Asthma Diagnosis: Connecting the Dots

 

Key Information

  • No Single Test: Asthma diagnosis is not based on one simple test.
  • Building the Picture: It is about “connecting the dots” to understand your breathing.
  • Your Story Matters Most: Your symptoms and experiences are the most important part of the diagnosis.
 

Step 1: Your Story (The Most Important Dots)

The process starts with understanding your experience. To build the picture, we will ask about:

  • Symptoms: What do you feel? (e.g. coughing, wheezing, breathlessness)
  • Timing: When do symptoms occur? Do they worsen at night or early morning?
  • Triggers: Do symptoms flare after exercise or exposure to cold air, pets, or allergens?
  • History: Do you have allergies (such as hay fever) or a family history of asthma?
 

Step 2: The Tests (Adding to the Picture)

We may use simple breathing tests to measure how well your lungs are working.

  • 1. Spirometry:
    The Action: You take a deep breath and blow out as hard and fast as possible into a machine.
    The Reversibility Check: We may repeat the test after using a reliever inhaler to see if your airways improve.
  • 2. FeNO Test:
    The Action: You breathe out steadily into a machine.
    The Purpose: It measures inflammation in your lungs.
 

Putting It All Together

We combine your symptoms, history, and test results to build a complete picture. If everything aligns, we can confirm the diagnosis and begin treatment.

 

What Happens Next?

If you have symptoms such as coughing, wheezing, or breathlessness, it is important not to ignore them.

 

Further Information

For more information about asthma, including symptoms, treatment and living with asthma, please visit the NHS website.

 

Last reviewed: 31 March 2026
Next review due: 31 March 2029