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Childhood asthma: inhalers and myths

In shortAsthma is inflamed, sensitive airways. Reliever and controller inhalers, plus trigger avoidance, let most children play and sleep normally.

With the right plan, most children with asthma run, play and sleep like everyone else.

The word "asthma" makes many parents anxious. I understand. But after years of treating childhood asthma in HSR Layout, I can tell you that most children with asthma live full, active lives once they have the right diagnosis and a clear plan. Let me clear up what asthma is, and bust a few myths.

What is asthma?

Asthma is a condition in which the small airways of the lungs become inflamed and extra sensitive. When something irritates them, they swell and tighten, and the child coughs, wheezes or finds it hard to breathe. It often runs in families that also have allergies, eczema or hay fever.

Signs to watch for

  • Cough that is worse at night, early morning or with running and laughing
  • A whistling sound when breathing out (wheeze)
  • Fast breathing or tightness in the chest
  • Coughing that follows every cold

Common triggers

Triggers differ from child to child. The usual suspects are viral colds, dust mites, pollen, smoke and incense, strong smells, cold air, exercise and pets. A Skin Prick Test can help find the allergens behind your child's symptoms.

The two kinds of medicine

Doctors usually think of asthma medicines as relievers, which open the airways quickly during symptoms, and controllers, taken regularly to calm the inflammation and prevent attacks. Inhalers deliver the medicine straight to the lungs, so the dose is tiny and the effect is quick. For children, an inhaler is best used with a spacer.

1Shake and attach thespacer2Place the mask ormouthpiece3Press once, breatheslowly4Wait, then repeat ifadvised
Your doctor or nurse will show you the technique with your child’s own device.

Myths and facts

Myth
Fact
Inhalers are addictive
Inhalers are not addictive. They are the safest way to deliver medicine to the lungs.
Steroid inhalers stunt growth
Doctors prescribe the lowest effective dose. The benefit of control far outweighs any small risk.
Children outgrow asthma, so wait it out
Some do, but uncontrolled asthma can harm the lungs and the child’s sleep and school.
Only use the inhaler during an attack
Controller medicines work only when taken regularly, as advised.
Always ask your doctor if you are worried about a medicine.
Doctor's tip

Ask for a written asthma action plan. It tells you, in plain steps, what to give and when to go to hospital, so you are never guessing at 2 a.m.

When it is an emergency

Go to the nearest emergency department if your child is struggling to breathe, cannot speak in full sentences, has blue or grey lips, or the reliever does not help.

See a doctor in HSR Layout, Bangalore

CARE Speciality Clinic offers childhood allergy and asthma care in HSR Layout with Dr. Mahima Shetty KR, open Monday to Saturday. Patients come from Agara, Koramangala, BTM Layout, Sarjapur Road, Bellandur and Haralur. Book online or call 96320 71178.

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Dr. Mahima Shetty KR
Dr. Mahima Shetty KR
Consultant Pediatrician, MBBS, MD (Pediatrics). Sees patients Mon–Sat at CARE Speciality Clinic, HSR Layout.

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This article is for general information and does not replace a medical consultation.

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