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No one really knows what causes asthma. What we do know is that asthma is a chronic inflammatory disease of the airways. The causes of asthma symptoms can vary from person to person. Still, one thing is consistent with asthma: when airways come into contact with an asthma trigger, the airways become inflamed, narrow, and fill with mucus.
Regardless of how severe your asthma is, an attack will appear the same internally. Your airways will have a bronchospasm. This is a tightening around your airways. The mucus in the inflamed airways will also thicken, which can make it difficult to breathe.