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Medical Forum / Diseases and Disorders / Asthma / February 2006

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4 year old with asthma

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Rachel - 24 Feb 2006 15:29 GMT
Hi

I am new to this group and wonder if this is the right place for this
question.

My 4 year old has just been diagnosed with allergic asthma. What should I
tell him about his condition? All he knows at the moment is that certain
things make his chest sore and he should try to avoid them. He also knows
that we have to take his reliever inhaler wherever we go.
He seems ok with this information but at what point should I tell him that
he has asthma? And what should I tell him? I don't want to worry him
unnecessarily.

The other problem we have is that sometimes I suspect that he needs his
inhaler (he is coughing) but he won't admit it straight off. After several
questions he then agrees that yes he does need it. He then stops coughing.
He never asks me for his inhaler, even though he knows that it makes his
chest feel better. How can I get him to ask me for it (he is not able to use
it himself - he has tried but can't depress the inhaler button)?

Thanks
Rachel
Nikki - 24 Feb 2006 17:45 GMT
Hi Rachel
My name is Nicole, my youngest son Luke who is six has asthma, his is very
bad in the winter, not so bad in the summer, Luke was dx with asthma at a
young age, so it may have been easier for him because it just became apart
of life (but never a big part, and never who he is) Me and his dad always
made an effort to not make a big deal out of it, we tell him everything, we
always ask him if he needs anything explained while we are at the doctors
office, so he knows while we will take care of him, he has asthma and has to
be responsible with it, when he was younger he had an allergy to all dairy,
which was a pain because of birthday parties and things, people always
wanted to sneak him cake or ice-cream, when all the kids would eat ice cream
at first we had to just tell him no, it became second nature for him to just
say no, then we found ways around it like soy ice cream, so he did not mind,
he did not have to share his stuff it was all his. As he got older we signed
him up for sports, no one thought that to be a good idea, he now plays
football, baseball, soccer, the only thing different is when he gets tired
he knows to come and sit down for a minute before it gets to bad, he is on
pulmacourt in the nebuliser twice a day, he does it before getting out of
bed in the morning which gives him an excuse to watch cartoons for a bit,
and when he goes to bed which gives us time to lay down and read a book. I
have three boys and the one thing I have learned is kids don't like to be
different from other kids, Luke had to do a treatment at his birthday party
once and all his new friends were there, and it was the first time he was
worried and did not just go do his treatment, I set it up for him and he did
it, and he told his friends after he had asthma and had to take medicine,
they did not think twice about it, because he did not. he has a inhaler at
school incase he needs it, I think the most important thing is just be
honest and don't make a big deal out of it, I know with Luke sports are so
important to him that I took him to the asthma fair in the summer he met
Jerome bettis, from the Steelers (we are from pgh) and he told Luke he could
play football as long as he made sure he always took care of his asthma, he
was no different then any other kid.
Nikki

> Hi
>
[quoted text clipped - 19 lines]
> Thanks
> Rachel
Rachel - 26 Feb 2006 15:58 GMT
> Hi Rachel
> My name is Nicole, my youngest son Luke who is six has asthma, his is very
[quoted text clipped - 6 lines]
> office, so he knows while we will take care of him, he has asthma and has
> to be responsible with it,

Thanks for your reply Nikki. Getting him more involved at doctors check ups
is a good way to start. Then we have six months for him to begin to take
some responsibility for it before he starts school full time in September.

Thanks
Rachel
Nikki - 26 Feb 2006 18:23 GMT
I have three boys and when my two oldest went it was hard because I missed
them, but when Luke went people were making bets on weather or not I would
sign him up, I hated it because I did not trust anyone with him, because
moms know their kids best, I guess that is why it was so important to me
that he knew his body and what he needed, there was a little boy in
kindergarten who died of asthma because these days schools only have a nurse
once or twice a week, no one to say this child is in trouble, I was the
biggest pain when Luke started, I made sure any one who came in contact with
him knew if he said I need my medicine or need to call home, that they were
not to question him, just give him what he is asking for, I told them he
might be young but he knows what he needs.
be careful with schools, not trying to scare you, but reading that article I
realized I needed to be vocal
Nikki

>> Hi Rachel
>> My name is Nicole, my youngest son Luke who is six has asthma, his is
[quoted text clipped - 16 lines]
> Thanks
> Rachel
MGB - 27 Feb 2006 22:26 GMT
> Hi
>
[quoted text clipped - 18 lines]
> Thanks
> Rachel

First of all, realize that age 4 he wont be able to care for himself
unsupervised.  he wont be able to use the inhaler on his own, and needs
an adult.  as he gets older, he can assume more of his health care
responsibilities.

Most importantly, DON'T treat him as something fragile.  The goal in
treating any child with asthma is normalcy. This doesn't mean not
treating it or ignoring it.  It means that he should be managed so that
he has as little restriction as possible.  Let him watch the commercial
with Bus Bettis (Steeler football player) who talks about his asthma.

Find a doctor that has these same goals as well.
 
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