Is the child asthmatic? If your child had heavy eczema as a child, usually sneezes easily, or has food allergies as a child (meaning red skin with rash, abdominal pain, vomiting, etc. after eating the same food for many times, commonly milk protein, eggs, peanuts, soybeans), repeated wheezing, and after 3-5 years old still has to wheeze when coughing and rarely has fever, then asthma is very likely. Some parents find it hard to accept that their children have asthma and always feel that our babies do not wheeze when they do not cough, but only when they cough. In fact, asthma is a chronic disease that does not have symptoms every day, there are periods of attack and remission, and many of the younger ones are induced by colds. Many children with asthma have allergic rhinitis, which has four major symptoms: nasal congestion, runny nose, nasal itch (the child shows it by rubbing his nose), and continuous sneezing, and is not easily distinguished from a cold, which usually has a sore throat (not limited to the morning) and does not have continuous sneezing. Does asthma always have wheezing? Generally, asthma is recurrent wheezing. However, there is a kind of asthma that does not wheeze, which is what doctors call cough variant asthma. It is only coughing but not wheezing, it cannot be cured for a month, anti-inflammatory drugs do not work, it coughs when it encounters irritating gases such as the smell of smoke, it coughs after laughing and activities, it coughs in the latter half of the night, there is not much phlegm, and the cough is significantly better after taking terbutaline or procaterol for almost a week, if this is the case, it may be asthma. What tests are needed for asthma? 1, allergen testing: There are two methods are reliable, one is skin prick, less painful, less expensive, less than a quarter of an hour to get the results, but affected by drugs, if you take anti-allergy drugs within 3 days, the test result may be negative, there is a certain risk that extremely sensitive patients, patients in the attack period, very few may have asthma attacks, shock phenomenon. The second is to draw blood for allergens, the most complete is Peking Union Medical College Hospital, at present the general hospital can only check the four common food allergens and total inhalation allergen screening and dust mites, total inhalation allergen screening can provide the doctor with the basis whether there is inhalation allergy allergy, if there is, the possibility of allergic rhinitis with asthma should be considered. Blood tests are not affected by medication and can be done at any time without any risk. The disadvantage is the high cost and long waiting time, up to one week. Some parents say what is the use of allergen testing and that it is not curative even if detected. If the presence of allergies is confirmed and the child has a bad cough, it can be a very helpful clue to the doctor, and the direction of diagnosis and treatment plan will be different. I don’t know if you have noticed when you take your child to the doctor, but “bronchitis” is a frequent diagnosis, and anti-inflammatory cough medicine is prescribed, but sometimes it doesn’t work. A cough does not always have to be bronchitis. 2, lung function: lung function helps doctors determine the severity of the child’s condition, and sometimes helps doctors diagnose the presence of asthma, and helps determine the effectiveness of long-term treatment. 3.Whistle gas nitric oxide test, etc. How is asthma treated? We often find that outpatients with asthma attacks are hooked up to water, antibiotics, etc. If the asthma attack is not severe, there is usually no need to hook up to water, oral and nebulized medication is sufficient, asthma attacks are usually not bacterial infections, mostly triggered by viral infections, exposure to allergens, exposure to irritating gases such as tobacco, etc. Treatment during an attack: avoid allergens, hormones + bronchodilators as the main medication. After acute symptoms are controlled, long-term control medication is needed, that is, preventive medication, generally inhaled hormones, and in severe cases doctors will prescribe a combination of hormones plus long-acting tracheal dilators, and some will take montelukast sodium. The high allergy season requires environmental control and additional anti-allergy medication. Precautions: i. Long-term cooperation with a regular doctor and long-term follow-up. Gradually reduce the dosage according to the condition, and if there are fluctuations, find the cause and correct it in time for better control. Some parents worry about the side effects of drugs and reduce them privately, resulting in poor control and recurrent attacks. Some parents feel that the diagnosis is clear and the medication is effective, so they can find a doctor to prescribe some medication, which can easily cause the medication to be reduced when it should be, and if the condition fluctuates, it is not easy to find the cause. Fixed doctor, if the condition is not well controlled, the doctor has pressure, but also will be more responsible. Second, family members quit smoking. Smoking causes disease attacks, but also affects the effectiveness of drugs, and the probability of asthma increases, not asthma becomes asthma. Third, the attack period can not eat cold drinks, drinks, usually as little as possible to eat drinks, unhealthy, additives artificial coloring, etc.. Most of the asthmatic children in Suzhou are allergic to dust mites. In spring and autumn, the temperature and humidity are suitable for dust mites to multiply and the amount of dust mites increases greatly, so allergic rhinitis and asthma is the high season. Are there many side effects of long-term asthma medication? Parents are frightened when they hear about long-term medication, can the child be so young and take medication for several years? The inhaled hormone unit of asthma is micrograms, while the oral or infusion medication used during an attack is tens of milligrams, which is a systemic medication, with the blood flow to the whole body, one milligram is equal to one thousand micrograms, without taking long-term medication, repeated attacks, the medication used is only more and less. In a word, as long as the medication is regulated, the side effects can be negligible.