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Asthma: Tips to Manage, Prevent Flare-ups

Mom helping child with her asthma inhaler

By Dr. Lauren Smith, Asthma, Allergy, and Immunology at CHKD

Staying calm when your child has an asthma attack can be tough for many parents, especially when children are first diagnosed. Asthma is a long-term condition that affects how your child breathes, causing inflammation and tightening of the airways that can result in coughing, wheezing, chest tightness, and breathing problems. Fortunately, with proper care and support, most children with asthma can still play, learn, and grow just like other kids.

Most children with asthma use two types of medicine:

  • Daily controller medicines are taken regularly to reduce airway inflammation and prevent symptoms.

  • Rescue medicines are used quickly to help breathing when symptoms begin.

Even if your child feels fine, controller medicines should be taken exactly as prescribed. This helps keep asthma under control.

Follow an Asthma Action Plan

A written asthma action plan is created with your child’s doctor. It details daily care, how to recognize worsening symptoms, and what to do during an asthma attack. Share your plan with your child’s school, childcare providers, coaches, and family members so everyone knows how to help your child.

Manage Asthma Triggers

Asthma symptoms can be triggered by things like colds, allergies, smoke, strong smells, air pollution, weather changes, and exercise. Every child is different. Knowing what triggers your child’s symptoms can help you avoid flare-ups and plan ahead. A CHKD allergist can help identify your child's asthma triggers.

  • Making small changes at home can have a big impact. Try these tips to help manage your child’s asthma:

  • Keep your child away from tobacco smoke.

  • Improve indoor air quality.

  • Reduce dust, mold, and strong odors.

Pay attention to air quality on days with high pollution or pollen.

These actions can lower the risk of asthma attacks.

Watch symptoms and act early

Coughing at night, trouble keeping up during play, or using a rescue inhaler more frequently may indicate that asthma isn't well-controlled. Acting early and following your child’s action plan can help avoid emergency visits. Discuss any concerns with your child’s pediatrician.

Asthma care is most effective when families work closely with their child’s healthcare provider. Regular visits ensure medicines are working well and adjusted as your child grows.

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About This Author

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Children's Specialty Group is the only pediatric multi-specialty practice serving southeastern Virginia and northeastern North Carolina. The physicians of Children's Specialty Group base their practices at Children's Hospital of The King's Daughters and serve as faculty in the Department of Pediatrics at Eastern Virginia Medical School. 

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