FRESH - APRIL 2022

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health

On a Sneeze and a Wheeze! WORDS Kendall Wagner, M.D., Chaffee Crossing Clinic Image sumroeng chinnatan/Shutterstock

Last month we discussed allergies

and the

young children, one may see repetitive and difficult-to-treat

impact they can have on quality of life and productivity. This

upper respiratory infections. One of the earliest clues to the

month, we focus on a related topic that affects millions of

presence of asthma is repetitive nighttime cough occurring

pediatric and young adult patients in the U.S. and like allergic

more than two nights per week. This is especially true

rhinitis, spring and summer often brings an uptick in the

when the cough is not associated with other viral or allergy

symptoms experienced. Asthma is a chronic inflammation of

symptoms. Additionally, school-aged children show signs of

the lungs’ airways resulting in chronic cough and intermittent

tiring sooner than their peers with physical activity or acute

episodes of chest tightness, wheezing, and shortness of

attacks of shortness of breath and wheezing associated with

breath often exacerbated by physical activity or seasonal

physical activity. Depending on the severity, exacerbations

allergies. Approximately 8.3 million Americans suffer from

may result in such severe limitation in airway movement that

asthma. While the prevalence is higher in children than

the patient requires a trip to the ER for supplemental oxygen

adults, asthma is a chronic illness without a cure, but can be

and delivery of medication via “breathing treatments.” In

managed effectivity with the right treatment.

the most severe cases, hospitalization may be required.

Asthma usually presents in childhood with recurrent

Asthma is one of three atopic diseases composed of asthma,

wheezing episodes. These episodes may be preceded by a

allergies, and atopic dermatitis (eczema). These conditions

viral or allergen trigger, resulting in severe coughing and

arise when otherwise normal immune cells are in overdrive

difficulty moving air in and out of the lungs. In infants and

and trigger an inflammatory condition in the patient. The

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