Health

Asthma in young children is difficult to diagnose – VnExpress


The causes of wheezing in children are diverse and difficult to determine, asthma symptoms in children are atypical, so a comprehensive examination is required.

Ask:
My daughter just turned 4 years old this year. The baby’s health has been stable since birth, with few visits to the hospital. However, in recent months, signs of wheezing appeared, I also took her to the doctor since the time when Hanoi had not been isolated, the doctor diagnosed her with long-term bronchitis, which easily led to asthma.

I’m very worried because now he’s still wheezing and the cough hasn’t completely stopped. Does your child have asthma? How does this disease affect the development of young children? Can this disease be completely cured? Expect the doctor to answer. (Bui Thi Kieu Ly, Thai Binh)

Reply:

Childhood asthma, especially in children over 5 years of age, is often difficult to diagnose for the following reasons:

The causes of wheezing in children are varied and difficult to define. The differential diagnosis from other causes of wheezing is complex.

– Symptoms of asthma in young children are atypical, difficult to identify (eg symptoms of heaviness in the chest…).

– Laboratory investigations, especially respiratory function, are difficult to perform because young children are not yet cooperative.

Some clinical symptoms suggestive of asthma in young children such as wheezing accompanied by symptoms of cough, shortness of breath that recurs frequently, worsens at night and early in the morning, occurs with exertion, laughter, crying or contact. with cigarette smoke, cold air, pets, occurs in the absence of symptoms of respiratory infection. The disease also occurs in children with a history of allergies such as allergic rhinitis, eczema, family history of parents, siblings with asthma or allergies.

Trigger factors for asthma attacks in children are often due to exposure to allergens such as pollen, pet dander, cigarette smoke, chemicals; due to air infection, weather change…

Your baby needs to be examined to rule out other causes of wheezing. In case your baby has asthma, you and your family should not be too worried. Asthma is a completely controllable disease, the child can still study, participate in some appropriate sports activities, sleep peacefully, avoid most asthma attacks, maintain Lung function and development are normal if treated promptly and appropriately. In some cases, by puberty, asthma will be relieved.

TTND.GS.TS.BS Ngo Quy Chau
Medical Director of Tam Anh General Hospital, Hanoi

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