{"id":6124,"date":"2017-07-14T16:27:58","date_gmt":"2017-07-14T06:27:58","guid":{"rendered":"https:\/\/blogs.rch.org.au\/news\/?p=6124"},"modified":"2017-07-25T10:09:44","modified_gmt":"2017-07-25T00:09:44","slug":"ins-and-outs-of-asthma","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/news\/ins-and-outs-of-asthma\/","title":{"rendered":"Ins and outs of asthma"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.rch.org.au\/news\/files\/2017\/07\/170251-LEDSAM-A-Z-Health-Info_-Asthma_Long-e1499313726170.png\" data-rel=\"lightbox-image-0\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-6121 size-large\" src=\"https:\/\/blogs.rch.org.au\/news\/files\/2017\/07\/170251-LEDSAM-A-Z-Health-Info_-Asthma_Long-e1499313726170-280x560.png\" alt=\"\" width=\"280\" height=\"560\" srcset=\"https:\/\/blogs.rch.org.au\/news\/files\/2017\/07\/170251-LEDSAM-A-Z-Health-Info_-Asthma_Long-e1499313726170-280x560.png 280w, https:\/\/blogs.rch.org.au\/news\/files\/2017\/07\/170251-LEDSAM-A-Z-Health-Info_-Asthma_Long-e1499313726170-140x280.png 140w, https:\/\/blogs.rch.org.au\/news\/files\/2017\/07\/170251-LEDSAM-A-Z-Health-Info_-Asthma_Long-e1499313726170-768x1536.png 768w, https:\/\/blogs.rch.org.au\/news\/files\/2017\/07\/170251-LEDSAM-A-Z-Health-Info_-Asthma_Long-e1499313726170.png 1200w\" sizes=\"auto, (max-width: 280px) 100vw, 280px\" \/><\/a>An estimated 2.5 million Australians have asthma. It\u2019s a prevalent and often hereditary disease that affects more boys than girls during childhood, however it can be difficult to diagnose in very young children.<\/p>\n<p>Breathing problems are a common reason for children to present to the RCH\u2019s Emergency Department, but in many cases it&#8217;s not asthma &#8211; yet.<\/p>\n<p>\u201cMost children have what we call viral-induced wheeze,\u201d said Joanne Grindlay, deputy director of emergency. \u201cSome of those children go on to have asthma and lots of them don\u2019t.\u201d<\/p>\n<p><strong>So when is<\/strong><strong>\u00a0it asthma?<\/strong><\/p>\n<p>A proper diagnosis of asthma can only occur after a child presents with wheezing more than\u00a0once, and, importantly, when they don\u2019t have a virus.<\/p>\n<p>&#8220;If they\u2019re exercising or if they\u2019re exposed to pollens or they\u2019re doing other things and wheezing, then it\u2019s probably asthma,\u201d said Joanne. \u201cThey need to get it when\u00a0they don\u2019t have a cold, and it\u2019s got to be recurrent.\u201d<\/p>\n<p>If your child has eczema or if there\u2019s a history of asthma and allergies in the family, then they are more likely to have asthma.<\/p>\n<p>Other triggers for asthma include:<\/p>\n<ul>\n<li>allergens like dust mites and mould spores<\/li>\n<li>tobacco smoke<\/li>\n<li>cold air<\/li>\n<li>some medicines.<\/li>\n<\/ul>\n<p><strong>Hay fever and thunderstorm asthma<\/strong><\/p>\n<p>Children who get hay fever also have a higher chance of suffering a sudden asthma attack. For these children, Joanne recommended having some reliever medication on hand, advice particularly applicable to people affected by Melbourne\u2019s thunderstorm asthma event.<\/p>\n<p>\u201cThunderstorm asthma will reoccur,\u201d Joanne said.\u00a0 \u201cThunderstorm asthma affects people who have hay fever and who may not have had asthma before, but suddenly get severe asthma.\u201d<\/p>\n<p>Reliever medication is available over the counter, but Joanne warned it was important to see a GP for review and to have a plan of what to do if your child gets asthma when they haven\u2019t had it before.<\/p>\n<p><strong>Treating asthma<\/strong><\/p>\n<p>Having an up-to-date asthma management plan is the best way to manage diagnosed asthma in children. It was concerning, Joanne said, to see how often asthma sufferers had an inadequate asthma plan.\u00a0 A combination of treatments is needed, including preventer and reliever medicine, administered with a spacer.<\/p>\n<p>\u201cOlder children don\u2019t bother using their spacers because they think they\u2019re coordinated enough to not need them,\u201d she said.<\/p>\n<p>\u201cEveryone always needs to use a spacer \u2013 it\u2019s very hard to be coordinated enough to get the medicine to go down to the deep parts of the lung where you need it.<\/p>\n<p>\u201cIf you\u2019re using just an inhaler, you are just spraying into your mouth, with little effect.\u201d<\/p>\n<p><em>See a GP if you think your child has asthma, or to ensure you have an up-to-date asthma management plan. You can read more on asthma in our Kids Health Info fact sheet, <\/em><a href=\"http:\/\/www.rch.org.au\/kidsinfo\/fact_sheets\/Asthma\/\"><em>http:\/\/www.rch.org.au\/kidsinfo\/fact_sheets\/Asthma\/<\/em><\/a><em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>An estimated 2.5 million Australians have asthma. Click through to learn what to look out for, and how you can treat it.<\/p>\n","protected":false},"author":137,"featured_media":6122,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8971,6],"tags":[],"class_list":["post-6124","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-in-the-news"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/posts\/6124","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/users\/137"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/comments?post=6124"}],"version-history":[{"count":38,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/posts\/6124\/revisions"}],"predecessor-version":[{"id":6183,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/posts\/6124\/revisions\/6183"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/media\/6122"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/media?parent=6124"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/categories?post=6124"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/tags?post=6124"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}