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Signs and Symptoms of Childhood Asthma
→ WHAT PARENTS NEED TO KNOW
- NDC Editorial
- May 5, 2024
- 1:00 am
Imagine a child, full of laughter and boundless energy, suddenly struggling to catch their breath. Childhood asthma, a condition that affects millions worldwide, is more than just difficulty breathing; it’s a daily battle against invisible forces. It’s the wheezing, the coughing fits that interrupt playtime, and the fear in a parent’s eyes as they watch their little one struggle. But amidst the challenges lies resilience, hope, and the unwavering determination to ensure every child breathes freely.
Childhood asthma is not a singular disease, but rather a uniquely diverse disorder with variable presentation throughout childhood. Join us as we delve into the world of childhood asthma, where compassion, understanding, and support pave the path towards a brighter tomorrow.
Table of Contents
“You have to take asthma seriously. People do not realize the stress our bodies go under.”
Understanding Childhood Asthma
What is Childhood Asthma?
Childhood asthma is a chronic respiratory condition that affects the airways in the lungs, causing them to become inflamed and narrow. This inflammation and narrowing make it difficult for children with asthma to breathe properly. Common symptoms of childhood asthma include wheezing, coughing, shortness of breath, and chest tightness. These symptoms can vary in severity and frequency, and they may be triggered by factors such as allergies, respiratory infections, exercise, or exposure to irritants like smoke or pollution. Childhood asthma requires ongoing management and treatment to control symptoms and prevent flare-ups, which may include medications, lifestyle adjustments, and regular monitoring by healthcare professionals.
How common is Childhood Asthma in India?
It is estimated that globally, around 30 to 35% of children suffer from allergic disorders, and the incidence of these illnesses has been increasing in recent years. Atopic dermatitis, allergic rhinitis, asthma, and food allergies are some of the allergic disorders that commonly affect children, with asthma being the most prevalent chronic condition among both children and adults.
Studies conducted to determine the prevalence of asthma among children in India have reported varying results, ranging from 2%[Ref] to 18.2% [Ref]. The prevalence of asthma among boys and girls in school-based studies was found to be 8% and 5.9%, respectively.
Impact of Childhood Asthma on your child’s life
The impact of asthma on your child’s life can be significant. It can affect their ability to breathe properly, engage in physical activities, and even disrupt their sleep. It is important to ensure that your child is receiving the proper treatment and care to manage their asthma effectively and improve their quality of life.
Many children with asthma often have to miss school, which can be challenging as they may fall behind in their studies and miss out on social interactions. It can be helpful for your child to call a friend and ask about the work that was missed, which can help them keep up with schoolwork as well as provide them with some of the social contacts that the school provides.
Children with asthma may sometimes doubt their ability to participate in sports or other activities. However, if they use their medication and keep their asthma symptoms under control, they will likely be able to participate in these activities.
Taking medication at school can sometimes be an embarrassing experience for children with asthma. To alleviate this, it may help if your child can take the medicine at home or bring it with them to school. However, there may be times when your child needs to go to the school nurse or office to take medicine.
Children with asthma may feel different from their peers because they have to avoid situations that trigger their asthma symptoms. For example, they may not be able to visit the homes of friends who have pets. In this case, inviting those friends to your home can help your child interact with other children. However, it’s important to be aware that visitors may carry pet allergens on their clothing and other items, and your child may need to increase their use of asthma-control medicines during such visits.
Children with asthma may be afraid of having an asthma attack at school or around friends, which can make them feel anxious. However, if their symptoms are controlled daily, they will have fewer and less severe asthma attacks, which can help to alleviate their fears.
What are the common Signs and symptoms of Childhood Asthma?
The symptoms of asthma in children may include:
- Wheezing: A whistling or squeaky sound when breathing.
- Coughing: Especially at night or during physical activity.
- Shortness of breath: Difficulty breathing or feeling out of breath.
- Chest tightness: A sensation of pressure or discomfort in the chest.
- Rapid breathing: Breathing faster than normal, especially during asthma flare-ups.
- Difficulty sleeping: Due to coughing, wheezing, or shortness of breath.
- Fatigue: Feeling tired or exhausted, especially during asthma exacerbations.
- Reduced physical activity: Avoidance of exercise or play due to asthma symptoms.
Asthma attacks in children are more likely to happen:
- During the night or early morning: Asthma symptoms can worsen while sleeping due to changes in airway function and increased exposure to allergens like dust mites.
- During or after physical activity: Exercise-induced asthma can trigger symptoms such as coughing, wheezing, and shortness of breath during or after physical exertion.
- When exposed to asthma triggers: Children may experience asthma attacks when exposed to allergens like pollen, dust mites, pet dander, smoke, pollution, or respiratory infections.
- During periods of emotional stress: Stress and strong emotions can sometimes exacerbate asthma symptoms and lead to asthma attacks in children.
- When there are weather changes: Cold air, humidity, or sudden weather changes can trigger asthma symptoms and increase the risk of asthma attacks in susceptible children.
What are the causes and triggers for Childhood asthma?
Asthma in children can be influenced by various causes and triggers. Here are some common ones:
Genetic Factors: Children with a family history of asthma or allergies are more likely to develop asthma themselves, suggesting a genetic predisposition to the condition.
