Allergic Asthma

These triggers can often work together in children with asthma. For example, if your child’s airways are already extra-irritated by a cold, being around irritants like cigarette smoke can add to the problem.

For children with asthma, allergies cause inflammation in the airways and make existing inflammation even worse. Inflamed airways are hyper-reactive. If your child has allergies, being exposed to one of his or her allergy triggers can make asthma attacks worse and more frequent. This is called allergy-induced asthma, or allergic asthma.

Symptoms of allergic asthma include:

• Coughing
• Wheezing (a whistling sound when breathing)
• Chest tightness
• Breathlessness
• Feeling short of breath when active or exercising

Having both allergies and asthma can also make your child’s asthma attacks more severe when exposed to viruses and irritants.

Diagnosis of Allergic Asthma

If possible, take notes about your child’s episodes and symptoms and bring them to the first appointment. Be sure to write down any episodes of coughing, wheezing or shortness of breath. If your child already takes medicine for asthma or has an inhaler, note whether using this medicine helps relieve symptoms.

Asking questions about your child’s medical history is an important part of diagnosing allergic asthma. Some of these questions will be about your child’s symptoms, and some will be about family history. The allergist will also ask about whether your child is exposed to common allergens.

After taking your child’s history, an allergist at Riley at IU Health will do a physical exam and lung function tests. The allergist will also do specialized allergy testing to see which allergens could be triggering your child’s asthma attacks. Once specific allergens are identified, the doctor will work with you and your child on a management plan to help your child avoid allergy triggers.

Your child may also need to undergo pulmonary function testing to check how well he or she can breathe.

Once allergic asthma is diagnosed, the allergist will assign one of four severity categories: intermittent, mild, moderate or severe. These categories help determine which treatment options are best to control your child’s asthma symptoms.

The allergist also decides the level of control of the asthma symptoms: well controlled, not well controlled or poorly controlled. How often your child visits the doctor and the type of treatment depends on his or her severity category and how well symptoms are controlled.