Pediatric variant asthma

The probability of children getting asthma is also relatively high, but it is very troublesome to treat children after they have asthma, and it is very harmful to children. For the sake of the child's future, the child must be treated in time. Cut, when a child has asthma, the fluctuation is relatively large, and it is particularly easy to develop variant asthma, which will increase the difficulty of treatment. So how should variant asthma in children be treated?

The treatment of childhood variant asthma requires long-term standardized treatment to effectively control the disease. In clinical practice, the commonly used drugs for treating childhood asthma include bronchodilators, such as salbutamol inhalers, anti-allergic and antiasthmatic drugs, such as spheniramine or ketotifen, etc.

If the patient has shortness of breath and the symptoms are severe, inhalation preparations such as Seretide can be used. The dosage of the medicine must be used under the guidance of a doctor. In addition, while using Western medicine, you can also use Chinese medicine differentiation and treatment methods, such as decoction preparations that promote lung qi or relieve cough and asthma.

If a child suffers from variant asthma and is misdiagnosed as having a cough and treated accordingly, it can easily delay the disease and leave future problems.

The most common cause of variant asthma is the misuse of antibiotics in treatment. Since the child does not have a bacterial infection, the efficacy is poor and the disease will recur. However, if you use common children's cough medicines such as loquat cough syrup, the effect will be worse because these medicines do not contain anti-allergic ingredients. "Ordinary cough syrups often turn thick phlegm into a thin liquid to facilitate the smooth discharge of phlegm from the trachea." Li Zengqing said, but this will cause greater irritation to the trachea of ​​children with variant asthma, and children often cough more violently after taking the medicine.

In order to effectively control the disease, glucocorticoids, histamine antiallergic drugs, and leukotriene receptor antagonists are generally used. At the same time, according to the severity of the child's cough, symptomatic treatment should be given using cough suppressants containing bronchodilators.

"When a child has recurrent coughing, parents should never give the child cough syrup immediately. Instead, they should identify the cause and rule out the possibility of variant asthma." Experts say that parents should never underestimate recurrent variant asthma. If it is not effectively controlled, children are prone to airway stenosis, and the chance of developing COPD in adulthood will be much higher than that of ordinary children.

Reminder: Coughing with a trigger usually does not cause fever

It is very common for children to cough during the transition from spring to summer when the weather is warm and cold. How to distinguish whether it is a normal cough or asthma? Experts remind that if a child has an allergic constitution, especially if he has allergic rhinitis, or if his relatives have a history of asthma, these are high-risk factors for variant asthma. Nowadays, affected by environmental factors and other factors, the incidence of asthma among children in large cities in my country is increasing year by year. The incidence of asthma among children in Guangzhou is about 2% to 3%, while among children with allergic rhinitis, the incidence of asthma is as high as 20%, and 80% of children with asthma also suffer from allergic rhinitis.

It should be noted that variant asthma generally does not cause fever, the cough often lasts for several weeks or even months, and there are often certain triggering factors before the attack. "Most children will cough constantly when they come into contact with common allergens such as cold air, dust mites, pollen, cockroaches, pet hair, etc." Experts say that some children may become ill due to relatively rare causes. For example, some children are allergic to gas and start coughing as soon as they smell it.

Experts remind that if the disease is in an acute attack period, a "bronchial dilation test" can be done to confirm the diagnosis. If the disease is not in an acute attack period, a "bronchial provocation test" can be done, and the diagnosis must be confirmed in combination with normal symptoms.