Asthma belongs to the chronic allergic diseases (such as Hay fever; Atopic dermatitis). Unlike a classic allergy, which appears only when a person is exposed to a specific allergen, Asthma may worsen by many triggers. The most common of them are “Cold” (Viral infections of the upper airways) pollution, dust, cigarette smoke, air conditioners, mold and even cockroaches. Some children with Asthma may cough after running, swimming or even laughing or crying.
The inflammation, a reaction of the immune system cells inside the lungs, causes the airways to become swollen and narrow and increases production of Mucus (Phlegm) which causes the child to cough. If narrowing of airways is severe enough it will cause breathing difficulties and wheezing (the sound of air flowing through narrow airways) and rarely, can also be life threatening.
How do we diagnose Asthma?
Asthma is quite common, especially in childhood. About 7 – 10% of children may experience Asthma.
The most common symptom of Asthma is a cough that goes on and on and doesn’t improve. But cough can be caused by many other reasons (Infections, like Flu or Sinusitis; Irritants like dust smoke or pollution; Allergies; and even Gastric reflux) it is sometimes difficult to differentiate between a simple cough and Asthma.
In Adults, diagnosing Asthma is usually easier. We can perform a “Lung function capacity test” that measures the lung volume and flow of air and can indicate Asthma. In children, it’s impossible to perform this test due to lack of proper compliance.
To diagnose a child with Asthma we need to consider many factors:
- Pattern of cough: Prolonged coughing, a cough that worsens at night, a cough that worsens after physical activities, a cough that causes vomiting - All are typical of Asthma cough.
- History of other Atopic conditions: If the child suffers from Atopic Dermatitis or Allergic Rhinitis – it raises the suspicion of Asthma.
- History of special infections: Bronchiolitis infection in the past increases the risk to develop Asthma. Recurrent Pneumonia might be caused by untreated Asthma.
- Antibiotic use: There is a strong relation between antibiotic treatment and development of Asthma. The younger the child is and the more antibiotic courses he received – the more risk he has to develop allergies or Asthma.
- Family history: Are other family members suffer from Asthma or Atopic conditions? Are there smokers in the family?
- Paracetamol use during pregnancy: Increases the risk of the baby to develop Asthma by more than twice.
- Caesarean section delivery: Large studies show that babies who were born in CS had 79% increased risk of developing Asthma compared with babies born in a natural delivery.
- Response to Asthma treatment: If a child responds to inhalation treatment, it highly suggests Asthma.
How do we treat Asthma?
The treatment of Asthma is with 2 groups of medications:
Bronchodilators – e.g. Ventolin, Salbutamol (By inhalation) that widen the airways.
Anti inflammatory medications – e.g. Steroids (inhaled or oral); Singulair. These medications reduce inflammation, swelling and mucus production.
The treatment of Asthma is tailored to the child’s condition. Children may respond differently to treatment, some respond quickly while others slowly. Some need only inhalation treatment while others will require additional oral treatment.
Environmental triggers should be eliminated in order to prevent recurrence or worsening of Asthma symptoms (e.g. cigarette smoking, dust, air conditioning, mold on walls etc.)
For further information, please contact our doctors.
Pediatrician – Family Medical Practice
- Fever Fears
- Diarrhea in children
- Emergency Response
- Announcement for Visa Applicants to Australia
- Medical Evacuations
- Japanese Encephalitis
- Constipation – The painful problem
- Dengue Fever
- Hand Foot and Mouth Disease
- Counting Sleep
- [Danang] Health talk: “My body belongs to me”
- Getting Tested For STDs in Ho Chi Minh City
- Our landline numbers are changing
- [FMP Hanoi] Protect yourself against measles outbreak
- Influenza A
- [FMP Hanoi] REQUIREMENT OF A CONSENT LETTER FOR CHILDREN'S MEDICAL EXAMINATION
- Dr. Pedro L. Trigo - Keen To Improve The Quality Of Life
- [HCMC] Konnit Fast' N' Fun Tournament 2017
- Cervical Cancer
- Avian Influenza H7N9
- [FMP Hanoi] Take care of her wellbeing on women day
- [FMP Hanoi] HPV Wellness Program
- Born to run
- Operations Notice - Tet Holidays
- Are antibiotics placing your kids at risk?
