Chlorinated pool use in children who are already at risk for asthma
Taking some medicines, such as aspirin or other nonsteroidal anti-inflammatory drugs
An asthma attack can cause:
Shortness of breath and fast breathing
Complaints of chest pain
Difficulty during feeding in infants
Avoidance of exercise or sports
A doctor will ask about your child’s symptoms and past health. A physical exam will be done. The doctor will listen to your child’s lungs. Your child may be referred to a specialist.
Your child may be tested for common allergens that may trigger symptoms. This can be done with
Your child's lungs may be tested with:
Spirometry test—blowing in a tube to measure amount of air that is moved
Challenge test—measures breath after exposure to medicine or allergen
The doctor will create an asthma action plan. This is a plan to help control asthma, handle asthma attacks, and prevent limits to child's play. Treatment will vary based on age, symptoms, and how often asthma attacks happen. The treatment plan will help to decrease number of attacks or stop attacks from happening.
Treatment options include the following:
Medicine used to treat asthma may be long-term or short-term.
Long-term medicine will help to avoid asthma attacks. They cannot treat an attack itself. One or more may be used:
Inhaled corticosteroids—to prevent airway swelling and inflammation
Inhaled long-acting beta agonists—to relax the airways
Oral leukotriene modifiers—to prevent airway inflammation and swelling, decrease the amount of mucus in the lungs, and open the airways
Inhaled cromolyn or nedocromil—to prevent airways from swelling in response to an asthma trigger
Oral theophylline—to relax the airways
Short-term control medicine is used to treat an asthma attack. It may include:
Inhaled quick-acting beta agonists and anticholinergic agents—to open the airways
Oral corticosteroids—to reduce severe airway inflammation
Exercise may help the lungs work better. Treatment should allow normal exercise and activity levels, including sports.
Changes or things in the air can trigger an asthma attack. The exact triggers may be a bit different from person to person. Some helpful steps include:
Have allergy tests to better understand triggers. Common problems include pollen, dust, foods, and air pollution.
Avoid outside time if there are high levels of air pollution, pollen, or mold spores.
Keep windows closed during seasons with high pollen or mold spores. Air conditioning may help clear allergens from indoor air.
An air cleaner with a HEPA filter may help clear indoor air. It can be most helpful in sleeping area, heating/cooling system, and vacuum cleaner.
Avoid exposure to tobacco smoke.
Check for and control mold growth in the house.
Vaccines to protect against airway infections.
Children older than 6 months should get a yearly
may be considered to reduce reactions to allergy triggers.
Chronic asthma in children. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/chronic-asthma-in-children. Accessed August 28, 2020.
Asthma: kids. Centers for Disease Control website. Available at: http://www.cdc.gov/ASTHMA/children.htm. Accessed August 28, 2020.
Childhood asthma,. American Academy of Allergy, Asthma, & Immunology website. Available at http://www.aaaai.org/conditions-and-treatments/library/at-a-glance/childhood-asthma.aspx. Accessed August 28, 2020.
What causes asthma? National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/dci/Diseases/Asthma/Asthma_Causes.html. Accessed August 28, 2020.
8/27/2013 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T500326/Asthma-in-children : Kim JM, Lin SY, et al. Allergen-specific immunotherapy for pediatric asthma and rhinoconjunctivitis: a systematic review. Pediatrics. 2013 Jun;131(6):1155-67.
11/2/2015 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T500326/Asthma-in-children : Normansell R, Kew KM, et al. Sublingual immunotherapy for asthma. Cochrane Database Syst Rev. 2015 Aug 28;8:CD011293.
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