Pediatric experts to answer, the baby has been coughing … is it asthma?

Pediatric experts to answer, the baby has been coughing … is it asthma? "Listen, husband, Bao Xiao keeps making a" howl "sound when he coughs. It's not asthma, is it? ! Many children have wheezing when coughing, which makes parents worry that their children will get asthma. But you should know that asthma can't be judged only by wheezing, but also depends on whether the baby has atopic dermatitis or allergic constitution and whether the family has a history of allergies. When the baby has symptoms of suspected asthma, don't worry, listen to the doctor first. Cough makes a wheezing sound, not necessarily asthma. " Cough, cough, cough, cough, cough, cough, cough, cough, cough, cough, cough, cough, cough, cough, cough, cough, cough. Some children have repeated colds, cough for weeks, and make wheezing sounds, so many parents worry that their children will get asthma. Liu, director of pediatrics at Dali Renai Hospital, explained that children with asthma are generally asthmatic and have symptoms because they eat allergic food or inhale allergens in the air. A simple cold and cough will not cause asthma. Infants and young children's trachea is not yet mature, and it is easy to make wheezing when they have a cold or virus infection, but this does not mean that the baby has asthma. Unless there are more than three wheezing sounds in a year (wheezing sounds for every cold, and coughing time often exceeds one week), it is atopic dermatitis or allergy, and the family has a history of allergies; Often dry cough in the morning and evening, seasonal changes, temperature changes; Asthma can only be caused if the doctor treats it with asthma drugs and the symptoms are obviously improved. This kind of asthma in children is called temporary early-onset asthma, which can also be called "infant asthma". About two-thirds of infants with asthma will recover naturally, and 1/3 will form asthma constitution. Director Liu said that the first asthma attack in children with asthma is generally before the age of 5, and the proportion of boys is higher than that of girls. Most of these children cough badly in the morning and evening, and they begin to gasp as soon as the weather changes or the air is too humid. If the baby is close to 2 years old and the wheezing sound from every cold becomes more and more serious, then he is likely to become an asthma patient in the future.

Rhinitis and sinusitis can aggravate asthma. Besides coughing, there are rumors that chronic sinusitis and allergic rhinitis can cause asthma. Director Liu said that nasal and sinus diseases do increase the risk of asthma attack, but the premise is still "asthma constitution". If children don't have asthma constitution, they don't have to worry about this problem. According to the data of Taiwan Province Asthma Health Education Association, asthmatic infants with allergic rhinitis usually have obvious asthma symptoms, and asthmatic infants with simple rhinitis will also have asthma symptoms when rhinitis worsens, but these two types of patients can improve rhinitis and asthma at the same time as long as they use local steroid inhalers. Chronic sinusitis is one of the causes of intractable asthma, so once an asthmatic baby suffers from sinusitis, it should be treated as soon as possible to avoid the aggravation of asthma.

Chronic cough caused by bronchial inflammation, tracheal allergy, nasal reflux and nasal allergy. When the season changes, there will be gasps due to colds or viral infections. Clearing throat due to gastroesophageal reflux. Pediatric experts to answer, the baby has been coughing … is it asthma? Bronchodilators should not be abused. When the baby has a slight cough and intermittent wheezing when breathing, you can take care of it at home at first, and wet the trachea with steam spray or warm water vapor in the bathroom to replenish enough water. If the baby has a bad appetite, you can halve the amount of food and eat more meals. Once the baby has symptoms of persistent wheezing, such as dehydration, fever, dyspnea, tangy nose, depressed chest ribs, and increasingly severe wheezing, he must seek medical attention as soon as possible.

Infantile asthma must be hospitalized for 2 ~ 3 days in the acute stage, and continue to be followed up after discharge, with an average of

The course of treatment is about two weeks. Because the baby often has difficulty breathing and even cyanosis, the doctor should prevent hypoxia.

Often let the baby sleep in an oxygen tent, and then give the general long-acting weak steroid combined with inhalation steam therapy for tracheal dilation and injection. Director Liu said that the reason why the medicine is given by injection is because most infants under 2 years old cry when wearing inhalation masks, which often leads to rapid contraction of trachea and the risk of hypoxia, so it is relatively safe to give medicine by syringe.

If the baby's symptoms are serious, it is necessary to use small doses of steroids and bronchodilators to help the mucosa swell after discharge. Director Liu reminded that bronchodilators are specially used for acute attacks. Don't give them to your baby casually, so as not to aggravate bronchial fatigue. The more you use them, the worse the effect will be.

The best way to shoot sputum is for pediatricians to answer with their heads down and their feet up. The baby is coughing … is it asthma? Reducing inhaled allergens nursing Wang Dao Asthma is a kind of constitution, which cannot be cured by drugs or physical therapy. The most effective way to reduce the attack frequency is to reduce the inhalation allergens such as mold, dust mites, dog hair, essential oil, mosquito-repellent incense and second-hand smoke in the environment. Director Liu reminded that asthma will be induced because of the great temperature change. It is best not to go in and out of air-conditioned rooms frequently in summer. Before leaving the air-conditioned room, help the child put on a mask and wait 10 ~ 15 minutes after going out, so that the child has enough time to adapt to the temperature change.

Asthma types of children under 5 years old

type

trait

Temporary early-onset asthma

It happened before the age of 3, which was related to premature delivery and parents smoking. Most of them are caused by virus infection, and about 1/3 will become asthma. Two-thirds will heal naturally.

Persistent early-onset asthma

Wheezing continues after being infected with respiratory fusion virus under 2 years old or acute respiratory infection during 3-5 years old; There is no allergic, atopic dermatitis constitution or family history since childhood, and usually it will get better after 12 years old.

Delayed asthma

Atopic dermatitis (mostly eczema) occurs after 5 or 6 years old, and there is a family history of allergies, and the symptoms will last until adulthood.

Finishing/editorial department

Liu

Education: Bachelor of Medicine, Department of Medicine, Taipei Medical College

Experience: Resident in Children's Internal Medicine, MacKay Hospital, Taipei; Clinical research physician, Department of Pediatric Internal Medicine Infection, Taichung Veterans General Hospital.

Current position: Director of Pediatrics, Dali Renai Hospital