- Family Medical Practice and the Embassy of Israel on Humanitarian Mission to Kon Tum
- Public Holiday Notice
- [DN] Health talk on Stress Management
- [Hanoi] New Doctors: welcome on board; Dr. Shushunov and Dr. Nalpas & Glad you are back: Dr. Elisabeth
- Holiday Notice September 2016
- Medical pioneer in VN: system lacks vision
- Medical sponsorship for basketball games in Danang
- FMP Hanoi Kon Plong's Medical and Humanitarian Camp
- World Class Emergency Medical Response Service now available within HCMC
- Family Medical Practice holds mass casualty talk
- Certificate of Appreciation from Autism Speaks
- [HCMC] Kindergarten Clinic Tour
- [HCMC] Notice on Public Holiday - April 2016
- [HCMC] Work Permit Health Checks is available at Care1 Center
- Central Vietnam Games for Charity in Danang
- SIMBA AIS schedule on March and April 2016
- SIMBA Schedule 2016
- Tet Holiday 2016 Notice
- Graduation of the first 'Emergency Medical Dispatcher' course taught in Vietnam
- [HCM] Dr. Jonathan's "Nutrition and Healthy Eating" Talk at BVIS
- [FMP HN] Traditional New Year Celebration World-Wide
- [HCM] FMP's SIMBA Group donates annual charity collection to charitable organizations
- Holiday Notice
- [DN] Vinataba - Philip Morris Health Talk
- [HCMC] New SIMBA Group at Gymboree - D1
- [HCMC] Free two rides with Uber for new signups
- Dr. Jonathan's Health Talk at Maple Bear Kindergarten Open Day 2015
- International School Presentations
- Angel Kindergarten Clinic Tour at D2
- NEW SIMBA Blog Launched Today
- FMP Out in the Community
- Saigon International College Health Talk
- An Exciting Sports Day at KIS
- Renaissance International School Clinic Tour
- Welcome Dr. Phillippe Collin to FMP Hanoi Pediatric Unit
- Dr. Masato Okuda joined HCMC FMP Team
- BVIS Internship Program
- Japanese Kindergarten Sport Day
- Montessori Kindergarten Clinic Tour
- Dr. Jonathan Health Talk at ABC IS
- Children Party at FMP Hanoi
- Hand Washing Health Talk at SSIS
- FMP International Children's Day Party
- Sport Event at Japanese School HCMC
- BNI Open Day
- Drawing Competition for International Children's Day
- ENT Service - new consultation hours at the HCMC Clinic
- Up Coming Event
- Women's Health by Dr Aron Schuftan
- International Festival at ISHCMC
- Special promotion Pre-marital screening
- Dr. Jonathan Halevy, MD: Pediatrician
- Thank you message to Dr. Jonathan Halevy
- Routine working hours change at FMP Hanoi
- ASEAN Quality Goods & Services - 2014
- School health check-ups service
- Pediatric Patient Story: Dr. Jonathan
- Visa check up service
- Specialist Gynecology Services starting at HCMC Clinic in November
- Acne treatment
- Mindful Resilience Course starting from 20 October 2014
- Early Identification of Autism Workshop
- Dr Rafi Kot - The growth of medical facilities in Vietnam
- Dr. Rafi Kot was interviewed by BusinessWoman Magazine
- Family Medical Practice - Da Nang
- Family Medical Practice HCMC is medical sponsorship for FOBISIA Primary Games.
- Treatment For Skin Conditions at FMP HCMC
- The 10th Asia Pacific Travel Health Conference (APTHC 2014)
- Family Medical Practice received the license for the Carmel Hospital in HCMC
- Chickenpox (Varicella) outbreak in Ho Chi Minh City has continued since the end of 2013
- Flu vaccination
- Fatty liver disease
- Hepatitis B
- Dengue Fever in Vietnam
- Testicular self - examination (TSE)
- Poor posture & Your work station
- Lower back pain in adults
- Birthing Classes Places Available in June HCMC
- MEDICAL SITUATION ALERT: Mers-cov in South Korea
- Hair Loss Assessments
- Birthing Classes Places Available in August HCMC
- Rabies in South East Asia
- Cervical cancer 'not just a young woman's disease'
- World Breast Feeding Week
- [Hanoi] Panorama prenatal screen
- Seasonal Influenza Vaccine 2015 - 2016
- World Heart Day 2015
- [Medical Update] Asian Bird Flu
- A COMPLEX AIR EVACUATION REAFFIRMS VIETNAM ON THE WORLD MEDICAL MAP
- Zika Virus
- Endometriosis (by Dr. Aron Schuftan)
- [Saigon Times] Emergency Medical Response Center in the offing
- [Word] New Emergency Medical Response Center Passes First Test
- [Medical Alert] Dengue Fever in Vietnam 2016
- Meningococcal Meningitis
- Autism Awareness Month