Occasionally sneezes with colds, which is not considered allergic rhinitis ; but sneezes every morning, for a month, you must suspect that allergic rhinitis has already been on the body. Occasionally, if you have a cold and cough for a few days, it is not considered as asthma; but if you cough repeatedly and have phlegm for more than two weeks, and the cough is more severe at night, you must be alert, as asthma is now in progress.
＊This article is included in "From now on, take your child away from allergies"
Occasional cold and sneeze are not considered allergic rhinitis; but if you sneeze every morning, for a month, you must suspect that allergic rhinitis has already been on the body. Occasionally, if you have a cold and cough for a few days, it is not considered as asthma; but if you cough repeatedly and have phlegm for more than two weeks, and the cough is more severe at night, you must be alert, as asthma is now in progress.
Although the cutting point in medicine is usually used as the cutting point for two years old, and it is not easy to diagnose allergic rhinitis or asthma before the age of two, it does not mean that after the day of your two-year-old birthday, you will immediately become an allergic child. The development of allergies is a dynamic process, which is started by the innate constitution, and the intrinsic inducers and allergens are constantly instigated, and the teasing of bad bacteria gradually highlights the symptoms, and eventually becomes allergic rhinitis or asthma.
For example, many infants and young children before the age of two have no symptoms of rhinitis , but they slowly appear dark circles and become deeper. These dark circles actually indirectly represent that the child is gradually moving towards the road to nose allergies, but the time has not come. The same is true for infants and young children who often breathe with phlegm sounds. Although there is still no need for medication at this time, parents should start immediately for environmental control measures and do not wait until the symptoms of allergies occur before dealing with them.
The trachea and the nasal cavity are both part of the respiratory tract. If you have allergic tracheitis (asthma), you will definitely have allergic rhinitis. In children, these two diseases often exist at the same time, but the degree of difference. According to research, 80% of patients with asthma will have allergic rhinitis, while 40% of patients with allergic rhinitis will have asthma at the same time. It can be seen that these two diseases are "being intensive and Meng is not being out of focus." If the symptoms of
are matched, you can diagnose
and diagnose allergic children. As long as you have detailed consultation, you can probably smell the clues. The following are the situations I often encounter in the outpatient clinic:
Two-year-old Xiaorui has been breathing loudly every day since she was one and a half years old and has suffered from respiratory fusion virus. She will have a nasal congestion at night and will definitely have a runny nose in the morning. This situation has been repeated for two months and I have taken a lot of medicine. My diagnosis: Allergic rhinitis.
Xiaodian, who is two and a half years old, has often caught a cold since he was in the kindergarten class. Every time he catches a cold, he will delay it for more than two weeks. He has phlegm in his cough, but he is in good spirits. I will definitely cough a few times before falling asleep at night, and the same is true when I wake up in the morning. I have no problem with appetite and activity. I took antibiotics for two months. My diagnosis: asthma, that is, allergic bronchitis.
Although the three-year-old Xiaoyu doesn’t catch a cold very often, as long as he wins the prize, he must have a lot of phlegm and coughs, and the severity is even more tragic than the children around him. During the week when I caught a cold, when the night was quiet, I could hear the sound of Xiaoyu's breathing, "Shut~" whistle, but he seemed to be still asleep and did not cry because of it. My diagnosis: Asthma.
Four-year-old Xiao Ming often has nosebleeds in . When he wakes up in the morning, the bed sheets are covered in blood, which is scary, like the scene of a murder. In addition to the trouble of nosebleeding, Xiao Ming often has his nose congestion and picks his nose, and even his mouth opens when he sleeps, and his snoring sounds loudly. My diagnosis: Allergic rhinitis.
Five-year-old Xiaohua occasionally coughs. The school teacher said that Xiaohua coughed very badly after exercise, and it often took 30 minutes to gradually slow down. The phlegm sound was very heavy when coughing, but the spirit and activity were good, and even the first place in the class in sprinting. My diagnosis: Sports asthma.
Ad, six years old, has become increasingly serious in his eyes and looks like he can't sleep full every day. He will sneeze when he wakes up, and will have a nasal congestion when he sleeps at night. His mouth opens and breathes. He often complains about his nose itchy and rubs his nose all day long.Not only that, his tooth decay is very serious and his bad breath is also very serious. He often has angular stomatitis attacks, and the comprehensive vitamin that he had taken for half a year was ineffective. My diagnosis: Severe allergic rhinitis.
Aga this year, with acne on his face, a headache every day, and a bad temper. He is not a bad boy. He studies hard every day and stays up late, but his grades have not improved. He sleeps less than eight hours a day, and he often relaxes his mind during class and cannot concentrate. He has to go to tutor after class, but he always can't remember what the teacher teaches, and he is very frustrated. My diagnosis: long-term allergic rhinitis, brain hypoxia.
What are the above stories and narratives that are very similar to your children? In fact, the diagnosis of allergic rhinitis and asthma does not require any advanced instruments or blood tests. As long as the diagnosis is clear and detailed clinical evaluation is the most standard practice.
Allergic rhinitis: Self-diagnosis
The following is a consultation on allergic rhinitis, and your parents can answer it yourself.
