Birth to five

Your NHS guide to parenting in the early years

Asthma in young children

Asthma is an inflammatory condition of the airways of the lungs. The airways (bronchial tubes) are sensitive to irritating substances such as dust, animal fur and cigarette smoke. These irritants are known as trigger factors. When someone with asthma comes into contact with a trigger factor their airways narrow and produce a sticky mucus (phlegm), making it difficult for air to pass through.

The exact cause of asthma is unknown, but attacks can be caused by an allergy to a trigger factor. There may also be other non-allergic causes. Asthma often runs in families.

Symptoms

Symptoms include repeated attacks of coughing and wheezing (usually with colds), shortness of breath and bringing up phlegm. Symptoms are often worse at night or after exercise. Not everyone with asthma gets all the symptoms. For many young children a dry irritating cough may be the only symptom.

Viral infections are a common trigger for wheezing. If your child is wheezing it doesn't always mean they have asthma. In children with asthma, virus-triggered attacks are common. Usually your child will have a runny nose or sore throat first, then the wheezing will start two to three days later.

Using inhalers

If your child has asthma always be prepared for an attack. Make sure your child uses their brown preventer inhaler (which contains steroids) as prescribed, not just when they get symptoms.

Make sure your child uses their brown inhaler even when they’re feeling better. As soon as wheezing starts, they should use the blue inhaler (for quick relief from symptoms) and repeat the doses as prescribed. If this doesn’t work, contact your GP.

Reducing the risk of asthma

Smoking during pregnancy or around a child can increase the child’s risk of asthma. Breastfeeding your child for as long as possible can help reduce the risk.

Reducing the effects of asthma

Reducing the amount of dust in your house by getting rid of clutter, shaggy carpets or rugs can help. Piles of soft toys or cushions on beds can can be dust-traps. If you’re planning to change a carpet, get a short-pile carpet or put down a laminate or wood floor instead. Pets can also aggravate asthma, so consider it carefully before getting one.

Asthma: inhaler techniques

The symptoms of childhood asthma, how it can be treated and which inhaler is right for children.

Last reviewed: 29/07/2009

Next review due: 29/07/2011

What are these?

sarahHughes said on 13 January 2010

I’m a school nurse and I get a lot of the children coming to me with asthma attacks as they are reluctant to take their medicine because they don’t understand what is happening to them. I have had real difficulties in trying to find some child-friendly information on asthma until my friend showed me a copy of “What’s up with Max? Medikidz explain Asthma”.

I want to pass this advice on to other school nurses and parents as I find the book absolutely invaluable. Five superheroes give Max a tour of the human body, explaining what happens to him while he is having an asthma attack. They also explain how the medicines work in a child-friendly and understandable way which I find stops the children from being so scared of their illness. More information can be found on this book at http://www.medikidz.com but I just wanted to pass the link on as I find it such a useful learning tool for my children.

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Birth-to-five blog

Parents of babies, toddlers and pre-schoolers discuss the health and development of their children, from teething to weaning to schooling. To join the blog, email talk@nhschoices.nhs.uk

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