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What is Asthma ?

Asthma is a chronic inflammation of the airways with reversible episodes of "spasm" and obstruction caused by mucus plugs, mucousal swelling and/or muscle contraction. The smooth muscle spasm (bronchospasm) can be a result of multiple "triggers." The positive outcome is almost all asthma can be controlled.

Most common in childhood, asthma effects all age groups and has caused significant school absenteeism. Even though asthma cannot be cured, it can almost always be controlled. For this reason, the American Lung Association has chosen childhood asthma as one of their top priorities.

In asthma, the normal airway function designed to protect the lungs (muscle contraction, mucousal swelling and mucus formation) becomes excessive. For reasons not entirely known, the airways become abnormally sensitive to infection, weather, exercise, irritants and allergens.

Inflammation of the airways is the common finding in all asthma patients. This inflammation is produced by allergy, viral respiratory infections, and airborne irritants.

The muscles tighten (bronchospasm) and the mucosa begins to swell, which reduces the diameter of the airways. At this point it is extremely difficult to move air in and out of the lungs. Wheezing occurs, in addition, mucus production is increased, sometimes forming sticky plugs in the bronchial tubes.

Each individual suffers a different level of severity. All children with asthma, however, do enjoy a reversal of symptoms until something triggers the next episode.


THE SIGNS AND SYMPTOMS

  • Wheezing
  • Frequent coughing or respiratory infections (pneumonia or bronchitis)
  • Coughing after physical activity (running or crying).
  • Recurrent night cough, as asthma is often worse at night.
  • Chest tightness and or shortness of breath, chest tightness may lead to unexplained irritability.


    Remember: Any child who has frequent coughing or respiratory infections (pneumonia or bronchitis) should be evaluated for asthma.


American Lung Association: Asthma Information 8/2000


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