html). Children can outgrow asthma because, as they get older, the bronchial passages widen (Anspaugh, Hamrick, and Rosato 2000). .
There are three types of asthma and each is triggered in different ways. They are intrinsic and extrinsic asthma and exercise induced asthma. The most common type of asthma is extrinsic and is triggered by irritants or allergens such as dust, pollen, feathers, animal dander, molds, smoke, tobacco smoke extremely cold or dry air, and air pollutants (Anspaugh, Hamrick, and Rosato 2000). Second hand smoke worsens asthma in children and teens and may cause up to 26,000 new cases of asthma each year (www.aafa.org/templ/display.cfm?id=2&sub=25). Intrinsic asthma is caused by stress, excitement, laughing or frequent respiratory tract infections. This type has the same symptoms as extrinsic asthma (Anspaugh, Hamrick, and Rosato 2000). Another form of asthma is exercise induced. It is caused when you breath quickly through your mouth and air is not warmed or moistened. This is irritating to the lungs of those with asthma (www.asthmasw.org/au/whatsnew/coaches.htm).
Recognizing an asthma attack is fairly easy because most have the same symptoms. There are three stages of asthma attacks. The stages are coughing, dyspnea, and sever bronchial obstruction. The coughing serves as a warning of the attack to come. The body is trying to get rid of mucus that if building up in the bronchial tubes. Dyspnea is a term for breathing difficulty. This happens because the airways have narrowed and the lungs have difficulty emptying before inhaling again. Finally, severe bronchial obstruction is when they air passages have nearly closed and are clogged with mucus. There will be wheezing at this point. It may become so severe that the patient needs to be taken to the hospital (Sherrill 1998). Some other early symptoms include shortness of breath, chest pain, and sensitivity to triggers (www.