The Bare Facts Bronchial asthma is due to chornic inflammation of the airways. It affects 20 per cent of children in Singapore. Common symptoms are wheezing, coughing (with or without phlegm) asnd chest tightness (particularly after cigorous exercise). Triggers range from external factors such as irritants (the haze) and allergens (animal fur) to strenuous physical activity and emotional factors (eg anxiety). There is no cure for asthma but with appropriate treatment, many children can lead normal lives. The Helpful Facts An asthmatic child can still remain healthy and physically active. Not all asthmatic children need medicine. For those that do, there are: • Relievers or bronchodilators. Asthmatic children are advised to carry a reliever wherever they go. • Preventers or anti-inflammatory drugs which reduce swelling of the airways over time. Never stop medication without your doctor’s advice. With chronic asthma require long-term treatment. Doctors will formulate a management plan and conduct regular reviews to determine progress. Asthma triggers in the home • Cigarette smoke and strong odours eg perfume, room deodorizers, talcum powder • Pets with fur – keep them away by storing and disposing food properly; pest control may be necessary • Mould – make sure the home is clean and has good air circulation • Dust mites – use airtight protective covering on mattress and pillows; wash all bedding each week in hot water; avoid stuffed toys and get toys that can be washed IF YOUR CHILD HAS AN ASTHMA ATTACK: • Stay calm and be with him • Give him air • Use the inhaler • If the symptoms do not improve or wheezing returns withing four hours, seek medical treatment immediately. INFORMATION: Women’s & Children’s Hospital, Respiratory Medicine Service, Department of Paediatrics Tel: 6294 4050 The above information is not a substitute for a doctor's medical advice. Consult your Family Doctor or a Specialist if you have any concerns about your health.