Does your child have at least two of the following symptoms, and it occurs almost every day for more than an hour?
1. Runny nose □Yes □No
2. Sneezing □Yes □No
3. Congested nose □Yes □No
4. Itchy nose □Yes □No
5. Red or itchy eyes □Yes □No
0 If parents easily check more than two items, it means that your child should already be allergic rhinitis. However, in order to rule out other diseases, the following table is an option for "may not be allergic rhinitis". If so, it means that the doctor must first ask the doctor to evaluate whether there are other problems.
Does your child have the following situations and must consider other diseases first?
1. Only one-sided nose runny nose □Yes □No
2. Only nasal congestion, no other symptoms □Yes □No
3. Yellow pus aeruginosa has been snot for a long time □Yes □No
4. Cheeks will hurt □Yes □No
5. Only nosebleed, no other symptoms □Yes □No
6. Losing sense of smell □Yes □No
0 Usually after diagnosing a child with allergic rhinitis, the doctor will ask further questions to understand the severity of the disease and set the treatment goals. The goals we hope to achieve are the following four items:
1. Symptoms do not affect sleep quality.
2. Symptoms do not affect daily life and various exercises.
3. Symptoms do not affect school and work, including concentration ability.
4. There are no troublesome side effects when taking medication.
Allergic rhinitis can be divided into "intermittent" or "persistent" according to the duration of the disease. The so-called persistence is defined as having symptoms of at least four days a week and having been continuously for more than one month. If persistent allergic rhinitis is left alone, the following adverse consequences will be:
The impact of chronic allergic rhinitis on children:
1. Dark circles due to blood flow obstruction in the nasal cavity.
2. Bad breath often open your mouth to breathe, causing oral bacteria to grow.
3. Tooth decay: often open your mouth to breathe, causing oral bacteria to grow.
4. Repeated angular stomatitis often opens his mouth to breathe, causing the growth of oral bacteria.
5. Inconsistent dentitions. Regular opening of mouth to breathe, resulting in abnormal development of the bones on the chin.
6. Repeated otitis media is low in immunity and is prone to invasion of respiratory bacteria.
7. Repeated sinusitis: low immunity and respiratory bacteria are prone to invasion.
8. Inattention/overactive tendency/mood instability Deficit sleep, or itchy nose causes distraction.
So don’t underestimate allergic rhinitis. If you don’t deal with it, it may cause systemic health hazards.
Asthma (allergic tracheitis): Self-diagnosis
Like allergic rhinitis, the diagnosis of asthma in children does not require advanced instruments or blood tests. It only requires detailed consultation and examination to understand clearly.
Don’t think that “asthma” will definitely cause gasps, because most asthma children have not yet reached the “asthma” stage, but they just have frequent chronic coughs. Just as allergic rhinitis causes runny nose, the trachea of children with asthma is also constantly "running from the flowing nose", secreting phlegm every day, so there are symptoms of chronic cough and heavy phlegm sound.If you let the trachea get inflamed and ignore it, you will hear the wheezing sound of "rest and rest" until one day, you will hear the "rest and rest" wheezing .
Simply put, we can compare it like this:
✽Nerve secretions = runny nose ↑ ↓Tradial secretions = very heavy phlegm sound.
✽Nerve clearance of secretions = sneezing ↑ ↓Tradial clearance of secretions = cough.
✽Nerve swelling = nasal congestion ↑ ↓Train swelling = rest of wheezing, and even difficulty breathing.
This way, everyone should understand why it does not necessarily mean that there are symptoms of "stirring" when diagnosing asthma. Stirring is just one of the symptoms of asthma. Many children go to kindergarten at the age of three and get colds repeatedly, and then they feel strange: "Huh? Why do my children have a cold for a long time to get better? And they seem to never stop, constantly coughing and coughing." In fact, this is the most typical early symptoms of asthma.
No one dared not to treat severe asthma, and it was too late to go to the emergency room. But mild asthma is just a chronic cough, and if you don’t treat it, what are the adverse effects? In addition to affecting sleep quality and limiting exercise, repeated tracheal inflammation is actually a chronic killer for the trachea. Every time the attack occurs, the trachea will be injured once, and it depends on the body's cells to repair it, but it will still leave a slight deformation. Over time, the trachea under the microscope will produce a lot of "fibrotic tissue". You may not feel it when you are young and strong. When you are old and weak, the tracheal muscles will atrophy and chronic lung obstruction may occur. The self-diagnosis table below
is based on the guidelines of the "Global Asthma Innovation Organization Council" (GINA). There are six indicators that allow you to check whether your child has asthma at home. As long as one is met, it can be suspected that it is an asthma and further treatment and environmental control are needed.
❶ Have your child ever breathed with a "rest" sound?
❷Do your child often have symptoms of night cough?
❸Do your child cough every time he exercises or plays?
❹ Will your child get chest tightness, cough, or wheezing when exposed to polluted air, or some allergen?
❺ Every time your child catches a cold, he has a lot of phlegm, and his symptoms are "more than ten days"?
❻ After your child is treated with asthma medication, will his symptoms improve significantly?
