Children With Asthama

2 mins read

Dr Mir Inayat

Asthma is one of the most common disorders. It is a chronic inflammatory disorder of the airways associated with its hyper

responsiveness which result into recurrent episodes of wheezing, breathlessness, chest tighteness and cough. It is estimated

that about 300 million people are affected worldwide. The prevalence of asthma is increasing day by day with children at a

great risk.

The attacks of asthma can be episodic or persistent but at times attacks could be so intense that it presents as an emergency

where hospitalization may be needed. The intensity of asthma varies from person to person and patients may experience

these symptoms most frequently during the night or early in the morning. It is not only affecting your health and forcing you to

incur he costs for treatment but among children it has greater impact and keeps them away from schooling and other

recreational activities. School absenteeism affects the academic excellence of child and moreover he cannot enjoy the

activities of interest like games which impairs his social behaviors. It causes sleep disturbances which may affect the overall

growth and development of the child. In USA and many western countries asthma is one of the leading causes of school

absenteeism.

Asthamatic symptoms vary from child to child in respect to intensity and frequency of occurrence. Many children have history

of allergy like high fever, eczema, family history of allergy or may have certain triggering factors like exercise, cold weather,

dust, pollens, emotional stress, animal fur, drugs (asptin,NSAIDS). Upper respiratory tract infections, Gastro esophageal reflux

disease (GERD) also act as triggers in childhood asthma. Carbon monoxide in tobacco smoke increases the chances and

children who breathe secondhand smoke are also more likely to have asthma. Hence, children whose parents smoke are at

greater risk of contracting Asthama.

At times it becomes difficult to diagnose asthma like cough variant or exercise induced. Even episodes of symptoms can vary

in the same child. The most commonly presentation of signs and symptoms could be: Wheezing, a whistling sound,

Breathlessness which impairs the capacity to work with weakness and tiredness. Persistent coughing spells which at times

may be alone. The cough will aggravate in morning, night or while laughing or crying. Chest tighteness and in chronic cases

retraction of neck and chest muscles are visible.

Tempering with nature, drifting away from natural mode of living, industrial pollutions, negative coping with life stressors made

us vulnerable to large number of organic and psychosocial disorders. Rise in childhood asthma is not yet clear but some

studies suggest children spend too much time indoors and are exposed to more and more dust, air pollution, and second hand

and third hand smoke. Some suspect that children are not exposed to enough childhood illnesses to direct the attention of

their immune system to bacteria and viruses.

Diagnosis in asthma is made on proper medical history, patient’s symptoms and some tests. . The tests your child may need

like chest X-ray, lung function test called spirometry. Other test may include blood investigation (IgE) and allergy skin testing.

Parents play a key role in helping the doctor to understand signs and symptoms of child’s asthma. In conventional mode of

treatment patient needs to have close liaison with the physician and health care team so as to understand the proper use of

inhalers which otherwise could be less effective.

Avoiding triggers, using medications, and keeping an eye on daily asthma symptoms are the ways to control asthma in

children of all ages. Children with asthma should always be kept away from all sources of smoke. Switching over to safe

homeopathic medications should be the treatment of choice for asthma and other allergies. Research and clinical studies

published have shown a better outcome of homeopathic medicines in childhood asthma over previously treated unsuccessfully

with conventional medicine.

The story first appeared in print edition of May 25, 2016.

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