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Kids Frequently Asked Questions (FAQs)
…about
asthma in general
Q: Will I outgrow asthma?
A: Some kids will stop having asthma symptoms as often, and it
may seem like they have outgrown it. But it isn’t gone, it just
isn’t active, and could come back at any time.
Other kids will have to deal with asthma throughout their
lives. The best thing to do is to get all the help you can. Have
regular checkups with your doctor or asthma coordinator to make
sure you are getting the right medicines. Keep a positive
attitude… with the right treatment, asthma can be something that
you rarely have to worry about!
Q: Asthma scares me. Do people really die from it?
A: It
is true that people can die from asthma, you may have heard
or read about this in the news recently, but it does not happen
very often. Asthma is a very serious disease, but there is no
reason for anyone to die from it.
Learning about what triggers your asthma, the early
warning signs
to look for and how to use your medicine the right way
will help you keep your asthma under control. Talk to your doctor
or asthma counselor if you are still worried about a
severe
asthma attack.
Q:
I've heard that being overweight can cause asthma. Is
that true?
A: There
have been some studies that have shown a link between obesity
(being overweight) and asthma, but there is not enough proof
to say that being overweight will cause asthma. To learn more
about obesity and asthma, click here.
Q:
Is there a cure for asthma? I’ve heard or read
about people who were cured.
A: There is no cure for asthma, but there is a lot of research
being done now in the areas of indoor and outdoor pollution,
allergies, gene therapy, cell biology and chemistry, just to name
a few. What these researchers find will help us understand more
about why this disease happens, and how we can control it even
better.
The people who have claimed to be cured are probably in one
of those “quiet times” common in asthma, when there is a lot
of time between asthma attacks. They have not really been cured,
and their asthma symptoms could come back at any time, especially
if they are not taking their asthma medication as they should. If
you would like to learn how to decide if a treatment you hear
about is a good idea or not, click
here.
Q:
Why do I have to take medicines every day?
A: Knowing what happens in your lungs when you have asthma may
help you to understand why you need to keep using medicines every
day, even when you aren’t having trouble with your asthma. The
lining of the airways gets inflamed, or swells, when you have
asthma. The swelling makes the airways smaller so that air
movement is harder. When inflammation happens, extra mucus is made
in the lining of the airways. This mucus can be very thick and
sticky, and may form into plugs. These plugs and narrowed airways
together make it hard to breathe.
Your
long-term controller medicine is the one that works over a long
period of time to help keep the inflammation in your airways down,
and stop them from being so twitchy. This means they’re less
likely to react when you have a cold or are around one of your
triggers. You need to take your controller every day for it to be
effective, usually first thing in the morning and last thing at
night.
…about
steroids
Q:
Will you get big and muscular using a long-term controller
steroid medicine?
A:
NO. The kind of steroids used in your controller medicine (corticosteroids)
are different than the anabolic steroids people use to build large
muscles, and work in a different way. The corticosteroids in your
inhaler are a lot like those made naturally in your body. When you
inhale them, they go down in your airway to get rid of the
inflammation that causes asthma symptoms. You only need a small
dose of them because they are working directly on your lungs.
Q:
Will I gain weight by taking inhaled steroids or steroid
tablets?
A:
NO. Your
inhaler contains such a low dose of steroids that it will not make
you put on weight. Sometimes steroid tablets can make you feel
hungry, and eating more will make you start to gain weight. The
tablets themselves don’t make you gain, so eat your normal
amounts while you take them and you should be fine.
Q:
What about side effects from inhaled steroids or steroid
tablets?
A: Your controller inhaler might make you a little hoarse
every now and then, because some of the medicine can stay in your
mouth and throat if you don’t use a valved-holding chamber or
spacer. It’s also a good idea to rinse out your mouth with water
and spit it out after taking your controller inhaler.
Steroid tablets give you a higher dose of steroids than
your controller inhaler. You need this higher dose if your asthma
gets really bad. When
you only need to take them for a week or so, there are no serious
side effects. You might get a little stomachache, and if you do,
tell your parent or doctor. If
your asthma is so serious that you need to be on steroid tablets
for months or years, there can be side effects like weight gain,
thinning of the bones and skin and cause your blood pressure to go
up. Before you start taking steroid tablets for a long time you
and your doctor or asthma counselor should have a talk about the
good and bad points of this kind of medicine.
Q:
Will inhaled steroids or steroid tablets stunt my growth?
A: Most studies say kids grow normally when they take normal
amounts (400 to 800 mcg/day) of Beclomethasone (an inhaled
steroid) but higher doses may cause some trouble. Long-term
steroid tablet use shows the most risk for growth problems. Your
doctor will keep track of how you’re growing while you are on
these medications, and may try to step-down this medicine when
possible. On the other hand, having your asthma out of control
itself can lead to growth problems.
There are many studies about steroids going on right now to
get better answers to all of these questions.
Q:
Am I allowed to use my asthma medicines, including inhaled
steroids or steroid tablets, while playing team sports?
A: There is no ban on inhaled corticosteroids by the NCAA
(National Collegiate Athletic Association) or the IOC
(International Olympic Committee). The IOC does need athletes to
tell them about steroids for asthma before they are tested for any
sports enhancing drugs.
…about
sports
Q:
I love to play basketball, but how can I get good at sports
when I have asthma, and need to take so many breaks to catch my
breath?
A: Sports and exercise are good for everyone, including people
with asthma. But you need to feel confident and enjoy yourself.
The first thing you need to do is talk to your doctor or asthma
counselor about getting your asthma under better control. Once you
have a plan that keeps you breathing easy while you play, you’ll
feel that confidence in your game. Remember, there are lots of
successful professional and Olympic athletes that have asthma.
…about
school
Q:
My friends at school tease me because of my asthma. I get
embarrassed about having to use my inhaler.
Asthma is ruining my life!
A:
Those aren’t friends! No one who is a friend would treat
you like that. Try explaining to them that their comments and
actions really hurt. If they don’t stop, tell a teacher you
trust or guidance counselor what’s going on. Try to make new
friends who will give you the support you need. Asthma is very
common, so you’ll probably find that you are not the only one
with asthma in your class. Right now you need to build up your
confidence and accept yourself as you are, with or without asthma.
Questions and answers adapted from GlaxoSmithKline's Xhale Magazine
for Kids (2001) and the American Lung Association’s Teens Against
Tobacco Use materials. Updated 2004.
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