Page 20 - 10. Asthma
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                                                                    2. INTRINSIC FACTORS










                            • Severe coughing such as postnasal drip, chronic rhinitis, sinusitis, or

                               gastroesophageal reflux disease (GERD or heartburn). Coughing because of
                               sinusitis / allergic with asthma is common.






                            • Stress

                                   ➢Stress hormones (cortisol and Noradrenaline / norepinephrine) released in

                                       response to stress can cause muscles to contract and cause narrowing of

                                       blood vessels.
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