Hi, Don't if you're already using anything to try to help w/it - but when I just had asthma, Serevent, then Advair were very helpful. There are many other meds for it, several Docs over the years have tried at least a half dozen things that didn't work, but you should be able to find something that does. If you don't already, see a good Doc, preferably lung Doc, (pulmonologist). Breathing on hills, or anywhere, of course shouldn't be painful, and I imagine there will be something they can suggest that will hopefully at least eliminate that part of it. Good luck 🤞

Sounds like you need to visit a pulmonologist. Get a referral from your GP. They can prescribe you something to help, either a daily medicine like advair or a rescue inhaler like albuterol.

I struggle a lot with hills and inclines too. if you google uphill asthma, you get a lot of info about exercise induced asthma. but it can also be a symptom of severe asthma (e.g. eosinophilic asthma, the type I have). things that can help, aside from a rescue inhaler, include drinking hot black coffee, drinking hot water, breathing like this in: 😬 out: 😙, and even singing if you can manage. with eosinophilic asthma, asthma attacks or acute episodes can be characterised more by difficult and painful breathing, rather than the classic asthma wheeze. frequent chest infections, chronic sinusitis, and reduced sense of smell are common. like the other commenters, I recommend trying to get referred to a respiratory specialist. if the symptoms I mentioned resonate, ask about eosinophilic asthma. it took me years on loads of steroids before I got diagnosed (leaving me with permanent side effects including scarred lungs and osteoporosis).

I have exercise induced asthma. I am on Singulair to help with everyday inflammation of my airways and seasonal issues. I was told by my pulmonologist to use my inhaler 10 minutes before any activity that is exerting for me. This definitely helps me. If I start to get too winded or my chest starts hurting, I use the inhaler again.

Possibly ask for an Asthma review if you were able to do these before?