rich emollient used in the management of eczema, psoriasis and other dry skin conditions.


I started smoking at the age of 9. Yes, I am very ashamed of it now but we all know that peer pressure has far more influence than it’s given credit for. I smoked all through school, college and into my early 20s. I enjoyed smoking and didn’t want to stop, not until I met my husband who was a non-smoker. After a couple of failed attempts, I finally gave up.

I had two children and remained a non-smoker for 12.5 years.

During one particularly stressful day, a friend of mine was smoking and I asked her for “a drag”. My cravings had never totally gone away. That drag led to a whole one, then a packet and before I knew it, I was smoking again. It took hold of me very quickly.

The Cough

I didn’t smoke much, maybe 7 a day, but it was enough to get a smoker’s cough. I wasn’t worried though, I mean everyone coughs!

Well, my cough got worse, especially during the winter. I even had pneumonia one year, but as soon as I was better, I’d pick up the fags again. Of course, my doctor kept telling me I had to stop, but as a typical smoker, I was blasé. I didn’t want to stop, I enjoyed it, my bit of stress relief. That’s what we all tell ourselves, isn’t it?

As the years progressed, I started to cough up lumps of phlegm every morning and every time I lay down. That was disgusting and enough to make me want to give up. I’d make it to 6 weeks or 6 months and then start again.

People started to comment on my cough. It wasn’t just in the morning and night but now during the day too, especially when I was around strong smells and chemicals. I wondered if I might have asthma. There is a strong family history and I suffered with eczema and psoriasis, which often go hand in hand.

Getting a Diagnosis

So I nervously went to see my doctor and asked if he thought my cough could be asthma. He replied with the immortal lines “Actually I think you have COPD!” I had no idea what that was. It was really scary to find out that it stands for Chronic Obstructive Pulmonary Disease, basically lung disease.

I wasn’t prepared for that. This was serious.

I went out that night as planned, had a few drinks and smoked my very last cigarette.

Spirometry Test and Peak Flow Readings

I then started a year of regular appointments to see the asthma nurse at my GP surgery. She is also a nurse practitioner and able to dispense medication.

The first step was to have a spirometry test. This is a machine that is hooked up to a computer. You blow into the mouthpiece as instructed, some quick breaths others long and slow. It then provides a reading. My reading came out borderline for COPD!

She prescribed me a brown preventative inhaler that I had to take every morning and evening, then a blue reliever inhaler to take as and when I had a bad coughing attack. I was offered a plastic tube spacer which makes it easier to take a full dose. There is quite a knack to using an inhaler.

I was given a peak flow meter and had to take my readings and log them every day. This involves blowing hard into the mouthpiece three times and logging the best reading. My readings then were around 260 – I should have been about 540!

Asthma Diagnosis

I had to see my asthma nurse every three weeks to discuss my readings and cough. I was still coughing and bringing up a lot of nasty stuff. It takes the lungs a very long time to clear all the mucus and tar out.

Six months later I had to repeat another spirometry test. Thankfully I had moved off the borderline COPD mark but my peak flow readings were still very low.

I continued to see her to monitor the progress. My peak flow would average at around 300, very occasionally it would get as high as 330. That was still very low but it was higher than it was.

I got my official asthma diagnosis after one year.

Four Years On

I am now four and a half years on. I have tried several different inhalers and have settled with a preventer one that seems to work for me. I take it twice a day during the winter and only take it in the mornings during the summer, occasionally needing to take a reliever puff.

I have changed many of my home products. I do not use bleach spray daily like I used to. I only use it down the toilet, but I do that as I leave the house so I don’t inhale the fumes.

I use a fragrance-free washing powder and eco-friendly kitchen and bathroom cleaners that have a very light citrus scent. I don’t use any aerosols or air fresheners. We use stick deodorant now. I am over sensitive to any strong smells. Just someone wearing perfume is enough to set me off coughing.

My daytime cough has pretty much gone although I do think I cough more than “normal people” when I get a cold, and I have had a couple of chest infections following a bad cold. I am now offered a flu jab every year.

I am obviously a non-smoker now, that diagnosis was enough to scare the life out of me.


Jo Jackson

Jo Jackson is a freelance writer and blogger. She has had a varied career that includes 20 years in early years education, running a sales office, HR, and even worked as a barber when she finished her college education. In addition to running the family home, she has written many articles for books, magazines and websites. She has also created and continues to maintain several social media accounts for musicians and her own web presence. For the past few years, she has produced a blog Tea and Cake for the Soul where she focuses on the nicer things in life such as travel, music, books and recipes. She gives useful tips for the home, the environment and how to cope with health matters such as menopause and mental health. Jo has suffered from various mental health issues for the vast majority of her life and talks openly about the illness in order to give advice to others and reduce the stigma. She also shares her experiences of menopause, caesareans, a hysterectomy and asthma. Jo’s long term goals are to write and travel more (particularly in the USA), and to finish writing her memoirs of growing up on a diet of music.

15 Responses to How I got my asthma diagnosis

  1. Thank you for a very honest first blog Jo. We look forward to the next instalment.

  2. Jo

    Thank you very much for having me onboard at Talk Health.

  3. Jude Wright

    Great and honest first blog Jo… my Mummy was a chronic asthmatic and died at 49 and my Dad had asthma and COPD which unfortunalty lead to his lungs collapsing and him passing away recently. As an ex smoker myself i know how hard it is to give up… luckily for me i seem to have been unaffected by a family hiustory of asthma ( my brother suffers with it as well as Psoriasis) – I gave up over 6 years ago and have never looked back! I guess for you its all about learning aboput your body and what your triggers are. Best of health to you and i look forward to your next blog.

  4. Pingback: World Asthma Day 2019 – Read About my Diagnosis & Stop Smoking Tips | Tea & Cake For The Soul

  5. Ali

    Well done on giving up!

    • Jo

      Thank you. I really had no choice but in a way I’m glad it happened like that as I would have kept convincing myself I’d be ok.

  6. Laurie Hanscom-Harmon

    Keep up the good work! I have asthma and my husband has COPD. He has tried to and almost quit several times. Honestly it scares me what the future holds for his lungs.

    • Jo

      Laurie, I hope he manages it soon. I’m sure he’s tried every way possible to give up, but I’ve got some tips on my blog if you want to point him in that direction. Good luck and thank you.

  7. Laura

    It’s so interesting to read about you coughing up phlegm as that is what happened before I was diagnosed and given a preventative. My aunt has brittle asthma and it’s amazing she’s still alive after being on steroids since a child. She has to use oxygen and a nebuliser at home every day to avoid living in hospital. It’s so often misunderstood so it’s great to read this article.

  8. Michelle

    Wonderful post, Jo. Thank you for sharing your journey with asthma. I was recently diagnosed myself. I quit smoking 4 years ago and it helped so much, but I often fear COPD is in my future. I was 10 when I started. I like to think that’s why I was dumb enough to ever pick it up! The foolishness of youth!

  9. fitnesshealthforever

    Hey, very nice article. I came across this on Google, and I am stoked that I did. I will definitely be coming back here more often. Wish I could add to the conversation and bring a bit more to the table, but am just taking in as much info as I can at the moment. Thanks for sharing.

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