Environmental Allergens: Exposure to allergens such as pollen, dust mites, pet dander, mold, and cockroach droppings can trigger asthma symptoms in susceptible children.
Respiratory Infections: Viral respiratory infections, especially during early childhood, can increase the risk of developing asthma or exacerbate existing asthma symptoms.
Tobacco Smoke: Second-hand smoke exposure, both during pregnancy and after birth, is linked to an increased risk of asthma in children and can worsen asthma symptoms.
Air Pollution: Poor air quality, including pollutants from vehicle emissions, industrial sources, and indoor pollution, can irritate the airways and trigger asthma attacks in children.
Occupational Exposures: Children exposed to certain occupational hazards or environmental pollutants, such as chemicals or fumes, may be at higher risk of developing asthma.
Physical Activity: Intense physical activity, particularly in cold or dry air, can trigger exercise-induced asthma symptoms in some children.
Respiratory Irritants: Exposure to strong odors, air fresheners, perfumes, cleaning products, and other respiratory irritants can trigger asthma symptoms in sensitive children.
Weather Changes: Cold air, changes in temperature, humidity levels, and weather patterns can trigger asthma symptoms in some children.
Emotional Factors: Stress, anxiety, and strong emotions can sometimes trigger asthma symptoms or exacerbate existing asthma in children.
Diagnosis and Evaluation
Diagnosis and evaluation of childhood asthma typically involve the following steps:
Medical History: The doctor will review the child’s medical history, including symptoms, frequency, and severity of asthma episodes, as well as any family history of asthma or allergies.
Physical Examination: A thorough physical examination will be conducted to assess lung function, listen for wheezing or other abnormal sounds during breathing, and check for signs of allergic conditions such as eczema or allergic rhinitis.
Lung Function Tests: At North City Diagnostic Centre pulmonary function tests, such as spirometry or peak flow measurement, may be performed to assess lung function and airflow. These tests measure how well the child can exhale air from their lungs and how quickly they can do so.
Allergy Testing: We also need to conduct allergy tests, such as skin prick tests or blood tests, may be recommended to identify specific allergens that may trigger asthma symptoms in the child.
Assessment of Asthma Control: The doctor may assess the child’s asthma control based on the frequency and severity of symptoms, the need for rescue medications, and any limitations in daily activities or school attendance.
Response to Medications: Response to asthma medications, such as bronchodilators or inhaled corticosteroids, may be evaluated to confirm the diagnosis of asthma and determine the most effective treatment plan.
Exclusion of Other Conditions: Other respiratory conditions, such as respiratory infections, bronchiolitis, or vocal cord dysfunction, may mimic asthma symptoms. Therefore, your doctor may request further tests like sputum tests, tuberculin skin tests, spirometry, chest X-ray, Chest CT, etc, to check for other possibilities.
Managing Childhood Asthma
Medications for asthma control (e.g., inhalers, nebulizers)
Inhalers and nebulizers deliver medication to the lungs. Inhalers use a fine mist or powder, while nebulizers create a mist from liquid medication. Medications can include bronchodilators for immediate relief and anti-inflammatory drugs for prevention.
Creating an asthma action plan
An asthma action plan is a personalized document developed with the child’s doctor. It outlines steps for daily asthma management and managing symptoms. It empowers parents and caregivers to take action in different asthma scenarios, promoting better control and reducing the risk of severe attacks.
Environmental control measures to reduce asthma triggers at home
Environmental factors like dust mites, pet dander, mold, smoke, and air pollutants can worsen asthma symptoms in children. To minimize exposure to these triggers, keep the home clean and allergen-free. Strategies include regular cleaning, allergen-proof bedding, proper ventilation and filtration, and smoke-free zones. By reducing environmental triggers, asthma symptoms can be better managed, improving quality of life for children with asthma.
Regular checkups are important to monitor asthma control, adjust treatment, and address any concerns. Doctors use these test results to assess lung function, review medication usage, and evaluate treatment effectiveness. Tools like peak flow meters, symptom diaries, and asthma control questionnaires can track symptoms and treatment response, ensuring optimal asthma control.
Empowering children to manage their asthma and recognize symptoms
Empowering children to manage their asthma promotes independence, self-confidence, and open communication between parents and caregivers. Educating children about their asthma triggers, medications, and self-care strategies helps them recognize early warning signs and take appropriate action. By managing their asthma effectively, children can lead fulfilling lives with minimal impact on their daily activities.
At North City Diagnostic Center we offer personalized testing schedule that aligns with your medical history and risk factors. Consistent monitoring can be invaluable for early detection and effective management of arthritis. It’s not just about how often you test but making sure that the tests are aligned with your overall health profile for maximum benefit.
References
- https://www.mayoclinic.org/diseases-conditions/childhood-asthma/symptoms-causes/syc-20351507
- https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/asthma-in-children
- https://my.clevelandclinic.org/health/diseases/6776-asthma-in-children
- https://medlineplus.gov/asthmainchildren.html
- https://kidshealth.org/en/parents/asthma-triggers.html
- https://www.nhlbi.nih.gov/health/asthma/causes
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603154
- https://journals.lww.com/lungindia/fulltext/2022/08000/prevalence_of_asthma_among_children_in_india__a.11.aspx
- https://www.healthlinkbc.ca/illnesses-conditions/asthma/asthmas-impact-your-childs-life
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432708
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