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symptoms and treating an asthma attack
in progress. Preventive, long-term control
medications reduce the inflammation in
your child’s airways that leads to symptoms.
Quick-relief medications quickly open
swollen airways that are limiting breathing.
Most children with persistent asthma
use a combination of long-term control
medications and quick-relief medications,
taken with a hand-held inhaler.
In some cases, medications to treat allergies
also are needed. The right medication for
your child depends on a number of things,
including his or her age, symptoms, asthma
triggers and what seems to work best to
keep his or her asthma under control.
When treatment does
not work
Sometimes a child may continue to show
symptoms in spite of religiously following
the doctor’s advice. This situation can arise
due to several reasons – it is possible that the
child may not be asthmatic and the initial
diagnosis was wrong. Do a re-evaluation
and get a second opinion from the doctor.
Also consider the possibility that the
diagnosis is correct but:
• The technique of giving the inhaler is
incorrect
• The medicine in the inhaler spray is
exhausted (does not contain any more
medicine)
• The child is not taking the inhaler
regularly – has missed doses
• There is some co-existing condition
triggering the attacks – such as allergic
rhinitis, sinusitis, adenoids enlarged etc
which needs to be treated
• The child has exposed to triggers in the
food he / she is eating which is triggering
the attacks, such as cold drinks, ice
cream, etc
• The child is exposed to triggers in the
environment, such as pollen, household
dust, insecticidal spray, air fresheners,
perfumes, exhaust fumes, pollen, animal
fur or feathers, cockroaches, exposure to
cigarette smoke, dust from civil repairs, etc
• The child’s asthma is triggered by
exercise or physical training or use of the
gym by adolescent asthmatics.
Setting rules and limits
Parents often find it difficult to completely
monitor and control their child’s eating
and lifestyle habits. There is just too much
temptation these days.