Knowledge

Understand your lungs and your breathing.

Sober, evidence-based information from the specialist about the conditions and examinations the clinic works with every day. The articles are general information and do not replace a medical assessment.

The work-up of exercise-related breathlessness. The symptom is the same whatever the cause, and beneath it sit three conditions side by side: EILO, exercise-induced asthma and dysfunctional breathing. Each has its own hallmark and its own test that settles the question, and the three do not rule each other out. Exercise-related breathlessness Symptoms alone do not settle it Exercise-induced asthma Wheezing from the chest Settled by Provocation or exercise test EILO Laboured breath in, from the throat Settled by Laryngoscopy during exercise Dysfunctional breathing Dizziness and tingling come with it Settled by Observing the breathing itself The three do not rule each other out and often occur side by side The work-up of exercise-related breathlessness. The symptom is the same whatever the cause, and beneath it sit three conditions side by side: EILO, exercise-induced asthma and dysfunctional breathing. Each has its own hallmark and its own test that settles the question, and the three do not rule each other out. Exercise-related breathlessness Symptoms alone do not settle it Exercise-induced asthma Wheezing from the chest Settled by Provocation or exercise test EILO Laboured breath in, from the throat Settled by Laryngoscopy during exercise Dysfunctional breathing Dizziness and tingling come with it Settled by Observing the breathing itself The three do not rule each other out and often occur side by side
The three conditions stand side by side, because none of them is what is left once the others have been excluded. Dysfunctional breathing has its own hallmarks and is assessed directly. Which examinations become relevant depends on the history, and many people have more than one of them. Schematic overview.

Exercise-induced asthma (EIB)

A common cause of exercise-related breathlessness, and one that cannot be diagnosed from symptoms alone. On why testing is needed, which examinations are used, and how it is treated.

Read about exercise-induced asthma

EILO: exercise-induced laryngeal obstruction

One of several possible causes of breathlessness in sport, and one that sits in the larynx rather than the lungs. On symptoms, who is affected, how the diagnosis is made with CLE, and what can be done.

Read about EILO

Dysfunctional breathing

Sometimes the breathing pattern itself is the problem, and it produces breathlessness, dizziness and tingling even when the lungs are working normally. On symptoms, assessment and retraining.

Read about dysfunctional breathing

Asthma testing (bronchial provocation)

Mannitol, methacholine, EVH and a cycle-ergometer exercise challenge in one place. What each test measures, what the answer means, and what it does not mean.

Read about asthma testing

Asthma in adults

The common form: what asthma is, how the diagnosis is established with measurements rather than symptoms alone, how it is treated, and what good control looks like.

Read about asthma in adults

EILO or asthma? Two conditions that are easily confused

Breathlessness during hard exercise is often labelled asthma, but the cause can be exercise-induced laryngeal obstruction (EILO), which sits in the larynx. The treatment differs entirely, so telling them apart matters.

EILO or asthma?

Chronic cough: causes and assessment

A cough lasting more than eight weeks is called chronic. It usually has a treatable cause, and it can be assessed systematically.

Read about chronic cough

Lung-function testing (spirometry): how it works

The core examination of respiratory medicine: painless, quick, and it gives objective numbers for how your lungs are working.

Read about the lung function test

Asthma medication and anti-doping (TUE)

For competitive athletes, asthma treatment must both work and comply with the anti-doping rules. Both start with an objectively documented diagnosis.

Read about asthma medication and anti-doping

Looking for the practical details instead: referral, payment, opening hours and what to bring? They live on the practical information page. And the clinic's full range of services is described under services.

Practical information Services

Do your symptoms need a proper assessment?

A referral from your GP is normally required. Your GP sends it electronically, and you then book a time yourself with MitID, and we collect the referral. Until the patient portal opens, you book your appointment by calling the clinic during phone hours. You can also be seen as a private or insurance patient.