So I’ve written a bit on here about two things: asthma and cycling. My body apparently doesn’t plan to stop having asthma. But I don’t plan to stop cycling, either, so I think we’re in the process of reaching a happy medium (can’t we all just get along?). A friend of mine was asking me about cycling and asthma the other day, so I’ve decided to write this post in the hopes of sharing what I know about exercise and asthma and encouraging those with asthma to not put away their bicycles (or running shoes, walking poles, skis, or whatever strikes your fancy).
But first. YE OLDE OFFICIAL DISCLAIMER: I am not a doctor (though I am thinking about nursing school, but that’s a whole other story). I don’t try to play a doctor on the Internet. This post is intended to share my POV when it comes to dealing with asthma and exercise. If you think or know you have asthma, first things first–SEE YOUR DOCTOR. Asthma can be treated, but it is also nothing to mess with. And besides, I know you wouldn’t just blindly trust the words of a stranger on the Internet, now would you.
OKAY.
First off–what does asthma feel like? Many people describe it as a “fish trying to breathe out of water” feeling. Umm…yeah. I’m not a fish, but I think I can understand the comparison. For me, I’d describe an asthma attack as a feeling of never getting enough air. No matter how much air I take in, it’s not enough. My chest feels tight and dry. My lungs hurt. I cough. I sometimes wheeze. It’s like when you’re trying to blow up a balloon that’s been sitting around for awhile and the rubber kind of sticks together and doesn’t fully inflate when you blow air into it. It’s like my lungs do not fully inflate with air. When I’m cycling and have asthma, I also feel fatigued and like I can’t ride to the speed and distance that I’m used to. That said, everyone’s different. And so here are my tips:
1.) IF YOU SUSPECT OR KNOW YOU HAVE ASTHMA, SEE A DOCTOR REGULARLY. Maybe this one’s obvious, but don’t even think about those over-the-counter medications. People have died from trying to self-treat asthmatic symptoms. I take a preventitive medication (Azmacort) and a rescue inhaler before rides (Albuterol). You may also have to try various meds until you find one that works best for you. I used to take Advair. Didn’t like it. Had a terrible sore throat all the time. I went back to Azmacort and that works swell.
2.) CARRY YOUR RESCUE INHALER AT ALL TIMES. Yes, even if you take the preventative medications (like Azmacort), you still need to carry your rescue inhaler with you, especially when you’re out exercising. I slip mine in the back pocket of my cycling jersey (see, there IS a reason why you need one!). Before my cycling days I’d carry it in my sports bra (too much information?). Find a place for it and don’t forget it.
3.) INVEST IN A PEAK FLOW METER AND SPACER. The Peak Flow meter is used to measure how well air flows out of your lungs. Keeping track of your “peak flows” can indicate if your lungs are worsening and tip you off to impending asthma attacks. Use a spacer with your rescue inhaler. You won’t even feel the medication going into your lungs, but the medication works SO MUCH BETTER with a spacer than with the inhaler alone. I’ve found you can buy both of these items online at amazon.com or from medical supply stores.
4.) KEEP TRACK OF YOUR INHALATIONS AS YOU USE YOUR MEDICATIONS. This is HUGE. You don’t want to be caught out on a ride with an empty inhaler. It’s really impossible to tell how much medication is left, too, without keeping track of how many puffs you use. I found an amazing iPhone application called “Inhaler Tracker”. I think it was $1.99 or $.99. It allows you to catalogue various medications and “tap” the screen to decrease the medication and keep track of how many puffs you have left in your inhalers. Well worth the money. (But of course, pen and paper works just fine, too).
5.) DO AN ADEQUATE WARM UP AND COOL DOWN. I’ve found that if I do warm up stretches, followed by a slow ride at a low gear, I’m less likely to have an asthma attack out on my ride. I’ve found that when I jump on my bike and get riding right away, I get asthma and then have to call the whole thing off. So I do my slow warm up, usually starting out on 2 or 3, and usually increase one gear per mile. I work up to 5 or 6 (my average). When I’m nearing the end of my ride, I reverse the order, going down a gear each mile and aim to ride the last 2 miles in 3-4.
6.) KEEP A STEADY PACE. Okay. We can’t all be Lance Armstrong. For me, cycling is about the pure joy of the experience, but sometimes it gets the best of me and I just want to go as fast as possible! That’s when I run into trouble with my asthma. In addition to my warm up period, I try to find a pace and stick with it. This is essential not only for flat stretches, but also for climbs. ESPECIALLY for climbs. Sometimes this means I shift down a gear. But it’s better than having a full blown attack on the trail.
7.) IF YOU FEEL SYMPTOMATIC, STOP. In spite of my best efforts to control my asthma, there are some days when I’m riding that I’ll develop symptoms. I slow my pace or stop. I may have to use my rescue inhaler again. But I’ve learned that I cannot try to “push through” asthma symptoms. You really can’t push yourself to endure asthma; it’s unrealistic and dangerous. Listen to your body.
8.)TREAT THE CAUSE, NOT JUST THE SYMPTOMS. Learn what triggers your asthma, which is sometimes easier said than done. I’ve learned through careful observation that allergens (dust, mold, pollen, pollution, practically everything) trigger hay fever, which in turns triggers asthma when I’m out on my rides. I’ve also become aware of what types of weather trigger my symptoms. Extreme heat or cold are no good. Wind is tough because of the allergens in the air. I take allergy medications before my rides to decrease the chances of getting allergen-induced asthma.
9.) LISTEN TO YOUR LUNGS. There are just some days that your body won’t cooperate. That Big Green Monster Called Asthma parks his ass in your lungs and refuses to budge (I kind of imagine asthma to look like that green globby creature from that commercial). On those days, I accept that I cannot ride (even though I love it) and do something like yoga instead.
10.) DON’T EXERCISE WHEN YOU’RE SICK. I’ve read that if a cold is “above your neck”, you can still exercise. However, I’ve found that when I’m sick with a cold, no matter where the cold “is”, I can’t exercise because I’ll get asthma. Take it easy. Rest your body and get better.
11.) DON’T LET ASTHMA HOLD YOU BACK. I’ve had asthma my whole life. I’ve been told many times that I should not cycle, dance, run, or do anything else that might trigger an attack. But luckily I found a good doctor who subscribes to my idea that exercise with asthma is better than no exercise at all. I cannot live a sedentary lifestyle. The key is to learn your triggers, manage your asthma, and live. You cannot get rid of asthma, but you can certainly learn to live with it.







































