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Ascension Saint Thomas Doctors Urge Asthma Awareness as Spring Allergy Season Intensifies in Middle Tennessee

As spring allergy season ramps up across Middle Tennessee, physicians with Ascension Saint Thomas are urging people with asthma to take extra precautions as pollen levels begin to rise.

Meteorologists report that pollen counts are already increasing across the Midstate, with juniper, maple, alder and elm among the first trees releasing pollen this season. Warm temperatures and gusty winds are expected to push pollen levels into the moderate to high range through much of March and April.

Doctors say these seasonal conditions can trigger asthma flare-ups because pollen and other airborne allergens irritate the airways. This irritation can lead to symptoms such as wheezing, coughing, chest tightness and shortness of breath. Outdoor allergens like pollen and mold remain among the most common triggers for allergic asthma.

Physicians recommend that people with asthma pay close attention to early symptoms during allergy season. Warning signs of an asthma flare-up may include persistent coughing, wheezing, chest tightness or increased shortness of breath, particularly after spending time outdoors.

Doctors also urge patients to seek medical attention if symptoms worsen or do not improve with prescribed medications. Severe symptoms such as significant breathing difficulty, inability to speak in full sentences or worsening chest tightness may require immediate care in an emergency department.

Signs Someone With Asthma Should Go to the Emergency Room

Severe shortness of breath

  • Breathing feels extremely difficult or rapid
  • You cannot catch your breath even while resting

Trouble speaking

  • You can only speak a few words at a time because of breathing difficulty

Rescue inhaler is not working

  • A quick-relief inhaler (such as albuterol) does not improve symptoms after use

Chest tightness or wheezing that is worsening

  • Wheezing becomes louder or breathing becomes more labored despite treatment

Blue or gray lips or fingernails

  • This can signal low oxygen levels and requires immediate medical attention

Chest pulling in while breathing

  • The skin between ribs or around the neck pulls inward with each breath

Extreme fatigue, confusion, or dizziness

  • These can indicate the body is not getting enough oxygen

To reduce the risk of asthma flare-ups during peak allergy season, physicians recommend several practical steps:

  • Monitor daily pollen counts and limit outdoor activity when levels are high.
  • Keep windows closed at home and in the car during peak pollen periods.
  • Shower and change clothes after spending time outdoors to remove pollen.
  • Take prescribed asthma or allergy medications consistently and keep rescue inhalers accessible.

Physicians also note that allergy seasons are starting earlier and lasting longer in many parts of the country as warming temperatures extend the period when plants release pollen.

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