Hi Andyquest,

Asthma is a disease that has many faces. By this I mean it has a vast array of signs and symptoms that differ in combination with each individual. There are several possible trigger factors that go beyond allergens (such as pollen, mold, dust mite and pet dander). These include cold air, pollution, exercise, dry air, stress, fragrances and many others.

The common cold is a very well known trigger for asthma in this country and around the world. The fact that your asthma improves is very unusual. I wonder if this is because you cut back or out smoking when you get a cold. I imagine having a cold, asthma and smoking would just about do you in.

Needless to say (but you know I have to say it) smoking will likely escalate the development of chronic irreversible lung disease (chronic obstructive pulmonary disease/emphysema). Asthma is a chronic inflammatory disorder that over time can cause some serious damage to the lung (especially when not adequately controlled). Add in tobacco use and it is much like "fanning the flame with fuel".

Regarding hunger and asthma, I have not come across this in my office but it doesn't sound farfetched when you consider stress as a possible asthma trigger. Hunger may be stressful. I have come across some interesting research on asthma being linked to hunger. Here is the link: http://news.bbc.co.uk/2/hi/health/6900605.stm

I hope you find a way to stop smoking. It starts with the realization that it is bad for you and not worth the risk. Next comes the desire and determination to stop. Seek more information and help.

Start here: http://www.lungusa.org/site/c.dvLUK9O0E/b.38973/k.CD9F/Freedom_From_Smokingreg_Online/apps/kb/home/login.asp?membershipreq=83912&targetURL=http%3A%2F%2Fwww%2Elungusa%2Eorg%2Fsite%2Fpp%2Easpx%3Fc%3DdvLUK9O0E%26b%3D22933&sessionid=C45E2FA7D7794F2FB829979D82A7AAF6

Good Luck!

J. Thompson, MD