Doctor insights on:
Do Children Outgrow Their Asthma
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.See 5 more doctor answers
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.See 2 more doctor answers
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.See 1 more doctor answer
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.See 9 more doctor answers
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!See 1 more doctor answer
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.
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.
Rescue and Control: We use a combination of rescue meds (albuterol) for acute (right now) symptoms AND controllers (inhaled steroids or leukotriene modifiers)for everyday/ long term control of symptoms. Reduction of triggers like tobacco smoke, dust, mold, other allergens. Talk to your primary care about options.See 1 more doctor answer
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 0–4 years was 23.4/1000, more than five times greater than that among youth aged 12–17 years (4.4/1000).See 1 more doctor answer
Avoid triggers: Avoid known triggers, ale sure your environment is not filled with chemicals, scents or fumes.Avoid second hand smoke, be very mindful of environmental triggers and allergens and pollens, as well as clastic changes. Keep an eye on reactions to foods and make sure you are taking your medications as directed.See 1 more doctor answer
Cough, wheeze, SOB: Coughing is the most common symptom of asthma especially if cough occurs with exercise or laughing. Colds that routinely go to the chest are very common in patients with asthma. Wheezing and shortness of breath may also occur with colds or exercise, but cough is the most common symptom.See 1 more doctor answer
Pediatric asthma: All children with asthma should receive albuterol for quick relief of symptoms. Nih asthma guidelines suggest, children 0-4 years old with persistent asthma be treated preferably with low doses of inhaled steroids (pulmicort, flovent) or alternatively with singulair (montelukast) or cromolyn. As the severity worsens, higher doses of inhaled steroids are used and combined with singulair (montelukast) or serevent (as advair).
Lots of reasons: It may be due to increased awareness of the disease, so instead of calling it something else we are diagnosing asthma. It may also be due to our environment. We are aware of certain countries where asthma is lower. It tends to be in less developed countries or even in areas where they let livestock live in their homes. We may be keeping our kids too clean!See 1 more doctor answer