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Medical Forum / Diseases and Disorders / Asthma / August 2003

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Childhood Asthma

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KAP - 30 Jul 2003 14:16 GMT
My 21/2 year old has asthma that was diagnosed when she was one.  Her
only trigger is viruses (when she gets a cold).  She is too young to
alert me when she is beginning to have trouble breathing and I tend to
catch it after she begins weezing.  Any suggestions for earlier
detection in a child this young?  What are the chances of her
out-growing this?
R&SB - 30 Jul 2003 15:55 GMT
> My 21/2 year old has asthma that was diagnosed when she was one.  Her
> only trigger is viruses (when she gets a cold).  She is too young to
> alert me when she is beginning to have trouble breathing and I tend to
> catch it after she begins weezing.  Any suggestions for earlier
> detection in a child this young?  What are the chances of her
> out-growing this?

From what I've heard, childhood asthma goes away as the child matures,
then tends to come back again later in life.
I have adult on-set asthma, genetically found in my family.

Sue
Amy - 20 Aug 2003 17:40 GMT
> > My 21/2 year old has asthma that was diagnosed when she was one.  Her
> > only trigger is viruses (when she gets a cold).  She is too young to
[quoted text clipped - 8 lines]
>
> Sue

Actually that's a myth. Although the symptoms may become better
controlled, you never outgrow asthma.

I feel for KAP. My son started wheezing from an upper repiratory
infection at 18 months of age. It's impossible to know when they are
having a problem other than waiting to hear a wheeze or cough. Here
are a couple of links that you might be able to find some useful
information or speak with your pediatrician about a referral to a
specialist who is more geared to help you understand and control her
asthma.

http://www.mothersofasthmatics.org
http://asthmatrack.com/asthma_in_children.html
http://www.aaaai.org/aadmc

Feel free to email me!
Amy Caraballo
CBI - 21 Aug 2003 04:11 GMT
> > From what I've heard, childhood asthma goes away as the child matures,
> > then tends to come back again later in life.
[quoted text clipped - 4 lines]
> Actually that's a myth. Although the symptoms may become better
> controlled, you never outgrow asthma.

Well....... it's a little more complicated than that.

Of kids who wheeze before the age of three most will go through a period,
usually about age 3-6, where they do not. About half of them will start to
wheeze again later.

What to call those kids who never wheeze again is a bit of a problem. One
school of thought is that they never really were asthmatics an that their
wheezing was based on some other process (usually thought to just be from
the mucus and small anatomy that they grew out of) - in which case you would
be right. The other school is to lump them all together - in which case you
would be wrong.

This problem is one of the reasons not to call a kid asthmatic until they
are older. It avoids giving a "permanent" diagnosis to the half of the kids
who will never wheeze after the age of three. Also there is a genuine idea
that if you do you will be wrong half the time (and doctors hate that).

--
CBI, MD
KAP - 01 Aug 2003 18:38 GMT
> My 21/2 year old has asthma that was diagnosed when she was one.  Her
> only trigger is viruses (when she gets a cold).  She is too young to
> alert me when she is beginning to have trouble breathing and I tend to
> catch it after she begins weezing.  Any suggestions for earlier
> detection in a child this young?  What are the chances of her
> out-growing this?

Can anyone give me more information on Reactive Airway Disease?  How
is it different from Asthma?  I have read that the Reactive Airway
Disease is often diagnosed for children who suffer from asthma
symptoms when it is related to respiratory infections.
W.John Guineau - 08 Aug 2003 03:35 GMT
I was diagnosed by my (first) ENT as having "Upper Airway Reactive
Disorder", which he described as basically over sensitive lungs/nose/throat.

For me it means dust and air quality can ruin my day (week?). I clear my
throat alot, have near chronic post-nasal drip and had sinus surgery about 5
1/2 yrs ago. Recently started on Xrytec-D and nasacort (now I actually blow
a polyp out of my nose about once a week, so the meds must be doing
something!).

The worst thing for me now is ear pressure/pain. My ears are always blocked,
hard to clear. ENT just started me on  6 days of
methaprednisone-something-or-another, which is an oral steroid. He's hoping
it will shrink my blocked eustation(sp?) tubes and "break the cycle" so my
ears can recover. Failing that, I will have tubes put in my eardrums to help
equalize pressure between outer/inner ear.. I'm 39, had asthma as a kid and
now, living in Los Angeles, have constant irritation from the air/dust.

But Airway Reactive Disorder is very different than the asthma.  It doesn't
affect my breathing like the asthma did, it is more an irritation and
swelling of my throat, ears, nasal, sinus areas.

john

> > My 21/2 year old has asthma that was diagnosed when she was one.  Her
> > only trigger is viruses (when she gets a cold).  She is too young to
[quoted text clipped - 7 lines]
> Disease is often diagnosed for children who suffer from asthma
> symptoms when it is related to respiratory infections.
anne-marie - 10 Aug 2003 20:59 GMT
This sounds very interesting as this is exactly what i seem to have...i
always have blocked ears and my nose is always either blocked or running...
i also suffer a lot with tonsilitus when my throat seems to close up...all
down to a virus apparently and not bacterial.i was told i should have had
grommets in my ears when i was younger...not much help now though i am 27!

> I was diagnosed by my (first) ENT as having "Upper Airway Reactive
> Disorder", which he described as basically over sensitive lungs/nose/throat.
[quoted text clipped - 32 lines]
> > Disease is often diagnosed for children who suffer from asthma
> > symptoms when it is related to respiratory infections.
 
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