Asthma & Eczema
Asthma is a medical condition characterized by the transient narrowing of the bronchioles also known as the small pipes in the lungs due to inflammation caused by triggering factors. Common triggers of an asthma attack are cold, pollen, smoke, dust, viral illness etc . It is important to take note of these triggers early enough so as to avoid them.
Asthma is a very common condition in children and vital to manage as it can be life threatening. In most cases there is a family history of Asthma and atopies.
Signs and symptoms
When these symptoms progressively get worse with respiratory distress, it is important that you call an ambulance immediately!
Other warning signs are:
Treatment of asthma
Asthma is typically treated by bronchodilator, an example being Ventolin. These are drugs that enable the airspaces to widen allowing for proper breathing and circulation. The doctor may give you an inhaler which should be used to relieve mild episodes of asthma. It is important that the inhaler is given as a start dose as per medical advice followed by a review by the medical practitioner. In the event of an attack, sit the child comfortably and preferably upright, shake the Ventolin and give 6 -12 puffs according to their age and ask the child to breathe in after each puff. Monitor progress every 20 minutes up to 3 hours. If there is no improvement after puffs, call an ambulance immediately.
The doctor may also prescribe prednisone, a type of steroid that helps to prevent swelling or restricting of the airways. It also helps to make the tubes more responsive to the bronchodilators.
These two types of medication are ideally relievers and work to mitigate an attack already in place.
The other type of medication is a preventer which is taken every day to prevent the attacks from recurring, example is Flixotide, Singular etc. Ensure that the doctor regularly checks the efficacy of these drugs which are taken daily. In addition, controllers such as Seretide and Formoterol are taken daily and are long acting versions of the relievers.
Most children eventually outgrow their asthma. It is however important that preventer medicine is taken every day and that these children need to see their doctors regularly.
Call us for an appointment with our Paediatricians at Kids Health Space.
Eczema is a skin condition that presents with itchiness, dryness and redness of the skin in children less than six years. Eczema is fairly common in children and presents before the age of one although it may also present later.
Triggers of eczema flare-ups
Signs and symptoms
A dry red rash that commonly begins on the face before spreading to the body, the arms and the scalp.
There is a variation in eczema rash often with certain times being mild and other times being severe. The causes of eczema are not well defined but there is a genetic predisposition. There is a tendency for eczema to co-occur with asthma or even hay fever. There are various triggers for eczema with the most common being overheating, dryness. Certain soaps and detergents especially fabric softeners. Food allergies, toothpastes and pollen.
Eczema itching scale
Control of eczema
When should you see our doctor?
Treatment of eczema
Cortisone is the treatment modality of choice, apply it to all exposed areas and monitor for response. It is important to note that while there are many over the counter cortisone treatments, our doctor will guide you on what is best for your child. There are a lot of questions on the use of cortisone in children but there has been considerable rationale for its use in eczema.
Apparent use of moisturizers / emollients.
Your child can still have their regular vaccinations as well as recreational activities such as swimming without fear.
Contact local Emergency Department if:
Call us for an appointment with our Paediatricians at Kids Health Space for the right choice of management of Eczema.