Definitions & Treatment

Definition of Asthma | Exercise-Induced Asthma | Diagnosing Children | Pulmonary Function Tests | Allergy Testing | Treating Allergies & Asthma | Environmental Controls | Allergy Injections | Medications Conclusions

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Office: 440-333-2003

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20455 Lorain Road, Suite T3
Fairview Park, Ohio 44126

Diagnosing Children

An insidious type of problem is the general behavior of the child. If the child is having uncontrolled asthma, he does not feel well and if the child does not feel well, this can be manifested in a variety of ways. He may become very withdrawn and passive or, on the other hand, he may become hyperactive or a behavior problem, or just difficult to deal with. We have seen several children on medications such as Ritalin, which attempts to decrease the "hyperactivity" who, in fact, have uncontrolled asthma and when the asthma is brought under control, the abnormal behavior which had been such a problem, seems to fade. Thus frequently, behavior disturbances may, in fact, be a manifestation of uncontrolled asthma.

When the patient is initially seen, we take a detailed history in an attempt to find out what the symptoms are. Is it coughing, wheezing, frequent colds or frequent colds that linger? What are the precipitating factors?

Every asthmatic has to be treated as an individual. There are no two asthmatics that are alike. The final common pathway may be wheezing and coughing, but so many different factors are involved that we attempt to determine the specific profile. What are the factors that set off an attack?

When we examine the patient, we listen to the chest and we are looking for wheezing or other noises that we may hear. If the patient is underweight or short in stature, this, too, might be a sign of uncontrolled asthma. We also look at the skin to see if there are signs of eczema, which frequently occur with asthma. In addition, nasal problems, such as hay fever, frequently go along with asthma.