In mild intermittent childhood asthma the initial treatment is use of the B2-adrenergic agonist. Due to difficulty using MDIs in younger patients (under age five) there must be increased reliance on nebulized medication and oral preparations (tablets or elixirs). A trial of the powder form of a B-agonist such as albuterol may be easier for a child to use than a metered dose inhaler. Use of an MDI with a spacer with face mask attachment may be particularly helpful in young patients, to ensure better delivery of aerosol medication. As with adult patients there is a greater chance of side effects (nervousness, tremor) in a child receiving oral or nebulized medication.

Children with mild persistent asthma should add an anti-inflammatory agent such as cromolyn or nedocromil to the B2-adrenergic agonist. Cromolyn is the preferred choice due to the absence of total body effects. It is approved for children aged five and older with insufficient data for younger patients. Cromolyn is available for nebulizer use, which may be more suitable for younger patients as well as an MDI. Nedocromil has been approved for children aged six and older and is only currently available as an MDI. A nebulizer preparation of nedocromil should be available shortly. Alternative agents include the anti-leukotriene montelukast and the inhaled corticosteroids.

The inhaled corticosteroids have been found to affect bone growth and adrenal function in children in dosages above 400 p.g per day but are considered safe up to this dosage. A DPI preparation of fluticasone (Flovent Rotadisk) has recently been approved for children four years of age and older. The side effects of using higher dosages of inhaled corticosteroids in children should be weighed against the effects of uncontrolled asthma. There is insufficient data on the use of the inhaled corticosteroids in children below the age of four.

Treatment Strategy: Moderate Childhood Asthma

Children with moderate persistent asthma experience daily symptoms and have more than two attacks each week. These patients require higher dosages of the inhaled corticosteroids and the addition of a long-acting B2-agonist such as salmeterol. The anti-leukotriene montelukast may also be used as an alternative anti-inflammatory agent.

Salmeterol

The long-acting B2-adrenergic agonist, salmeterol, may be used for the control of moderate persistent asthma in children aged five and older. The pediatric dosage is one to two inhalations every twelve hours. Children with primarily nocturnal symptoms may use one dose nightly.

Theophylline

Theophylline should be considered for use in the childhood asthmatic who is uncontrolled on the above therapy. Unfortunate side effects such as nervousness, however, limit its usefulness. Recent studies have raised the question of a learning disability that may be attributed to theophylline. Additional adverse effects are stomach upset and headache. As in adults, blood levels must be monitored to ensure an effective therapeutic level.

Anticholingergic Agents

The anticholinergic agent ipratropium bromide may be used in children aged twelve and older as a second or third-line agent. Since most childhood asthmatics are allergic, it is not likely that this agent would provide significant bronchodilatation. It is available in a nebulizer form as well as an MDI.

Treatment Strategy Mild Childhood Asthma is from Top Nebulizers

Doctors and research experts plainly explain that asthma occur in people who have delicate airways which can easily react to certain allergens. Since it is a chronic condition, people with breathing problems have to deal with it from childhood to adult life. This condition is also hereditary so if you are a mother who has a breathing disorder, you should make it a point to check with a pediatrician if your child inherited your breathing problem. The telltale signs your child has a breathing disorder if he or she wheezes and coughs a lot and is allergic to cats or similar things. The child may also experience shortness of breath and the feeling that his or her chest is tightening. Don't undermine these signs so that you can immediately give your child the extra care he or she needs.

But the good thing is that there are certain medications one can take to prevent hard-to-breathe attacks. Asthma treatment includes inhalers, nebulizers, and doctor-prescribed drugs. For younger patients, physicians explained that the child can both use inhalers and nebulizers which are equally effective. However, inhalers are more child-friendly in a way because it is more convenient to use compared with nebulizers which are power-generated. Inhalers, either the dry power kind or the metered-dose type, are also cheaper alternative reliefs for asthma attacks. Whatever kind of medication you use, doctors advise patients to make sure they are doing the medication application the right way. Patients have a choice which kind of medication to use according to their budget and the severity of their breathing conditions. It is a case-to-case basis; a medication which works for a particular patient may not be as effective for another patient. It is best to consult physicians first before subjecting yourself or your loved one to a certain medication.

Asthma Treatment: Your Ally In Preventing Asthma Attacks is from Top Nebulizers

I can remember sitting in the small bathroom, leaning on my Mothers chest trying to breath calmly with her and the smell of Vick's vapo rub she put in a scalding hot shower to steam the room. Or a small cup of scalding hot coffee for the caffeine and steam. How incredibly hard it was and how badly it hurt to fight for every breath I could barely take.

