|Inflamed Bronchial Tube|
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- Respiratory infection—more common in younger children
- Exercise, especially in cold air—more common in teenagers
Substances that cause allergies include:
- Animal dander
- Food, rarely
- Sinus infections
- Tobacco smoke or other chemical irritants
- Sudden change in weather
- Family history
- History of allergies and/or eczema
- Exposure to tobacco smoke
- Respiratory infections before age 1, especially bronchiolitis, and common colds before 6 months of age
- Premature birth
- Chlorinated pool use in children who are already at risk for asthma
- Taking some medications, such as aspirin or other non-steroidal anti-inflammatory drugs
- Shortness of breath
- Trouble breathing
- Chest tightness
- Complaints of chest pain
- Difficulty during feeding in infants
- Trouble sleeping
- Avoiding exercise or sports
- Spirometry test
- Challenge test
- Medication trial
- Know what your child is allergic to and avoid known triggers. These may include certain pollen, dust, foods, and air pollution.
- Avoid outside activities if there are high levels of air pollution, pollen, or mold spores.
- Keep your windows closed during seasons with high pollen or mold spores. Air conditioning may help filter out allergens during warm seasons.
- Consider getting a portable HEPA unit air cleaner to use in sleeping areas, for your heating/cooling system, and your vacuum cleaner.
- Avoid exposing your child to tobacco smoke.
- Have proper heating, cooling, and ventilation systems in your home.
- Keep the humidity down in your house. This may help prevent the growth of mold.
- Inhaled corticosteroids to prevent airway swelling and inflammation
- Inhaled long-acting beta agonists relax the airways and keep them from tightening
- Oral leukotriene modifiers to prevent airway inflammation and swelling, decrease the amount of mucus in the lungs, and open the airways
- Inhaled cromolyn or nedocromil to prevent airways from swelling from contact with an asthma trigger
- Inhaled quick-acting beta agonists and anticholinergic agents to open the airways
- Oral corticosteroids to reduce severe airway inflammation
- Avoid strong chemicals or odors like perfume.
- Avoid challenging outdoor exercise during days with high air pollution, a high pollen count, or a high ozone level.
- If cold weather triggers your asthma, avoid strenuous activities in cold weather. If you must, use a scarf or mask to warm the air before it reaches your lungs.
- Avoid secondhand smoke. Do not allow anyone to smoke in your home.
- Don't use a wood-burning stove or fireplace, including unvented gas fireplaces.
American Academy of Allergy, Asthma, & Immunology http://www.aaaai.org
Asthma and Allergy Foundation of America http://www.aafa.org
Asthma Society of Canada http://www.asthma.ca
Canadian Lung Association http://www.lung.ca
Asthma in children. DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 27, 2015. Accessed August 10, 2015.
Asthma overview. American Academy of Allergy, Asthma, & Immunology website. Available at: http://www.aaaai.org/patients/allergic%5Fconditions/pediatric%5Fasthma/diagnosis%5Fasthma.stm. Accessed August 10, 2015.
SW Stoloff. The current and future state of asthma treatment. Clinical Cornerstone: The Current and Future State of Asthma Treatment. 2008; 8(4):26-43.
What causes asthma? National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/dci/Diseases/Asthma/Asthma%5FCauses.html. Updated August 4, 2014. Accessed August 10, 2015.
10/9/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mireku N, Wang Y, et al. Changes in weather and the effects on pediatric asthma exacerbations. Ann Allergy Asthma Immunol. 2009;(3):220-224.
10/30/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Bernard A, Nickmilder M, et al. Impact of chlorinated swimming pool attendance on the respiratory health of adolescents. Pediatrics. 2009;124(4):1110-1118.
8/23/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Beasley R, Clayton T, et al. Acetaminophen use and risk of asthma, rhinoconjunctivitis and eczema in adolescents: ISAAC phase three. Am J Respir Crit Care Med.2011 Jan 15;183(2):171-8.
10/8/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Ducharme F, Chroinin M, et al. Addition of long-acting beta2-agonists to inhaled corticosteroids versus same dose inhaled corticosteroids for chronic asthma in adults and children. Cochrane Database Syst Rev. 2010;(5):CD005535.
5/4/2012 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Woodfine L, Neal RD, et al. Enhancing ventilation in homes of children with asthma: pragmatic randomised controlled trial. Br J Gen Pract. 2011;61(592):e724-732.
8/27/2013 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Kim JM, Lin SY, et al. Allergen-specific immunotherapy for pediatric asthma and rhinoconjunctivitis: a systematic review. Pediatrics. 2013 Jun;131(6):1155-67.
11/2/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Normansell R, Kew KM, et al. Sublingual immunotherapy for asthma. Cochrane Database Syst Rev. 2015 Aug 28;8:CD011293.
- Reviewer: Michael Woods, MD
- Review Date: 08/2015 -
- Update Date: 08/10/2015 -