Asthma

Asthma is one of the most common chronic disorders in school children in the western world. In the UK, Asthma affects 1 in 7 children causing recurrent illness, even death. Asthma usually starts early in childhood although may remit and perhaps later relapse. It is a clinical diagnosis defined with symptoms and response to bronchodilators ( such as Salbutamol, Terbutaline). There is no gold standard test to diagnose asthma particularly under 4 years of age. Asthma is associated with maternal micronutrient deficiencies (vitamin E and D), maternal smoking and genetic basis independent of atopy(family history of asthma, eczema, hayfever). Under 5 years of age, atopy has little influence on disease expression, after 5 it predicts persistence of asthma. More recent cohort studies related early life viral infections to development of asthma. Asthmatics may have more prolonged and severe chest infections. Once asthmatic children are sensitized(allergy), repeated allergen exposure such as house dust, cat pollens will lead to disease persistence. Severe asthma begins in early childhood and early treatment may influence the disease course. There is no single parameter that predicts the course of asthma which may vary. Therefore it is pertinent to regularly reassess the course and evaluate additional information such as allergies.



Conditions Treated
Asthma
Wheezing
Cough
Respiratory infections
Hay fever/allergic rhinitis
Milk and food allergies
Pollen allergies
Eczema
Feeding difficulties
Gastroesophageal reflux
Neonatal and early infancy problems