Jennifer Couceyro, Advanced Registered Nurses Practitioner with Baptist Children's Hospital, explains the diagnosis of asthma does take time. "It's not a one-time illness diagnosis, it's over a period of time; when you've had repeated exacerbations of this reactive airway condition it's when someone will finally coin the child as having asthma," she says. She also highlights the environment plays a lot in the role of asthma, because a lot of asthma symptoms can be based on allergies and inflammation, so living situations (like dust) are a big contributing factor to asthma.
Jennifer Couceyro, Advanced Registered Nurses Practitioner with Baptist Children's Hospital, says there are many causes of abdominal pain and children, the most common one would infectious agents, like viral infections. "There are some other lesser common reasons, such as constipation, and gastritis," she explains. Although stress can also be a factor, she recommends checking physical things first, because you do not want to ignore symptoms. Check with your pediatrician first, and have them seen by a medical professional.
Jennifer Couceyro, Advanced Registered Nurses Practitioner with Baptist Children's Hospital, explains if your child has abdominal pain accompanied by fever, chills, or they are not able to tolerate liquids, those are reasons for seeking immediate attention, and not just your pediatrician, but going to your local emergency department. Other reasons are: pale, sweaty, vomiting for more than 24 hours, refusal to eat or drink, blood in vomit or stool, skin rash with pain, and problems passing urine.
According to the Centers for Disease Control and Prevention, more than 6 million children have asthma in the United States. Jennifer Couceyro, Advanced Registered Nurses Practitioner with Baptist Children's Hospital, explains the difference between asthma in kids and adults is that the bronchioles and the whole respiratory tract in children are smaller than they are in adults. "Asthma is a reactive disease, the airways are reacting to various different things, they either are reacting to inflammation from allergy, they can be reacting to infectious agents or to exposure to certain things in the environment, so it's a reactive airway disease," she says.
Some of the signs and symptoms of asthma in children are frequent coughing, a chronic cough, less energy during play, rapid breathing, chest tightness, wheezing, loss of breath, and tightened neck and chest muscles. Jennifer Couceyro, Advanced Registered Nurses Practitioner with Baptist Children's Hospital, says asthma can vary in children depending on their age and severity. "Things like coughing, whether it is acute or chronic, is one of the first symptoms you see in asthma. Also, rapid breathing or when you see use of accessory muscles, like breathing with their stomach is an indication that this is a more severe attack," she points out.