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In an asthma attack, the muscles of the air passages in the lungs go into spasm. This makes the airways narrower, making it difficult to breathe. This can be triggered by an allergy, a cold, or smoke. At other times, someone may have a sudden attack with no obvious trigger. If you think someone is having an asthma attack, there are five things you may see: They may have difficulty breathing or speaking They may be wheezing They may be coughing a lot They may be distressed and anxious They may have a grey-blue tinge to the lips, their earlobes or their nailbeds. People with asthma usually know how to deal with their own attacks by using their reliever inhaler usually with a blue cap - at the first sign of an attack. But if they dont, or if the attack is severe, you may need to help. When treating someone having an asthma attack, keep calm, reassure them and advise them to use their reliever inhaler straight away. Advise them to use a spacer if they have one. Ask them to breathe slowly
