Asthma Triggers
Because you have asthma, your airways are very sensitive. They may react   to things called triggers (stimuli that can cause asthma episodes). Your   airways may become swollen, tighten up, and produce excess mucus in the presence of one or more of the triggers below. These triggers may make asthma   symptoms worse or keep you from getting better. It's important to find out   what your asthma triggers are. Learn ways to avoid them. If you cannot avoid   triggers, and your medicine plan does not work as well as you and your doctor   think it should, you both should discuss allergy shots (immunotherapy).
Ask your doctor to  help you find out what your triggers are.
Ask your doctor for help in deciding which actions will help the most to reduce your asthma  symptoms.
Number each act on item in order of importance. Carry out these actions first. Once you  have completed these actions, move on to actions that are of lesser importance.
Discuss the results of  these efforts with your doctor.
Pollens and Molds (outdoor)
____ Stay indoors during the midday and afternoon when the pollen count
           is   high.

   ____ Use air conditioning, if possible.

   ____ Keep windows closed during seasons when pollen and mold are
             highest.

   ____ Avoid sources of molds (wet leaves, garden debris).
House Dust Mites
These are actions you should take to gain control   of dust mites:

   ____ Encase your mattress and box spring in an airtight cover.

   ____ Either encase your pillow or wash it once a week every week.

   ____ Avoid sleeping or lying on upholstered furniture.

   ____ Remove carpets that are laid on concrete.

   ____ Wash your bed covers, clothes, and stuffed toys once a week in hot (130   F) water.

These actions will also help you gain control of dust   mites-but they are not essential:

   ____ Reduce indoor humidity to less than 50 percent. Use a dehumidifier
             if   needed.

   ____ Remove carpets from your bedroom.

   ____ Use chemical agents to kill mites or to change mite antigens in the
             house.

   ____ Avoid using a vacuum or being in a room while it is being vacuumed.

   ____ If you must vacuum, one or more of the following things can be done
             to   reduce the amount of dust you breathe in.
Use a dust mask.
Use a central vacuum cleaner with the collecting bag outside the home.
Use a vacuum cleaner  that has powerful suction.
Animal Dander (or flakes in the skin, hair,   or feathers of all warm-blooded pets including dogs, cats, birds, and   rodents). There is no such thing as an allergen-free dog. The length of a   pet's hair does not matter. The allergen is in the saliva, urine, and dander.
  ____ Remove the animal from the house or school classroom.

   ____ If you must have a pet, keep the pet out of your bedroom at all times.

   ____ If there is forced air heating in the home with a pet, close the air 
             ducts in your bedroom.

   ____ Wash the pet weekly.

   ____ Avoid visits to friends or relatives with pets.

   ____ Take asthma medicine (cromolyn or beta2-agonist; cromolyn is
             often preferred)   before visiting homes or sites where animals are
             present.

   ____ Choose a pet without fur or feathers (such as a fish or a snake).

   ____ Avoid products made with feathers, for example, pillows and
             comforters.

            Also avoid pillows, bedding, and furniture stuffed with kapok (silky                    fibers   from the seed pods of the silk-cotton tree).

   ____ Use a vacuum cleaner fitted with a HEPA (high-efficiency particulate 
              air) filter.
Cockroach Allergen
  ____ Use insect sprays; but have someone else spray when you are
              outside   of the home.

   ____ Air out the home for a few hours after spraying.

   ____ Use roach traps.
Indoor Molds
  ____ Keep bathrooms, kitchens, and basements well aired.

   ____ Clean bathrooms, kitchens, and basements regularly.

   ____ Do not use humidifiers.

   ____ Use dehumidifiers for damp basement areas, with humidity level set
             for   less than 50 percent but above 25 percent. Empty and clean unit
             regularly.
Tobacco Smoke
  ____ Do not smoke.

   ____ Do not allow smoking in the home.

   ____ Have household members smoke outside.

   ____ Do not allow any smoking in your bedroom. Encourage family
             members to   quit smoking. Their doctor can help them quit.

   ____ Use an indoor air-cleaning device (for smoke, mold, and dander).
Wood Smoke
  ____ Avoid using a wood burning heat stove to heat your home. The
             smoke   increases lower respiratory symptoms.

   ____ Avoid using kerosene heaters.
Strong Odors and Sprays
  ____ Do not stay in your home when it is being painted. Allow enough                      time  for the paint to dry.

   ____ Avoid perfume and perfumed cosmetics such as talcum powder and              hair   spray.

   ____ Do not use room deodorizers.

  ____ Use non-perfumed household cleaning products whenever
            possible
        
   ____ Reduce strong cooking odors (especially frying) by using a fan and                 opening windows.

   ____ Avoid air pollution by staying indoors on days when the pollution  
             count   is high.
Colds and infections
  ____ Avoid people with colds or the flu.

   ____ Get rest, eat a balanced diet, and exercise regularly.

   ____ Talk to your doctor about flu shots.

   ____ Do not take over-the-counter cold remedies, such as antihistamines              and   cough syrup, unless you speak to your doctor first.
Exercise
____ Work out a medicine plan with your doctor that allows you to exercise   without symptoms.

   ____ Take inhaled beta2-agonist or medicine before exercising.

   ____ Warm-up before doing exercise and cool-down afterwards.
Weather
____ Wear a scarf over your mouth and nose in cold weather.

   ____ Pull a turtleneck over your nose on windy or cold days.

   ____ Dress warmly in the winter and on windy days.

Remember: Making these changes will help keep asthma   episodes from starting. An asthma trigger control plan is an important part   of controlling asthma.
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