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CHILDHOOD ASTHMA: YOUR QUESTIONS ANSWERED
When the doctor tells you that your child has asthma it does come as quite a shock. Many questions crowd the mind at the same time and there is little or no time to ask them. More thoughts will occur to you on the way home or over the subsequent weeks and it isn’t easy to have them answered in the rush of a busy surgery. Even when you have become an ‘expert’ in treating your child’s attacks there will still be situations when you are not sure of the correct action to take.
Is asthma inherited?
Undoubtedly there is often a history of allergy either in the form of hay fever or asthma in one or both parents. So the tendency to develop the condition is at least partly inherited, and is then actually brought on by either infection, pollution, further allergy or stress.
Can babies develop asthma?
Asthma can develop in babies although it is uncommon below the age of twelve months. Many babies develop a sort of wheezy bronchitis which is not true asthma and which is often a ‘one-off event. Croup, which is a throat infection, can mimic asthma but responds to steam inhalation. It is the recurrent nature of the wheeze which tends to confirm asthma in babies, as many will have only a single episode and never wheeze again.
Will my child grow out of her asthma?
It is the increased irritability of the airways that is the root problem in asthma and fortunately this does settle down gradually as the child’s age increases. Many have grown out of the condition by the age of 12 although for some it can take longer. The factor that is most vital is to keep your child free of attacks for as long as possible, to allow the airways to become less sensitive. If there is frequent wheezing, perhaps once or twice a month, then there is little chance of the condition settling spontaneously. This is one of the reasons why it is so important to take preventive medication on a regular basis.
How do I explain to my daughter that she has asthma?
Firstly, always use the word asthma to describe what is wrong with her. It does not help to use vague expressions. Many children, even when very young, will know another child with asthma but will only relate to them if they know that they have it as well.
Explain to your daughter how the air passes from the nose and mouth into the lungs, perhaps likening them to balloons which go up and down as the air goes in and out. I always liken the airways to drinking straws through which the air travels to the lungs. In asthma the problem is that these tubes become narrowed rather like a straw that has been bitten and chewed. This makes it more difficult to drink through and less liquid comes up the straw. In the same way, less air flows out of the lungs or balloons because the airways or straws are narrowed. Medicines need to be taken to make these straws become wider and the most effective way is to use an inhaler or ‘puffer’ which sprays a fine jet of medicine straight on to the straws themselves. Occasionally if the asthma is bad enough this spray has to be breathed in through a mask for ten minutes.
My child has to use inhalers twice a day, every day. Is it safe to do this?
Most definitely. The reason is that the dosage used in medication that is taken straight into the lungs is ten times less than in drugs that are swallowed. Inhaled drugs go straight to the breathing tubes which are the problem area, whereas swallowed drugs have to circulate all round the body, including places like the heart, brain, liver and kidneys. These can produce side-effects in any of these parts, whereas by using inhalers there is negligible absorption into the rest of the body and so side-effects, if they occur at all, are only very slight. This is the reason why I have emphasized the importance of using inhaled medication rather than tablets or medicine.
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