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Here - Health Promotion Agency

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Illness and accidents<br />

smoking or encourage other adults<br />

in your house to stop, then try to<br />

make sure that your children don’t<br />

have to smoke too by creating a<br />

smoke-free zone. See pages 123–4<br />

for tips on giving up.<br />

ASTHMA<br />

Asthma is an inflammatory condition<br />

of the airways (bronchial tubes) of<br />

the lungs. These carry the air we<br />

breathe. With asthma the airways<br />

are extra sensitive to substances or<br />

trigger factors which irritate them,<br />

such as dust, animal fur or cigarette<br />

smoke. When in contact with a<br />

trigger factor, the air passages<br />

become narrower and a sticky<br />

mucus (phlegm) is produced<br />

making it difficult for air to pass<br />

through. Asthma is on the<br />

increase, especially in children.<br />

The exact cause of asthma is<br />

unknown, but an attack can be due<br />

to sensitivity (allergy) to a trigger<br />

factor or to non-allergic causes.<br />

It is known that asthma often runs<br />

in families. Viral infections are a very<br />

common trigger of an asthma attack<br />

– more common than allergy.<br />

Some symptoms of asthma<br />

●<br />

●<br />

●<br />

Repeated attacks of coughing<br />

and wheezing, usually with<br />

colds, shortness of breath and<br />

production of phlegm. The<br />

symptoms are often worse at night<br />

or after exercise. Not everyone<br />

with asthma gets all the symptoms.<br />

And for many young children, a<br />

dry irritating cough may be the<br />

only symptom. See your GP if you<br />

think your child has asthma.<br />

Smoking during pregnancy or<br />

around a child can increase the<br />

child’s risk of asthma.<br />

Breastfeeding your child for as<br />

long as possible can help protect<br />

against asthma developing.<br />

COLDS<br />

It may seem that your child always<br />

has a cold or upper respiratory tract<br />

infection. In fact it is normal for a<br />

child to have a cold eight or more<br />

times a year. This is because there<br />

are hundreds of different viruses and<br />

young children are meeting each one<br />

of them for the first time. Gradually<br />

they build up immunity and get<br />

fewer colds. <strong>Here</strong> are some<br />

suggestions on how to treat colds.<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

Because colds are caused by<br />

viruses, not bacteria, antibiotics<br />

don’t help. It is also best for<br />

antibiotics to be used only for<br />

more serious illnesses.<br />

Most colds will get better in five<br />

to seven days.<br />

Cough and cold medicines have<br />

not been shown to work and may<br />

produce side-effects in young<br />

children. They may also cause<br />

poisoning if your child accidentally<br />

swallows more than the right dose.<br />

Stuffiness may be made worse by<br />

nasal decongestants; if these are<br />

necessary they should only be<br />

used for two to three days.<br />

Saline nose drops may help to<br />

loosen dried nasal secretions or a<br />

stuffy nose – ask your pharmacist,<br />

GP or health visitor about these.<br />

Tickling the nose with a teased<br />

cotton bud causes sneezing and is<br />

helpful for clearing the nose<br />

before feeding.<br />

Increase the amount of fluid your<br />

child normally drinks.<br />

A pillow or blanket put under the<br />

baby’s mattress to raise the head<br />

may help snuffly babies breathe<br />

more easily.<br />

CHILDREN WHO NEED<br />

SPECIALIST CARE<br />

Newborns are tested for<br />

sickle cell disorders,<br />

phenylketonuria, congenital<br />

hypothyroidism, and in some<br />

cases cystic fibrosis. If your<br />

child has any of these<br />

conditions, he/she will<br />

require specialist care. This<br />

type of care is agreed between<br />

parents or guardians and<br />

health professionals.<br />

Voluntary organisations can<br />

also provide information,<br />

support and advice (see<br />

Useful organisations on<br />

pages 148 and 149).<br />

91

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