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Controlling
Childhood Asthma
from Better Health magazine,
Summer, 1999
Asthma
is the most common chronic disease of childhood and can be fatal if
not properly managed. An estimated 4.8 million children under age
18 are diagnosed with the disease. William Henderson IV, M.D., a pulmonololgist
affiliated with Danville Regional Medical Center, explains what parents
should do if their child has asthma.
What are the symptoms of asthma?
Asthma is a lung disease characterized by a sudden narrowing or
inflammation of the air- ways. Symptoms include wheezing, coughing,
congestion, shortness of breath and chest tightness. If a child
has any chronic respiratory problem, such as chronic bronchitis
or recurrent pneumonia, asthma may be the underlying cause. About
80% of children with asthma show symptoms under the age of five.
What can trigger an asthma attack?
The factors that trigger asthma vary with each child and can include
viral infections, cigarette smoke, allergic reactions to pollen,
animal dander, dust and other allergens, exercise, excitement or
stress.
What treatments are available?
Children with untreated asthma can suffer significant limitations
in terms of their ability to participate in sports and school. The
good news is that treatment is effective and most children are able
to function well and lead normal lives. Anti-inflammatory medications
taken on a regular basis can help to preserve lung function and
prevent future episodes. That's why it is important for children
to take their control medication regularly and not just resort to
rescue medications when they're having an episode.
What can parents do to help?
Be aware that chronic respiratory symptoms can be a sign of an asthmatic
condition and should be evaluated by a physician. By modifying the
child's environment, the symptoms can improve. It may be belpful
to remove asthmatic triggers by keeping a pet outside, not smoking,
or cleaning a moldy or dusty area of the house.
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