As I grew older we moved to a bigger city but to no avail there was no treatment really and no one knew enough about it up there to help me any! My P.E. teachers harped on me to do things that would send me straight to the emergency room and put me out of school for days. My mother worked at a pharmacy and brought home an inhaler one day. Primatene mist! The most god awful tasting thing I had ever encountered! It made my heart beat so fast I thought it would come right out of my chest, My whole body shook like I was frigid and it felt like it was eating holes in my mouth. I reverted back to propping myself up with a pillow, humidifier with Vick's and steam after the first time using that inhaler.

Times are better now with inhalers like proventil and nebulizers for the home in severe cases. The telltale sign of my problem breathing and I use it to this day with my own children is when the area all around your mouth has a white circle, tight chested cough that produces no result, fatigue and chest pain. I personally prefer to solve these problems naturally so unless there is a severe attack in my home, we keep no pets in the home, there is no smoking in our home, I do not burn candles or in-cents, instead I keep a humidifier in the home with eucalyptus in it.

for problem breathing with colds, allergies, animals or exercise I always use the natural cures I have already spoke of. I only revert to the inhalers or nebulizer if it is absolutely necessary. I keep inhalers and nebulizers at the school for my children with doctors note and instruction for the nurse in case of emergency. It takes patients and sometimes persistence with the school as far as doctors notes for the medicines and the understanding of how to use the medicines for someone who does not know how to treat this ailment.

It is a frightening and painful experience, fighting with everything you have just to take a simple breath.For someone who does not know that feeling it is nearly impossible for them to understand the horror we are going through at that moment, and even harder yet for us to be patient with them in that situation. Everyone, weather they have asthma or not, needs to show absolute patience and be as calm as humanly possible when these attacks occur.

Symptoms and treatment of asthma – Part 1 is from Top Nebulizers

Patients who have experienced allergic reactions to specific foods must carefully avoid these products. Immediate reactions may include development of hives (urticaria), wheezing, collapse of the circulation, and swelling of the throat (anaphylaxis). Common sources of allergic or asthmatic reactions include shrimp and other shellfish, eggs, milk, soy, and peanuts. Asthma attacks triggered by food allergies are much more Common in children, particularly those with the allergic skin rash known as eczema. In adults these reactions are much less frequent and do not often trigger asthmatic attacks.

It is important to distinguish between a history of a specific allergic reaction that a patient has experienced and a positive allergy test alone. In many instances a positive allergy test (skin or blood) for a particular food may result despite the fact that the patient has ingested the food without reaction. In patients who have severe, unstable asthma it may be helpful to withdraw this food or food group and observe the patient's response. This should not be necessary in patients with less severe asthma that is well controlled.

A recent study has suggested that a diet rich in magnesium may be beneficial to lung function and may actually reduce wheezing and bronchial irritability. Magnesium is found in cereals, nuts, green vegetables, and dairy products. In patients who are not sensitive to these products, a diet rich in magnesium may help.

Sulfites

Sulfites are a common food and beverage preservative that may cause asthmatic attacks in sensitive individuals. These preservatives have been used to make products appear ";fresh"; and reduce spoilage. Salad bars in restaurants were common sources of sulfite exposure until 1986, when the FDA banned the use of sulfites on fruits and vegetables served as ";fresh."; It is believed that the irritant producing the asthmatic reaction is sulfur dioxide gas liberated from salts of sulfite, bisulfite or metabisulfite.

Not all asthmatics are sensitive to sulfites. Sulfite sensitivity may develop at any point in life and is most common in severe asthmatics. As a rule, however, it is best for all asthmatics to avoid sulfites, especially if they have had asthmatic reactions while dining in restaurants (";restaurant asthma";). Patients who are sensitive will have immediate asthmatic reactions. Sulfite reactions may also include stomach pains, hives, and anaphylactic shock. Some of the products containing sulfites that may cause reactions include processed potatoes, baked products, fresh shrimp, fruit drinks, dried fruits, beer, and wine.

Patients with sulfite sensitivity should read labels carefully and choose foods that do not contain sulfites. In 1986, the FDA ruled that sulfites used specifically as preservatives must be listed on the label. This ruling includes beer and wine bottled since that time. Sulfites used in food processing but not serving as preservatives in the final food must be listed on the label if present at levels of 10 parts per million or higher. Currently, there are six sulfiting agents allowed in packaged foods. The names by which they are listed on food labels are sulfur dioxide, sodium sulfite, sodium and potassium bisulfite, and sodium and potassium metabisulfite.

Sulfites have been used as preservatives in medications, too, including some asthma medications. Some nebulizer solutions may contain sulfites. This would explain why some patients may experience bronchospasm instead of bronchodilatation after a nebulizer treatment. For these sulfite sensitive patients, nebulizer solutions that do not contain sulfites are available.

The Asthma Diet is from Top Nebulizers

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Wholesale Aromatherapy Nebulizers is from Top Nebulizers