How to avoid triggers of asthma attacks in an 8-year-old?

Hello,

Welcome to icliniq.com.

I understand your concern.

As you already described that your son is suffering from bronchial asthma, the key to the treatment of asthma is the use of inhaled medications. For adequate asthma control, appropriate inhalers with the right dose are to be used with the appropriate technique, and they should be used regularly.

Investigations to be done on newly diagnosed or uncontrolled bronchial asthma:

1. Complete blood count.

2. Serum total IgE (immunoglobulin E).

3. Chest X-ray.

4. Pulmonary function test (spirometry pre and post bronchodilator).

Causes for repeated exacerbations include:

1. Presence of comorbid conditions like allergic rhinitis, GERD (gastroesophageal reflux disease), and obesity.

2. Incorrect inhaler technique or if inhaler is not being used regularly.

3. If incorrect inhaled medicines are being used.

The following advice are to be followed:

1. Start regularly using inhalers containing Budesonide and Formoterol one puff twice daily with a spacer followed by mouthwash). Inhalers are to be used on a daily basis without any break for at least six months. No dose is to be skipped until unless advised by a pulmonologist.

2. Mac spacer (it is to be attached with an inhaler; the technique of its usage can be learned online via).

3. Consult a pulmonologist either physically or virtually on a regular basis (at least once monthly).

4. Take vaccinations appropriate for the age if not taken already.

5. Control of co-morbid conditions, if any, like allergic rhinitis, since uncontrolled allergic rhinitis and GERD often exacerbate asthma, leading to poor asthma control.

6. Ensure he has a written asthma action plan that outlines how to manage his symptoms and what to do in an emergency. This can help him feel more in control.

7. Avoid triggers: Identifying and avoiding triggers (like smoke, pollution, pets, or certain foods) can significantly improve his condition.

8. Pulmonary rehabilitation: Some programs offer education and exercises to improve lung function and overall fitness.

9. Lifestyle changes: Regular exercise (as tolerated), maintaining a healthy diet, and managing stress can all contribute to better asthma control.

10. Monitoring and technology: Using a peak flow meter to monitor his lung function can help him detect worsening asthma early. There are also smartphone apps that can help track symptoms and medication use.

11. Emergency preparedness: Make sure he has an emergency plan in place, including access to emergency medications and knowing when to seek urgent care.

Environmental changes

1. Dust control: Reduce dust by using washable bedding, removing carpets, and keeping stuffed animals to a minimum. Regularly clean surfaces with damp cloths to avoid dust accumulation.

2. Pollen management: During high pollen seasons, keep windows closed and use air conditioning instead. Showering and changing clothes after being outdoors can also help reduce pollen exposure.

3. Humidity control: Keep indoor humidity below 50 percent to deter mold and dust mites. A dehumidifier can help with this, especially in humid climates like Florida.

4. Pet management: If you have pets, try to keep them out of their bedroom and limit their access to common areas. Regular cleaning can help reduce pet dander.

5. Smoke-free home: Ensure that your home is completely smoke-free, as secondhand smoke can significantly exacerbate asthma symptoms.

Get all the investigations and follow up after one week of investigations, will then evaluate if your asthma is controlled or not.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.