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By Kathleen MacNaughton, R.N., About.com Guide to Asthma

Is Asthma Medicine in Kids Overprescribed or Are Children Under-Diagnosed?

Wednesday March 26, 2008
That's the question raised by a recent Dutch study. Asthma is a difficult disease to diagnose in young children, because of communication barriers and other issues. Although wheezing is a hallmark symptom of asthma, every child that wheezes may not necessarily have asthma.

But to avoid more severe problems down the line, doctors often act "as if" the child has asthma and treat him or her accordingly. Now, this study finds that over half of the children taking asthma medications, such as inhaled steroids and beta agonists, have never been diagnosed with asthma.

Researchers did state that experts generally agree that diagnosing asthma accurately becomes easier with age. So they do expect that the older the patient getting asthma medicine, the more likely it is that he / she actually has asthma. The study found that the more asthma medicine that was prescribed, though, the more often the child really was diagnosed with asthma.

It may be premature for doctors to change how they prescribe in children at this point, however. Further study is needed to explore this issue in greater detail.

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Comments

March 27, 2008 at 3:56 pm
(1) Dennisjr says:

My 5 month year old is breathes heavily and sounds as if she is having difficulty breathing the doctor said it is from weak vocal cords and not from asthma. However, having sever asthma. I don’t know if this is passed onto kids genetically. I have found a couple things about passing it genetically. However, I have not found anything sold. Has anyone else heard if it is passed genetically?

http://asthma-asthmatic.blogspot.com

March 30, 2008 at 10:28 am
(2) Kathi MacNaughton says:

Dennis,

You’ll find lots of info about the risks of asthma here on the site, including genetic factors. But the quick answer is that, yes, there is definitely a genetic influence. It’s not an absolute requirement, but when parents or siblings have asthma and / or allergies, there’s a high probability that a child will develop it as well.

So you might want to get a second opinion or ask for testing.

Best,
Kathi

April 3, 2008 at 2:22 pm
(3) Dennisjr says:

Thanks Kathy,
I have found more information about the genetic connections. I am also going to get a second opinion.

April 3, 2008 at 2:23 pm
(4) Dennisjr says:

Sorry it Kathi with an “I” I know about four people named Kathi :o )

April 8, 2008 at 10:06 am
(5) Someone says:

i think i have a cure for asthma. you have ciliated epithilum in your airways and they clean out dust… if someone was born without a cilia cell, it might cause them to have asthma. If we can give asthma people a cilia cell transplant, it might be the cure for asthma

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