Allergic Asthma
Allergic Asthma: Understanding the Condition, Its Symptoms, and Its Link to Allergies
Allergic asthma is a chronic inflammatory condition of the airways—the small “tubes” that carry air into and out of the lungs. Symptoms occur when the body comes into contact with environmental allergens to which it has become sensitized. The immune system’s reaction to these allergens causes inflammation and swelling of the airways, leading to bronchospasm (narrowing of the airways) and difficulty breathing.
One of the key characteristics of asthma is bronchial hyperresponsiveness: the airways become highly sensitive and react not only to allergens but also to common everyday triggers, such as intense laughter, exercise, dust, smoke, strong odors, and other irritants.
Symptoms: How Does Allergic Asthma Manifest?
Asthma symptoms may occur individually or in combination and can vary considerably in severity. The most common symptoms include:
- Cough (often dry and persistent, particularly at night or early in the morning)
- Shortness of breath (difficulty breathing or feeling “out of breath”)
- Chest tightness or pressure
- Wheezing (the characteristic whistling sound, particularly during exhalation)
The Close Link Between Asthma and Allergic Rhinitis
Both clinical experience and current evidence demonstrate that allergic asthma rarely occurs as an isolated condition. In most cases, it is associated with a strong allergic predisposition and often coexists with other allergic diseases:
- 20–40% of patients with allergic rhinitis will eventually develop symptoms of asthma.
- Conversely, up to 80% of patients with allergic asthma have a history of allergic rhinitis.
This close relationship between the upper and lower airways—where symptoms affecting the nose may be associated with involvement of the lungs—highlights the importance of a comprehensive approach, both in assessing symptoms and in planning appropriate treatment.
When Is Allergy Testing Recommended?
Allergy testing, including skin prick tests and/or blood tests, is recommended when allergic asthma is suspected or when asthma symptoms remain poorly controlled despite appropriate treatment.
Identifying the allergens that trigger symptoms—such as pollen, house dust mites, molds, or animal dander—is not merely a diagnostic detail. It is a fundamental step in:
- Providing appropriate guidance on avoiding or reducing exposure to relevant triggers.
- Selecting allergen-specific immunotherapy when indicated, which may modify the course of the allergic disease.
If you experience chronic cough, wheezing, or difficulty breathing, particularly when accompanied by symptoms of allergic rhinitis, schedule a specialized allergy assessment at our clinic. Early diagnosis and individualized treatment can significantly improve symptom control, quality of life, and everyday well-being.
When a persistent cough is accompanied by symptoms of allergic rhinitis, allergy testing is an important part of the diagnostic evaluation. Identifying the responsible allergens allows treatment to be optimized and, when appropriate, enables the development of an individualized allergen immunotherapy plan.

