Asthma in Children

Asthma in children is a common condition that requires careful management and understanding. This article covers the basics of childhood asthma, including the symptoms, potential risk factors, and effective treatments. You’ll learn about the different types of asthma medications, ways to prevent asthma attacks, and the steps to take if your child experiences an asthma attack. We also discuss the importance of working closely with healthcare providers to develop a personalized asthma action plan.

If you’re concerned about your child’s respiratory health, consider scheduling a consultation with Bootin and Savrick Pediatric Associates. Our team of providers in Houston, Texas, can ensure your child receives expert care and support. Contact us today!

A child with asthma is using an inhaler to help with breathing in Houston, Texas.

About Asthma in Children

Childhood asthma is a common condition where the airways become inflamed and narrow, making it hard for a child to breathe. Asthma symptoms can vary from mild to severe and include coughing, wheezing, shortness of breath, and chest tightness. These symptoms often worsen at night or during physical activity. 

While asthma can be challenging, many children live active, healthy lives with the right care and treatment. Understanding your child’s asthma symptoms and knowing how to respond can help keep them safe and well. 

What Can Put a Child at Risk for Asthma?

Several factors can put a child at risk for developing asthma. One of the main risk factors is a family history of asthma or other allergic conditions, such as hay fever or eczema. If parents or siblings have asthma, a child is more likely to develop it too.

Asthma triggers play a significant role in the development and exacerbation of asthma. Common triggers include allergens like pollen, dust mites, and pet dander. Exposure to tobacco smoke, air pollution, and strong odors can also provoke symptoms. Respiratory infections, such as colds or the flu, can lead to airway inflammation and trigger asthma symptoms.

Food allergies are another risk factor. Children with food allergies may have a higher chance of developing asthma. Managing these allergies carefully can help prevent asthma attacks.

Children with frequent respiratory infections in early childhood are at greater risk for asthma. These infections can cause long-term changes in the airways, making them more sensitive and prone to airway inflammation.

Additionally, having lung disease or conditions like obesity can increase the risk of asthma. Maintaining a healthy lifestyle and weight can be beneficial in managing a child’s asthma.

By understanding these risk factors, parents can take proactive steps to minimize their child’s exposure to asthma triggers and manage their child’s asthma effectively. Working with healthcare professionals ensures that each child’s asthma is well-controlled, allowing them to lead healthy, active lives.

Tests to Find and Track Asthma in Young Children

Most children diagnosed with asthma do not require specialized testing. The diagnosis is made using a physical exam and careful taking of a history.  In some cases, we may refer your child to a pediatric pulmonologist who may utilize certain pulmonary function tests; however, these are generally used in older children and adults. Below is a discussion of some of the tests these specialists employ. However, especially in younger children, these tests are not commonly used. 

One of the primary tests used is spirometry. This test measures how much air a child can breathe in and out, as well as how fast they can exhale. It’s useful in assessing lung function and detecting any obstruction in the airways. The results can help determine if a child’s symptoms are due to asthma.

Another common test is the peak flow measurement. This test involves blowing into a handheld device called a peak flow meter, which measures the speed of exhalation. Regular monitoring with a peak flow meter can help track a child’s symptoms and identify early signs of an asthma flare-up.

In some cases, doctors may recommend a methacholine challenge test. This test involves inhaling a substance called methacholine, which can cause mild airway narrowing in people with asthma. If the child reacts to the methacholine, it may confirm the diagnosis of asthma.

Allergy testing may also be conducted to identify specific allergens that trigger a child’s symptoms. This can involve skin tests or blood tests to determine if the child’s symptoms are linked to allergic reactions.

What Should I Do if My Child Has an Asthma Attack?

If your child experiences an asthma attack, staying calm and taking prompt action is crucial. Here’s a simple guide to help you manage the situation effectively.

  1. Administer Asthma Medication: First, use your child’s quick-relief inhaler (often a bronchodilator like albuterol) as prescribed. This medication helps open the airways, making it easier for your child to breathe. Ensure your child takes slow, deep breaths during inhalation.
  2. Monitor the Symptoms: After administering the asthma medication, observe your child’s symptoms. Improvement should occur within a few minutes. Look for signs of easier breathing, reduced coughing, and decreased wheezing.
  3. Stay Calm and Reassure Your Child: During an asthma attack, children can become frightened, which can worsen symptoms. Stay calm and reassure your child that they will feel better soon.
  4. Know When to Seek Emergency Help: If the symptoms do not improve within 15-20 minutes, or if they worsen, seek emergency medical help immediately. Signs of a severe asthma attack include difficulty speaking, blue lips or face, and severe shortness of breath. In these cases, call 911 or go to the nearest emergency room.
  5. Follow Your Asthma Action Plan: Have an asthma action plan in place, developed with your child’s doctor. This plan outlines specific steps to take during asthma attacks and when to seek medical attention.

Treatments for Asthma

Treating asthma in children involves using a combination of medications and strategies to manage symptoms and prevent asthma attacks. 

Asthma medications are typically categorized into two main types: quick-relief and long-term control medications.

  1. Quick-relief medicines: Also known as rescue inhalers, these medications provide immediate relief during an asthma attack by quickly opening the airways. Common quick-relief asthma medicines include short-acting bronchodilators like albuterol. These are crucial for relieving symptoms such as wheezing, coughing, and shortness of breath.
  2. Long-term control medications: These medications are taken daily to help prevent asthma attacks and control chronic symptoms. They work by reducing inflammation in the airways. Inhaled corticosteroids are a common type of long-term control medicine. Other options may include leukotriene modifiers or long-acting bronchodilators.
 

In addition to asthma medicines, avoiding asthma triggers is an essential part of managing the condition. Common triggers include allergens, smoke, and cold air. Identifying and avoiding these triggers can significantly reduce the frequency and severity of asthma attacks.

Another important aspect of asthma treatment is developing an asthma action plan. This plan, created with your child’s healthcare provider, outlines how to manage daily asthma symptoms and what steps to take during an asthma attack.

Regular check-ups with the doctor are important to adjust the treatment plan as needed. With the right combination of asthma medications and preventive measures, children with asthma can lead healthy, active lives.

Take the Next Step in Managing Your Child's Asthma

At Bootin and Savrick Pediatric Associates, we are dedicated to providing personalized care and effective treatment plans to help your child thrive. If you have concerns about your child’s asthma and allergy symptoms or need guidance on the best treatment options, don’t hesitate to reach out.

Schedule an appointment with us today to ensure your child receives the comprehensive care they deserve.! Let’s work together to help your child breathe easier and live a healthy, active life.

Medically reviewed by Monica McGrann, MD and Patti Savrick, MD

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