Doctor insights on:
Croup Vs Asthma
Cotton feeling throat and lungs. Cannot breathe in cold air cough like seal. When sleeping wake up coughing sometimes, is this asthma?
Maybe: Asthma symptoms are cough, wheeze, shortness of breath and/or chest tightness that is recurrent. It typically worsens at night and with exercise. There are multiple triggers including allergies, smoke/irritants and even acid reflux. An allergist or pulmonologist can perform a history, exam and lung function tests to help determine if asthma is the cause. ...Read more
Not particularly: True asthma has a genetic component and will emerge over time. Most males that will have a significant form will be symptomatic by a year of age, and a respiratory infection may trigger a flare up. Croup as a common infectious syndrome can bring out asthma, but does not cause it. There are lots of wheezy asthma like problems in childhood that disappear as kids get older. ...Read more
My 3 year old has had croup 8 times in the last 6 months. He also has asthma. How does asthma cause croup?
Asthma is not croup: Asthma and croup are entirely separate albeit often concomitant disorders. Asthma effects the lower airways and can be triggered by a viral infection (such as parainfluenza, a cause of croup). Croup is an upper airway (near vocal cords) infection. Often upper airway infections can trigger asthma as well but not typically the reverse. ...Read more
My six year old was diagnosed with croup this morning. Are there any added complications I should watch for being as he also has asthma?
What should I do if my toddler keeps getting the croup over and over again? She has had croup for about 3, 4 times! Does it mean she might have asthma?
Yes: Recurrent croup is likely from asthma but this needs to be evaluated by your pediatrician and/or an allergist. This condition however may subside by age 3 or 4 in a high proportion of children. Due to the small caliber of the airways in young children, making a diagnosis of asthma may be difficult. If the child has eczema and found to be allergic + pos family history, then asthma is more likely. ...Read more
My niece is 21months & has croup about every 8weeks, has had pneumonia & bronchitis do you think she will be more likely to have asthma or alls?
It's possible.: She could have underlying allergies or asthma; her parents should discuss her illness history with her doctor. Sometimes seeing a pediatric pulmonologist or allergist may help sort out the problem and create a management plan so she won't have respiratory problems as frequently. ...Read more
No: Croup is a most often a viral illness that more severely affects younger children due to the size of their airways. It causes swelling below the vocal cords which then manifests itself physically with the signs of the croupy cough and occasionally inspiratory stridor (loud coarse breathing in). The larger the airway, the less chance of problems and there is no association with asthma/allergies. ...Read more
Croup: Croup is caused by the parainfluenza virus most of the time and causes swelling around the vocal cords in the throat which results in a distinctive cough. Asthma is a disease of the lungs, and although flare ups are sometimes triggered by viruses they do not cause it. Some viruses, like RSV (respiratory syncytial virus), can cause damage to the lungs resulting in asthma-like symptoms. ...Read more
My 4yr old has croup & has asthma should he get a breathing treatmnt his flem is light green & he's not eating should I take him to pedi dr 5th day.
See the doctor: If he is having a problem breathing now, do the treatments on a regular basis, mostly albuterol every 4 to 6 hours. You should call his pediatrician in any case, prior to seeing him/her, as a slight infection can trigger his asthma. Do not wait for the weekend to be over. ...Read more
I have outgrown asthma but now frequently get laryngitis, croup and windpipe infections is there anything I can do?
My 6 year old has had recur. Croup and asthma like symptoms since she was two. Albuterol doesn't seem to help. What can we do? Is it asthma?
May need ENT eval.: Some kids croup easily (with colds) and end up needing treatment for croup (sometimes prednisone) several times. A pediatric ENT doctor may need to check the throat & voice box. Usually, "croupers" outgrow it as they get bigger, and croup doesn't seem to increase their asthma chances. Having repeat "pneumonia" or "bronchitis" is different from croup, and can be signs of asthmatic cough symptoms. ...Read more
Besides asthma, what can cause a deformed chest/harrison's sulcus in a 4 yr old boy? History: severe croup, born with tortocolis, recent tonsillectomy
Harrison Sulcus: Harrison s sulcus can be formed by chroniclung disease, but also ricketsor other bone diseases lackingcalcium. ...Read more
He could have whooping cough, asthma, chronic cough, allergies, croup. I am so confused. How do I tell the difference?
See a doctor: Your doctor's job is to make the proper diagnosis, don't wreck your brain with it. ...Read more
My son sounds like he has the croop cough. No other symptoms yet. He grew out of his asthma 1 yr ago. What should I do?
Monitor carefully: The barky croup cough is typical of a virus with inflammation just below the vocal cords. However, the same virus associated with croup may also trigger asthma. Even though some children "outgrow" asthma, it is always possible that an infection can make it recur. Asthma is more like a volcano that can go dormant for a period of time; but under the right conditions, erupt again! ...Read more
I think my 2 yr old has croup. He is an asthmatic w/ broncho/tracheo&laryngamalacia so I worry. Would he require any extra precautions for his croup?
