Trouble Breathing While Exercising? Here's What Could Be Going On

Do you ever feel short of breath, wheeze, or struggle to breathe during a workout—even when you're otherwise healthy and active? If so, you may be experiencing a condition known as exercise-induced asthma, or exercise-induced bronchoconstriction (EIB).

This type of breathing trouble is more common than you might think—and the good news is, it’s treatable.

What Causes Trouble Breathing While Exercising?

Exercise-induced asthma happens when the airways in your lungs temporarily narrow during or after physical activity. This leads to symptoms like coughing, chest tightness, and shortness of breath. It’s not the same as chronic asthma, but it can still seriously affect your ability to work out or enjoy sports.

Triggers can include:

• Cold or dry air
• Air pollution or allergens
• Chlorine in swimming pools
• Strong chemical smells (like gym cleaners)

Common Symptoms of Exercise-Induced Breathing Trouble

You may notice these symptoms during exercise or within 30 minutes after stopping:

• Coughing (especially during or right after workouts)
• Shortness of breath
• Wheezing (whistling sound when exhaling)
• Chest pain or tightness
• Feeling unusually tired during activity
• Reduced athletic performance
• Avoiding exercise because of breathing discomfort

These symptoms are often mistaken for being "out of shape," but they may point to an underlying breathing condition.

When to See a Doctor About Exercise Breathing Issues

You should consult a healthcare provider if:

• You frequently have trouble breathing while exercising
• You’re avoiding workouts due to discomfort
• Your inhaler isn't relieving symptoms
• You’ve noticed a sudden drop in performance or stamina

How Is Exercise-Induced Asthma Diagnosed?

To diagnose exercise-induced bronchoconstriction, your doctor may order:

• Spirometry test – Measures your lung function at rest and after exertion
• Exercise challenge test – May involve treadmill exercise while monitoring breathing

These tests help rule out other issues like allergies or chronic asthma.

Treatment for Trouble Breathing During Exercise

Most people with exercise-related breathing trouble can still stay active with proper treatment.

1. Pre-Exercise Inhalers

Doctors may prescribe short-acting bronchodilators, like albuterol, to open airways. These are usually taken 15–30 minutes before physical activity.

2. Long-Term Medications

If symptoms are frequent or severe, a daily inhaled corticosteroid may be prescribed to control inflammation.

3. Lifestyle Tips

• Warm up and cool down slowly
• Exercise indoors or in humid conditions
• Wear a mask or scarf when exercising in cold air
• Avoid high-pollution areas or outdoor activity during allergy season

Can I Still Exercise?

Yes—most people with EIB or asthma-related symptoms can continue to exercise regularly with the right treatment plan. In fact, staying active may help improve overall lung function and stamina.

Working with a doctor ensures you can breathe easier and move confidently.

Expert Asthma Care at BASS Medical Group

If you're struggling with trouble breathing while exercising, don’t ignore the signs. The team at BASS Medical Group provides expert care and personalized treatment plans for asthma and exercise-related breathing concerns.

Serving Walnut Creek, Oakland, and the Bay Area, we’re here to help you stay active, healthy, and breathing freely.

Schedule an appointment today to find relief and get back to doing what you love.

Frequently Asked Questions

What is exercise-induced asthma?

Exercise-induced asthma, also called exercise-induced bronchoconstriction (EIB), is a condition where your airways temporarily narrow during or after physical activity. This can cause coughing, wheezing, chest tightness, and shortness of breath.

How is exercise-induced asthma different from regular asthma?

While both conditions involve airway narrowing, exercise-induced asthma usually occurs only during or shortly after exercise, especially in people who don’t have chronic asthma. Regular asthma can happen at any time and may require more long-term medication management.

What triggers exercise-induced breathing problems?

Common triggers include:

• Cold or dry air
• Air pollution or pollen
• Chlorine in swimming pools
• Strong smells like cleaning products

How is EIB diagnosed?

Your doctor may perform:

• Spirometry testing to measure lung function before and after exercise
• Exercise challenge testing to see how your lungs respond to physical activity
  These tests help rule out other causes and confirm the diagnosis.

Can I still work out if I have trouble breathing during exercise?

Yes! With proper treatment—such as pre-exercise inhalers or daily medications—most people can safely and comfortably continue exercising. In fact, staying active may improve your lung health over time.