Asthmatic Bronchitis

Asthmatic Bronchitis: Causes of Asthma in Children

The causes of childhood asthma could be broadly categorized into:

(I) Extrinsic (External) Factors Responsible for Childhood Asthma

They comprise of a wide range of allergies, which include allergens such as food allergens, pollutants (industrial pollution), chemicals (pest control), environmental factors (pollen, dust mites, cats, cockroaches, fungi, smoke, etc.), temperature intolerance (affected by the change in the atmospheric temperature). Physical exertion or exercise is known to induce asthmatic episode. Certain infections such as viral, bacterial or fungal infections often lead to asthmatic breathing.

(II) Intrinsic (Internal) Factors Causing Asthma in Children

The extrinsic factors alone cannot produce asthma, as not every one who is exposed to the pollen develops asthma. Again, not every one who is allergic to pollen develops asthma! This means, the very individual susceptibility is probably the most important aspect when we try to understand the causative factors responsible for childhood asthma. In other words, asthma is not merely a disease of the lungs but of the immune system. Asthmatic episode is an outcome of the fundamental tendency or the susceptibility, which is genetically determined. (This is also true with a wide range of diseases.) Hereditary influences also decide the predisposition to asthma as children with a family history of asthma or allergy or eczema are more prone to asthma as compared to their counterpart who do not have such a family history.

Emotional stress and psychological trauma are often found to induce either an acute episode or an on-going, recurring attacks of asthma.

In the light of the homeopathic philosophy, every disease process is a result of genetically determined tendencies, which are called ‘miasms’. Dr. Hahnemann was the first to identify the miasmatic influences affecting the disease process.

In brief, understanding the causative factors of child asthma is intricate process and it is more often a multifactorial phenomenon.

Asthmatic Bronchitis Symptoms

Asthma in children comprises of a set of variable symptoms. The onset of asthma may have typical cold and coryza, running of the nose, sneezing, nose block, sore throat, with or without fever. Then the symptoms might settle to the chest producing cough and congestion, leading to the typical ‘chest spasm’ which is described as a ‘wheeze’ in common language. In medical language, we often call it ‘bronchospasm’, which is nothing but the spasm of the bronchus (bronchi). The wheeze obstructs the lung tubes to give a sense of breathlessness, called as ‘dyspnoea’. The breathless when intense or prolonged, gives panting, weakness and exhaustion due to inadequate oxygenation.

Coughing may be a constant accompanied symptom, which may be either a spasmodic, barking, hacking or violent. It is not difficult to anticipate an attack of breathlessness when the child starts having so called ‘asthmatic cough’. The quality of cough may be either dry (non-productive) or wet (productive). There may be secretion of fluid in the lung tubes producing even more difficult respiration. It may come out as sputum (expectoration). Many times the process of expectoration itself may bring more strain and hence breathlessness. Sometimes, release of sputum or expectoration may give relief in breathlessness due to partial clearing of the air-passage.

There is a possibility that the attack of asthma may begin all of a sudden without any preceding cold or cough. The cases are not uncommon where the parents would find children waking up in the middle of night with severe attack of asthma.

It may be noted that cough may be absolutely absent during the entire episode of asthma.

Some of the factors, which influence the level of severity during an acute attack of asthma, may be noted with interest. Some children have a predisposition to have the attack getting worse during some specific time, say 2 or 3 am early morning or on rising up in the morning.

Some children would feel comfortable only during certain body posture such as sitting erect or lying on particular side of the body. Some are better when being carried on the shoulder. Some are better sitting. Some feel better after having little warm water while some are better if the doors and windows are open.

If we carefully examine the symptoms of asthma, we shall find that although the basic symptoms remain the same, the exact symptoms vary from child to child. This suggests that every case of asthma calls for individual attention in order to cure it.

Asthmatic Bronchitis Diagnosis with Clinical Tests

A typical and full-fledged episode of asthma could be diagnosed without difficulty by parents as well as by the suffering child. The clinical symptoms of cough, wheezing and labored breathing are suggestive of the diagnosis of asthma. When the attending physician auscultates the chest with a stethoscope, a diagnostic broncho-spasm (wheeze) may be found which confirms the diagnosis.

Additional clinical test with a small device called Spirometer which is used to decide the flow of air inhaled and exhaled. In brief, this device is used to judge the extent of the airway obstruction. The tests with the Spirometer are also called Pulmonary Functions tests (PFT).