Asthma is the most common
chronic (long-term) childhood disease. In America about nine million children
are diagnosed with asthma. Up to ten per cent of children in Europe are also
suffering from asthma symptoms. Unfortunately parents of these children are
often uninformed about the various ways to control childhood asthma.
If you suspect your child
has asthma the first priority is correct diagnosis. However, be aware that
symptoms can vary from episode to episode and not all wheezing and coughing is
caused by asthma. Asthma-like symptoms in children younger than five are
usually due to a virus or bacterial infection of the airways. However if your
child is experiencing breathing difficulties it is best to get them to a doctor
whatever the cause.
About eighty per cent of
children who develop asthma do so before the age of five. Studies show that
children living in rural areas have lower rates of asthma than those who live
in cities, particularly if they spent their first five years in a rural area.
For children living in inner cities the cockroach allergen seems to worsen
asthma symptoms more than dust mite or pet allergens. Therefore another
important step in the control of your child's asthma is to ensure that general
cleaning and maintenance routines are followed to ensure cockroaches are not
encouraged into the home. Levels of cockroach allergens have been found to be
highest in high-rise apartments.
Another factor that has been
linked to the development of asthma in children is exposure to smoke. A study
in Norway showed that almost ten per cent of adult asthma patients had
experienced passive smoking during early childhood. Therefore another step to
take at home is to ensure that your child is not exposed to tobacco smoke.
If your doctor recommends
the use of medication the next step is to encourage your child to take the
medicine. Asthma is one of the main causes for emergency room visits by
children. Yet studies have shown that up to half of these hospitalizations may
be preventable if children, particularly teenagers, followed their medication
schedule correctly, avoided their asthma triggers and made regular visits to
the doctor.
Perhaps fear of side effects
or dependency, or an impression that it is uncool to be seen taking medicines
is preventing children taking their medication as regularly as they should.
Perhaps intermittent asthma symptoms persuade children and their parents that
it is not important to take medication if there are no symptoms. This is a
mistake. Even when there are no obvious symptoms an asthmatic’s lungs will be
inflamed to some degree.
The fact that the condition
seems to run in families with a history of asthma or allergies suggests that
certain people are born with a predisposition to asthma. Some may believe you
are born with the condition and there is nothing you can do. However a child’s
environment can also play an important role. Studies have found that exposure
to potential allergens like pets and pollen in the first six months of life may
reduce the chance of developing asthma later. However exposure beyond six
months of age has the opposite effect. Being born into a family that already
has siblings also seems to reduce the chance of developing asthma.
It is known that children
are more susceptible to viral and allergic triggers than adults. An important
step in controlling your child's asthma is identifying the triggers and
teaching your child how to recognize their asthma triggers and avoid them. One
possible trigger is ibuprofen, with over 100,000 children susceptible to asthma
symptoms brought on by the drug.
Children tend to spend more
time outside during the summer vacation. If pollen or high levels of ozone
trigger your child’s asthma you need to monitor these. Physical exercise is a
common trigger of childhood asthma. Teach your child to take medication if
necessary, and do warm up exercises before strenuous activity and wind down
exercises after.
If your child is going away
to camp during the vacation make sure those in charge are aware of your child’s
asthma management and action plans. There are camps designed specifically for
asthma sufferers in the U.S. and Canada.
It is essential to have a
written action plan that clearly states what medication to take and when, as
well as how to respond to an asthma attack. You or your child may not remember
what to do at a time when it may be difficult for them to breathe, so it is
essential to have the important details in writing.
It is important you and your
child remain calm during an attack as panic can produce more breathing
difficulties. A parent’s instinct may be to cuddle their child, but that would
constrict the chest further.
If asthma is diagnosed your
next step is to inform your child’s school. Every school should allow access to
asthma medication and some allow children to carry and self-administer their
asthma medication if certain requirements are met.
Whilst we’re talking about
schools here’s one often overlooked childhood asthma trigger. School buses are
major sources of pollution, and studies show children who ride them are exposed
to five to fifteen times as much asthma triggering particulates inside the buses
compared to outside. New Jersey recently passed a law requiring retrofitting of
school buses and municipal vehicles to clean up tailpipe emissions. Is your
state doing the same?
Remember, if asthma is
confirmed you need to educate yourself. According to the experts knowledge is
the best prescription. To stop the disease affecting your child’s life you need
to know how to monitor and manage asthma. This will mean knowing how to use
medications correctly, whether your child’s attacks are triggered by allergens
and if so how to reduce exposure to them, and the lifestyle changes that will
help your child prevent attacks.
Despite being a widespread
disease there are still plenty of myths about asthma. One of the most damaging
of these for children is the belief that the condition will improve every seven
years or can even disappear completely. Unfortunately, any apparent improvement
is probably due to hormonal changes as the child’s immune system matures. The
underlying condition does not go away and not managing it can lead to long-term
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