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, 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’s nose is rubbed), and continuous sneezing, and is not easily distinguished from a cold, which generally has a 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 type of asthma that does not wheeze, which is what doctors call cough variant asthma. It is a cough that cannot be cured even after a month, and anti-inflammatory drugs do not work, and it coughs when it encounters irritating gases such as smoke, coughs after laughing and activities, coughs in the second half of the night, and has little phlegm. What tests do I need to do for asthma? 1, allergen testing: there are two methods are reliable, one is skin prick, less painful, less costly, 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, “bronchitis” is often the doctor’s diagnosis, prescription anti-inflammatory cough medicine, sometimes not necessarily effective, 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 long-term treatment helps determine the effectiveness. 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. Caution: 1. Long-term cooperation with a regular doctor, long-term follow-up, gradual reduction of dosage according to the condition, if there are fluctuations, find the cause, timely correction, in order to better control. Some parents worry about the side effects of drugs, private reduction of drugs, resulting in poor control of the disease, recurrent attacks, the result is that the disease is not well, the drug is not less. Some parents feel that the diagnosis is clear and the medication is effective, so they can find a doctor to prescribe some medication, which may 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 more responsible. 2, the family quit smoking, smoking causes disease attacks, but also affect the efficacy of drugs, and the probability of asthma increased, not asthma into asthma. 3, 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 indoors increases greatly, so allergic rhinitis and asthma is a 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. Finally, I would like to mention about desensitization. At present, most hospitals in China can only carry out desensitization of dust mite allergy patients, and there are many kinds of desensitization in the Department of Allergology. There are two methods of dust mite desensitization, one is injection desensitization and the other is sublingual, the former is more effective than the latter, the course of treatment is more than 3 years, suitable for children over 5 years old, the cost is currently more than 20,000.