Asthma in children

iStock_000004592737XSmallAsthma is a major health problem worldwide. Asthma affects 3-5% of children in US and still growing tendency manifested in terms of moderate and severe. Is the most common chronic disease of children. 30% of cases of asthma begins in the first year of life and 50% in the first two years.

A number of favorable factors such as prematurity, which involves a series of morphofunctional features, amniotic fluid aspiration at birth, excessive pollution, viral infections in infants (particularly respiratory syncytial virus bronchiolitis), smoking during pregnancy and child exposure to cigarette smoke, poor socioeconomic conditions contribute to disease onset.

Diagnosis is sometimes difficult, especially in infants and small children, some symptoms are spastic cough, short of breath (breathlessness), especially at night, viral infections, animal fur, house dust, pollen, smoke, temperature variations. Often, repeated respiratory infections during the first two years of life, treated with antibiotics abuse, means asthma.

The first step in treating disease is removing the triggers, especially allergens. Therefore, the ideal would be for parents to try to observe what particular circumstances are repetitive trigger respiratory symptoms. In practice this is sometimes difficult, can take a number of general measures that could improve the disease condition:

Reduce your child’s first contact with house dust! This can be achieved by removing the less useful items (figurines, paintings, ashtrays), rugs, carpet where dust accumulates, the use of plastic mats, washable, use as little furniture and as simple, waterproof and anti-allergic pillows, and vacuum cleaners with water filters. Properly ventilated house, especially bathroom and kitchen to prevent mold.

If you notice more spring onset of symptoms, then there may be sensitization to pollen.

Give up pets, birds, fish, houseplants.
Avoid exposing children to cigarette smoke.
Not administer drugs that might trigger symptoms (aspirin, etc.). And replace them whenever possible (eg colds treated with paracetamol).
Be as receptive to the child’s emotional problems.
Drug treatment should be as early and vigorously to prevent the evolution to severe forms in adulthood! Indication will be given only under the supervision of a medical specialist and pediatrician, in collaboration with family doctor!

However some general rules can be retained:

Treatment is administered according to the classification of disease severity, each child will have a treatment plan and a monitoring sheet, the parents will record daily symptoms, the need for medicine and other crisis observations.

Are absolutely required constant medical visits every 3 months (or more often if asthma is severe) and, if the disease is controlled, try reducing the dose of medicine.

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