Cold air is triggering my asthma

Back in September 2022, I was diagnosed with cryoglobulinemia, and ever since then I have had issues with breathing. Both of my pulmonary doctors say the issue is asthma. Yes I've had asthma in the past but when I have my flare ups none of my inhalers work to help my breathing. I've been on 4 so far. The Albuterol used to help with my episodes prior to my September diagnosis. Now my triggers have been cold air, I get shortness of breath and then sometimes chest pains. I never had that problem before, now its everytime I'm in cold air (whether air conditioned rooms, fridge/freezer areas, fans, even cool breeze). One doctor thinks it's really strange. All my tests come back normal. The only thing I've found that helps is wearing a mask.Even with the mask, back in 2020 when we all had to wear masks, it used to trigger my asthma, now it helps my breathing. It's weird.

Back in September 2022, I was diagnosed with cryoglobulinemia, and ever since then I have had issues with breathing. Both of my pulmonary doctors say the issue is asthma. Yes I've had asthma in the past but when I have my flare ups none of my inhalers work to help my breathing. I've been on 4 so far. The Albuterol used to help with my episodes prior to my September diagnosis. Now my triggers have been cold air, I get shortness of breath and then sometimes chest pains. I never had that problem before, now its everytime I'm in cold air (whether air conditioned rooms, fridge/freezer areas, fans, even cool breeze). One doctor thinks it's really strange. All my tests come back normal. The only thing I've found that helps is wearing a mask.Even with the mask, back in 2020 when we all had to wear masks, it used to trigger my asthma, now it helps my breathing. It's weird.

Back in September 2022, I was diagnosed with cryoglobulinemia, and ever since then I have had issues with breathing. Both of my pulmonary doctors say the issue is asthma. Yes I've had asthma in the past but when I have my flare ups none of my inhalers work to help my breathing. I've been on 4 so far. The Albuterol used to help with my episodes prior to my September diagnosis. Now my triggers have been cold air, I get shortness of breath and then sometimes chest pains. I never had that problem before, now its everytime I'm in cold air (whether air conditioned rooms, fridge/freezer areas, fans, even cool breeze). One doctor thinks it's really strange. All my tests come back normal. The only thing I've found that helps is wearing a mask.Even with the mask, back in 2020 when we all had to wear masks, it used to trigger my asthma, now it helps my breathing. It's weird.

@zebra2022
Are you using albuterol puffer or albuterol nebulizer (ie 0.083 or 0.5 strengths). And what other meds you tried, you said 4 total.

Yes, cold weather can trigger broncospasm.
Can some of above scenarios - refrigirators and air conditioned rooms be avoided ?
My Best,

I've been on the Albuterol inhaler, symbicort inhaler, flovent inhaler, spiriva handihlr, ipratropium bromide (nebulizer) and now sodium chloride solution (nebulizer). These are the ones I have tried. The only one I'm on now is just the sodium chloride for the nevulizer. The rest of the inhalers don't even touch my lungs when my lungs are affected by the cold. My other asthma triggers respond to the Albuterol. Just not the cold air. Unfortunately avoiding cold altogether is not really an option. Plus it wouldn't help moving to a warmer state because I would still deal with the same issue. Businesses and shopping always have fans or air conditioners. I only started having this issue after my diagnosis of cryoglobulinemia and my system did a complete flip flop. I have not been the same medically since.

Have you tried albuterol nebulizer ? Suppose to get deeper into lungs.
When i am very sick, nebulizer gives me best relief (for a short time 🙂

Back in September 2022, I was diagnosed with cryoglobulinemia, and ever since then I have had issues with breathing. Both of my pulmonary doctors say the issue is asthma. Yes I've had asthma in the past but when I have my flare ups none of my inhalers work to help my breathing. I've been on 4 so far. The Albuterol used to help with my episodes prior to my September diagnosis. Now my triggers have been cold air, I get shortness of breath and then sometimes chest pains. I never had that problem before, now its everytime I'm in cold air (whether air conditioned rooms, fridge/freezer areas, fans, even cool breeze). One doctor thinks it's really strange. All my tests come back normal. The only thing I've found that helps is wearing a mask.Even with the mask, back in 2020 when we all had to wear masks, it used to trigger my asthma, now it helps my breathing. It's weird.

Back in September 2022, I was diagnosed with cryoglobulinemia, and ever since then I have had issues with breathing. Both of my pulmonary doctors say the issue is asthma. Yes I've had asthma in the past but when I have my flare ups none of my inhalers work to help my breathing. I've been on 4 so far. The Albuterol used to help with my episodes prior to my September diagnosis. Now my triggers have been cold air, I get shortness of breath and then sometimes chest pains. I never had that problem before, now its everytime I'm in cold air (whether air conditioned rooms, fridge/freezer areas, fans, even cool breeze). One doctor thinks it's really strange. All my tests come back normal. The only thing I've found that helps is wearing a mask.Even with the mask, back in 2020 when we all had to wear masks, it used to trigger my asthma, now it helps my breathing. It's weird.

Thanks for your comments about cold air. You are so right. I live in Northern California and the air is cool now so I am house bound. Any air below 70 degrees seems to tighten my bronchial tubes and so are thinking seriously about moving to Arizona where it is warmer year round. Also, I took your advice and tried Fisherman's Friends cough lozenges. I don't have a coughing problem but do get tickling and irritation in my throat with asthma. Perhaps FF cough lozenges could help with reducing inflammation as well. I am giving them a try! Thank you.