Do I need to take extra care of my child?
Can my child play sport? Will she be safe sleeping at a friend’s house? It is
natural for parents to worry about their child’s asthma and it is stressful
watching your child have difficulty breathing. The whole family may have many
disturbed nights. Perhaps you fear the attack will get very serious or that you
won’t know what to do.
At these times try to remember that death from asthma is extremely rare in
children. There is a far greater chance of them dying on the roads than dying of
asthma. So while your anxiety is justified, the right to a normal childhood is
also important. It is important for children to “fit in” and to be one of the crowd.
Feeling left out or different can lead to feelings of isolation.
Its a juggling act and obviously the rules are going to vary according to the
severity of your child’s asthma. With sensible care an asthmatic child should be
able to lead a normal life. Once a children has become frightened about their
asthma then they may lose confidence and stop doing physical exercise or going
to places where they have had asthma attacks in the past.
Other asthmatic children develop a different attitude and go all out to show
others that they are just as good as non-asthmatics and can over do it
sometimes proving this. These children may become sensitive or embarrassed
about taking their medication in front of others and refuse to acknowledge that
they have a problem.
To help your child have a life which is as normal as possible, try the following:
Find out about your child's medication - what it does and when to use it
Use the reliever medication only as it is needed - do not use it as a preventer
Use medication through a spacer or aerochamber because (A) this lowers the
chance of oral thrush from inhaled steroids and (B) it is an easier way for
children to get maximum benefit from the reliever inhaler.
Teach your child what their medication is for and how to use it correctly
Encourage your child to breathe through their nose as much as possible
Avoid giving your child chocolate and milk when they are wheezy. Calcium
and minerals can be obtained in other ways.
Don't smoke around your children
Encourage quiet activities such as reading or colouring when the child has
mild asthma - you may stop it developing into a more severe attack
Avoid known or suspected allergens where possible and within reason
Keep an asthma diary. Note when and where asthma symptoms occur, what
activities were performed and what foods have been eaten in the few hours
before the symptoms started. Also note symptoms and dosage of medication
needed to bring the attack under control
Remain calm when your child has an asthma attack
Have an Asthma Management Plan prepared. This is what you and your
child's course of action will be when an asthma attack begins
Be prepared to keep the child at home from school if you think the child is
getting asthma
Teach you child how to recognise their breathing difficulties and when
medication is needed
Encourage participation in sports. Swimming in particular seems to be
beneficial unless the child is allergic to chlorine. Swimming in cold water is
also known to trigger some children’s asthma symptoms so a heated pool
may be necessary. A fit child copes better with asthma than one who has
flabby muscles or who is over-weight
Several small meals a day are often better than three large ones. If asthma
is hovering in the background a large meal can trigger symptoms
Encourage your child to drink lots of fluids, especially when asthma is
present
