategies.
- Reducing exposure to environmental pollutants through measures like air purifiers and humidity control can help prevent asthma flare-ups, especially in polluted cities.
With a better understanding of the management of bronchial asthma, it is critical to know when to seek medical assistance.
When to Seek Professional Help for Asthma Management
If your asthma symptoms are not well-controlled with your current treatment plan or if you experience frequent flare-ups, it is time to seek professional help. An asthma treatment doctor can provide expert guidance on adjusting your medication and managing triggers effectively. For more severe cases or if you live in Kolkata, consulting the best pulmonologists in Kolkata can ensure a treatment approach tailored to specific needs.
Also read: Winter Asthma Triggers and How to Avoid Them
Final Thoughts
For effective asthma management in polluted cities, it is crucial to monitor air quality and avoid outdoor activities. With the help of air purifiers indoors and personalised asthma action plan can help reduce flare-ups and improve symptoms. Appropriate consultation with doctors ensure your treatment adhere to specific needs and environmental factors.
At Eskag Sanjeevani Hospital, we offer expert care for asthma patients, with a team of dedicated specialists focused on long-term management. Our pulmonologists work closely with patients to create customised asthma treatment plans tailored to individual needs, providing the best treatment for asthma and improving symptom control.
References
The best asthma management involves controlling symptoms, preventing flare-ups, and maintaining normal lung function through regular medication and lifestyle adjustments. It also includes monitoring triggers and using a personalised asthma action plan to ensure optimal control.
The five goals of asthma management are to reduce symptoms, improve lung function, prevent exacerbations, minimise medication side effects, and enhance quality of life. Achieving these goals requires regular monitoring and timely adjustments to treatment.
The first-line treatment for asthma typically includes inhaled corticosteroids (ICS), which help reduce airway inflammation and prevent asthma flare-ups. These medications are effective in managing both chronic symptoms and preventing long-term lung damage.
The first signs of asthma often include wheezing, shortness of breath and chest tightness. These symptoms may worsen at night or during physical activity, especially when exposed to asthma triggers.
An asthma management plan is a personalised plan created by a healthcare provider to help individuals control their asthma. It includes instructions for symptom management, preventing attacks, and adjusting medications based on the severity of the condition.

