Checklist: Early Warning Signs of Asthma
People with asthma have noted the following early warning signs. Check the signs that you or your child have experienced in the past. Use a pencil so you can update the list. You may want to list other personal early warning signs at the bottom of the page.
| ____Breathing changes |
____Feeling tired |
| ____Feel funny in chest |
____Want to be alone |
| ____Headache |
____Get quiet |
| ____Easily Upset |
____Feel weak |
| ____Eyes look glassy |
____Slow down |
| ____Dark circles under eyes |
____Feel sad |
| ____Get excited |
____Pale |
| ____Watery eyes |
____Stuffy nose |
| ____Sweaty |
____Restless |
| ____Feverish |
____Grumpy |
| ____Chin or throat itches |
____Heart beats faster |
| ____Coughing |
____Sneezing |
| ____Change in Sputum (mucus) |
____Runny nose |
| ____Dry mouth |
____Trouble sleeping |
| ____Poor tolerance for exercise |
____A downward trend in peak flow numbers |
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List other early warning signs that are not listed above:
________________________________________________________
This information has been approved by David Tinkelman, MD (February 2006).