My 4 year old has asthma was on antibiotics for 10days. Now he developed croup and low fever. Should I be concerned?
Yes: When a child with asthma who has been sick and on antibiotics develops croup (or any important new symptom) it's wise to get back in touch with the doctor to evaluate. Croup tends to get worse as the evening progresses. The right treatment often prevents breathing problems. Waiting sometimes results in serious difficulty breathing. ...Read more
You don't: Asthma is a chronic condition of increased small airway reactions. There are genetic and environmental factors that persist throughout life, usually becoming evident in childhood. One learns to live with their asthma & present medications offer a near normal existence to most. There is no cure, there are programs that promote stability & reduced flare ups through early recognition of problems. ...Read more
Asthma is a chronic disease and the aim is to control the symptoms. It is not "cured" but as it is controlled symptoms become less frequent.
Always look for triggers in the environment and I your home, as well as seasonal allergic triggers. Infections, scents, changes in weather can all trigger symptoms.
Learn about your meds and always follow your action plan. ...Read more
Many: The most important factor is genetics, the second is the environment. At least half of the asthma cases are related to allergies, others mostly unknown and often called intrinsic asthma. Tobacco exposure, viral infection, aside from allergic triggers, often exacerbate asthma. For further details check www. Aaaai. Org. ...Read more
Lung testing.: Asthma involves inflammation, muscle spasm and mucus production in the airways. It is diagnosed by history, physical exam, and lung function testing. Patients often complain of chest tightness, wheezing, cough, and shortness of breath. It can occur in any age group, although it is the most common chronic illness in children. ...Read more
Inhalers & avoidance: Avoiding things that trigger your asthma, such as dust or animals, can help. Most asthma is controlled with short acting inhalers like albuterol, & long acting inhaled steroids. Albuterol helps acute attacks; inhaled steroids help prevent attacks from happening in the first place. Other meds, such as singulair (montelukast) or oral steroids, are used when these aren't enough to keep it under control. ...Read more
Airway inflammation: Simplistically, asthma is characterized by airway inflammation, and falls into the classification of allergic or atopic diseases. In response to various "allergens", such as pollens, mold, dander, etc., the body creates an inflammatory response which leads to bronchoconstriction. In some, this is chronic, in others, this can be occasional or "episodic." therapy is generally straightforward. ...Read more
Possibilities: This time of year there are a number of possibilities - this is a high season for ragweed and tree allergies. You might also have a viral or bronchial infection. I would seek medical advice in person if you are experiencing a significant worsening of your asthma. Sometimes asthma exacerbations can be shortened if treated early. ...Read more
Night...: Nocturnal refers to night time. So, nocturnal asthma is present when an asthmatic awakens from sleep with asthma sxs like shortness of breath, cough, etc. There are medications that can be given to try to prevent this from happening. Keep track of how often this happens, what time the awakenings occur, exact sxs present, etc so your doctor can prescribe an effective regimen for you. ...Read more
Were you tested?:
If you have been tested a course of treatment should have been prescribed. Depending on the severity of your asthma, various treatments may be started. Mild infrequent attacks may be treated with a rescue inhaler whereas more frequent severe attacks may require a controller inhaler to be added. The best course must be determined by you and your physician.
Good Luck ...Read more
Inflammation: Is the precipitating cause but no one really knows the actual underlying reason some people develop asthma. We do know that allergies and respiratory infections can lead to inflammation that leads to wheezing and "asthma" symptoms. Diet and genetics my also influence developing asthma. ...Read more
Lots of things: There are many asthma triggers. In some cases they can be identified & avoided, or desensitization therapy by an allergist might help. But in most cases, the triggers are difficult if not impossible to avoid, and the answer lies in calming down the asthma response with an inhaled corticosteroid. If asthma symptoms are frequent or severe, increased treatment is needed to avoid serious consequences. ...Read more
Many...: There are many medications that can be used for asthma. For acute wheezing episodes - albuterol in the form of nebulized medication or inhaler is the drug of choice. In an acute flare, your physician may also prescribe an oral steroid. When attacks are frequent, a physician will likely consider one of the many controller medications that are meant to be taken daily. Too many to list - talk to doc ...Read more
The background to the lung inflammation can be from many causes. Allergies, cold air, strenuous exercise, etc. It is very important to your treatment to get to the cause and minimize or eliminate exposure if possible.
A good history taken by your physician may be abler to pinpoint the cause (s). Get checked.
Good Luck ...Read more
Time for a visit: To start write down all the symptoms you have that lead you to this question. Also record any information on family history, things that bring out symptoms, etc. Take this list to your doc and seek an evaluation. After this is reviewed and possible testing, this may be confirmed, excluded or neither. Not all that produces wheezing or cough is asthma. ...Read more