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CHILDHOOD ASTHMA: MORE QUESTIONS ABOUT ASTHMATIC CHILDREN
We are bringing our children up the French way and allowing them a little wine with their Sunday lunch. Will it do them any harm?
It is surprising how often I am asked this question and I must admit my own children have had a tipple occasionally since very young. Alcoholic beverages feature all too frequently in the list of triggers for asthma. The alcohol itself is not the culprit but rather the additional components that give a drink its distinctive flavour. Whether the mechanism is allergic or chemical is not known but whatever the reason, sensitivity to alcoholic drinks can be one of the most annoying features of asthma in later life. As white wine has the least additives I would stick to this for your children and not be tempted to give stronger spirits!
My daughter’s asthma has suddenly become more troublesome after several years of good control. She has been to the asthma clinic but adjusting her medication hasn’t helped. Can you suggest anything?
If the inhalers do not bring the expected control it is important to work through the following checklist:
– Remember to check that all treatment routines are correctly followed.
– Make sure your child’s inhaler technique is correct. Often children do it in a rush and do not allow sufficient time for the drug to be absorbed before breathing out. This is the commonest cause of failed treatment and if in any doubt do call in to your surgery and ask the practice nurse to check the technique.
– Keep all dust, smoke and animal dander to a minimum.
– Stop all cigarette smoking in the house and ask friends at their houses not to smoke when your child is there.
– Do discuss and air fully any worries and fears your child may have. It is surprising how often emotions can upset the balance in asthma.
– Boost your child’s immune system by ensuring she eats a fresh whole-food diet, takes regular exercise and has sufficient sleep and relaxation. Building up the natural body defenses is vital in the effective control of asthma.
? Make sure your child isn’t eating too many foods with preservatives, flavourings and colourants in as these can trigger asthma attacks.
I am so fed up with my son taking all these drugs. Can I change him to alternative medicine?
More and more people are becoming bothered about taking modern drugs as all of them seem to have side-effects of one sort or another. I am one of the greatest supporters of alternative medicine and wherever possible in my practice I will treat both children and adults by natural means. It is also quite feasible to use natural methods for treating a mild attack. However, I would not risk using them in a severe episode, either where the peak flow is less than 50 per cent of normal or where the child’s condition is deteriorating rapidly. This is really because their effect tends to be more gradual and time is of an essence where the breathing is very distressed. So by all means try alternative methods for prevention and for non-serious situations but do not hesitate to change back to conventional methods if the asthma becomes severe.
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