Doctor insights on:
Asthma Exacerbation In Adults In Children
Yes: According to CDC statistics asthma incidence (new cases per year) among adults (age 18+ years) was 3.8/1000, whereas that among children was 12.5/1000. Incidence among children aged 04 years was 23.4/1000, more than five times greater than that among youth aged 1217 years (4.4/1000). ...Read more
I've read about an article pointing out junk food as a worsening factor of asthma in children. Does this apply to adults?
Depends: It's tough to say with knowing your history. However, typically, asthma exacerbations are treated by increasing the frequency of rescue medications either by inhaler or nebulizer. Depending on dose, you inhaled steroid may be increased. Oral steroids are very common practice. If the exacerbation is really bad, you may need to be hospitalized and placed on heliox. ...Read more
Serious complication: Cyanosis in an asthmatic is an ominous sign, life threatening. ...Read more
What is the chance that blue skin is caused by asthma exacerbation in children? What are the usual symptoms?
Unlikely: If an asthma attack is very severe it can lead to respiratory failure where, the oxygen level can decrease and lead to cyanosis (bluish color of the lip and around the mouth). This is a very late sign in an asthma attack and an emergency. The usual signs of asthma in children is relentless cough, wheezing, shortness of breath/difficulty breathing. ...Read more
Perhaps: This is an area of controversy in medicine. Statistically, there are many children with childhood asthma who grow up to not complain of symptoms; however it is not clear if they are just avoiding activity that incites asthma or are used to the symptoms and don't seek treatment. So, it is possible to be an adult who had childhood asthma and be relatively symptom free. ...Read more
Genetics/external fr: There is ample evidence that true asthma is genetically linked to the issues of allergy & eczema & frequency is higher when one or both parents are affected. Lower respiratory tract viruses often trigger both infectious wheezing & that of true asthma early on with infectious wheezing subsiding after 3-4y. Allergies often co-exist but less than 5% of events are allergy driven alone. ...Read more
Trigger it, yes: Asthma is a complex condition with genetic features and environmental triggers. It is unlikely that a neighbors smoke could give your child asthma, but it could trigger a wheezing event if your child has the tendency and 2nd hand smoke does double a kids respiratory disease frequency. ...Read more
Maybe: Many children under-age 2 wheeze with respiratory infections often treated with asthma medicines for relief — reactive airways disease. If relatively mild outbreaks they often outgrow it. Those who flare up frequently without an infectious trigger are more suspicious for true asthma. Dailey inhaled steroids can help reduce flares and allow the lungs to grow. ...Read more
It can happen: It can happen at anytime in your life.most likely due to allergens in the environment. ...Read more
A lot: Pollution, car/diesel fumes, dust, smoke all can exacerbate asthma, especially when repeatedly exposed. Same goes for rented apartments where you can't get rid of carpeting, shades etc that collect dust and mold. Unfortunately, sometimes you don't have a choice. See your doctor for a more comprehensive list of what your child should avoid. Good luck! ...Read more
Pollution etc.: Because of our poor stewardship of our planet, our air, water and food are all polluted. The only answer is a pristine diet so that cellular energy is at its best. Even that is not enough because our food does not contain the vitamin/mineral content needed for good health. ...Read more
The simple answer is yes; asthma can develop at any age including adulthood. However, studies have shown that there is substantial complexity to this. Many young adults who are diagnosed with âadult onsetâ asthma actually turn out to have a history of wheezing during childhood or a history of atopy (allergies such as hayfever or eczema). This suggests that new onset asthma in young adulthood may have its origin in early childhood. Women also seem to be more susceptible than men in developing adult onset asthma. Studies have also shown that in contrast to childhood asthma (which many people grow out of), adult onset asthma tends to persist with at least the same level of severity if not worse as you get older.
Diagnosing new onset asthma in older adults is more problematic as there are many other conditions that can mimic asthma and can lead to a misdiagnosis. Some examples of conditions that can do this include bronchiolitis, gastro-esophageal reflux disease, chronic obstructive pulmonary disease (especially in smokers) and left-ventricular heart failure. Therefore, a diagnosis of adult onset asthma should only be made after extensive workup, preferably by a pulmonologist. ...Read more
Asthma is for life: You can bring the symptoms under good control and may never have symptoms again but the risk is always there. ...Read more
Asthma: The diagnosis of asthma at any age is potentially dangerous if not managed correctly but with proper guidance and correct use of medication it is controllable. Do not smoke or be around anyone who smokes, and ask your doctor about other triggers like animal dander, excercise, etc. ...Read more
Can you outgrow asthma? I.E. Have it as a kid, then completely be free of asthma as an adult? If so, how does that work? Thank you.
Not really...: Asthma is a chronic, incurable disease. However, you can have long, symptom-free intervals between exacerbations. Sometimes, these intervals can even last for years! But, you can develop an asthma exacerbation at any time, even after many symptom-free years so your asthma is really not gone, just in remission! Avoiding known triggers and avoiding smoking can lessen your chances of an acute episode. ...Read more
Not uncommon.: Sometimes a viral infection can trigger this...or it is possible to develop seasonal or other allergies, even if they weren't there when younger. There are other lung conditions that can mimic asthma, so just be sure you've discussed this with your doctor or a pulmonologist or allergist. ...Read more
Mgt: It is quite common and an estimated 1/7 children has had a history of recurrent wheezing. There are many presentations of this diverse disease which result in different patterns of presentation and course. Fortunately, there are effective treatments available. A virtual appointment is available online. ...Read more
Tests...: To diagnose asthma, one needs to diagnose recurrent bronchospasm and airway inflammation. This can be done by a doctor based on clinical grounds (example: the doctor hears wheezing/coughing on more than one occasion and it resolves completely with treatment). Or, the diagnosis can be made in the pulmonary function lab if this diagnosis is suspected but the physical exam is normal. ...Read more