Author Archives: Jackie Aim

What is transition?

Teenage boy in clinic waiting room

© Crown copyright 2009

  • A time to move on.
  • Getting ready to move from the children’s asthma clinic to the adult clinic usually between the ages of 11 to 16.
  • Your child learns about their asthma.
  • Your child learns how to manage their asthma.
  • Your dependent child is becoming an independent adult.
  • The process of transition is gradual and it is not the same as transfer from one service to another immediately.

Advice following immunisation

Most children or young people will have no side effects.

  • If your child has a sore or red area on their arm where they had the injection try applying a cold cloth over the area.
  • There can be some minor side effects for nasal vaccine – runny nose and headache. This vaccine is offered from age 2-17
  • If your child has a headache or slight fever make sure they drink plenty of fluids and take regular doses of paracetamol (but do not exceed the recommended dose for your child).

If your child has increased breathlessness, swelling or a rash in the few days after vaccination contact your doctor or nurse.

Flu Vaccinations

Influenza vaccine

Influenza vaccine

All children should have vaccinations for a variety of childhood illnesses at different ages. For example measles, mumps and rubella (MMR) Diphtheria, tetanus, polio, meningitis and whooping cough.

It is important that children with asthma have their flu vaccination. The advantages of getting your child vaccinated against flu include

– Less time off school for them and less time off work for you.
– Less likely to develop serious problems as a result of the flu virus.
– It will protect your child against this year’s flu strains.

In addition there is a new nasal spray vaccination to prevent flu which will be given to children over the age of 2.

There are some exceptions for the nasal spray. If your child has any of the following;

  • A weakened immune system.
  • Egg allergy.
  • Severe asthma (children with mild or moderate asthma are able to have the flu nasal spray).
  • Active wheezing at the time of vaccination.

Children unable to have the nasal spray vaccine may be able to have the flu injection instead.

The flu virus changes from year to year so it is important to get a flu vaccination for your child every year. The vaccine will not give your child the flu, it may make them feel mildly under the weather for a few days after.

It is important to note that the flu vaccine will not stop your child catching coughs and cold. They may still have an asthma flare-up, follow your asthma action plan.

Things to try to reduce exposure

Pets, 2 indoor rabbits

Pets – rabbits

  • If you have furry pets, regular grooming and bathing them can help. If you have asthma get someone else to do this.
  • If you have caged birds or small animals such as gerbils, guinea pigs or hamsters get someone to clean out their cage daily.
  • If you can’t give a larger dog or cat a bath, try using a damp micro fibre cloth to wipe their fur daily. This will take away some of the dust and dander on the surface of their fur.
  • If you are visiting someone else who has a pet ask them to put the pet in another room while you are there and make sure you take your preventer and reliever inhalers with you.
  • Always wash your hands after you have stroked, petted or handled a pet. This also applies to children with asthma.
  • Ask your GP if there are any other anti allergen medicine you can try.
  • You may need a higher dose of your preventer inhaler. Discuss with your GP.
  • If you have a severe allergy or your asthma cannot be controlled you may need to think about re-homing your pet as a last resort.

Your home

Black and white cat

Pets – cat

A good start is to restrict which rooms your pet is allowed in to. Living rooms and bedrooms which have a lot of fabrics and carpets will easily collect pet dander.

Use a damp cloth to dust hard surfaces and floors regularly to reduce build up of dust and dander.

You can never remove all pet hair and dander. Even the most efficient vacuum cleaner can’t remove all dander. It remains for weeks or sometimes months and can still cause symptoms despite regular cleaning, even after the pet has been removed.

Your pets

Mac the Scottish terrier

Mac the Scottish terrier

A pet can be an important part of the family but what happens when your pet is making you or your families asthma worse?

Not everyone with asthma has an allergy but if you do, any pet with fur, feathers or small animals in cages can make allergies and asthma symptoms worse.

Your allergy is usually not to the pet but to their “dander”. This is the dead skin, saliva, urine, pollen or dust mites they pick up on their fur, feathers or in dusty or damp bedding of small animals. Droppings in cages can attract mould spores.

So is there anything you can do to reduce the risk?

Things to try to reduce exposure

Black and white cat

Pets – cat

  • If you have furry pets, regular grooming and bathing them can help. If you have asthma get someone else to do this.
  • If you have caged birds or small animals such as gerbils, guinea pigs or hamsters get someone to clean out their cage daily.
  • If you can’t give a larger dog or cat a bath, try using a damp micro fibre cloth to wipe their fur daily. This will take away some of the dust and dander on the surface of their fur.
  • If you are visiting someone else who has a pet,  ask them to put the pet in another room while you are there and make sure you take your child’s preventer and reliever inhalers with you.
  • Always wash your child’s hands after they have stroked, petted or handled a pet. This also applies to you if you have contact with pets and your child.

If exposure to pets is unavoidable:

  • Ask your GP if there are any other anti allergen medicine your child can try.
    They may need a higher dose of their preventer inhaler. Discuss with your GP.
  • If your child’s asthma cannot be controlled or they have a severe allergic reaction to the pet, you may need to think about re-homing your pet as a last resort.

Your home

Pets, 2 indoor rabbits

Pets – rabbits

A good start is to restrict which rooms your pet is allowed in to. Avoid letting pets in to living rooms and bedrooms which have a lot of fabrics and carpets which will easily collect pet dander.

You can never remove all traces of dust mites. Use a damp cloth to dust hard surfaces and floors regularly to reduce build up of dust and dander.

You can never remove all pet hair and dander. Even the most efficient vacuum cleaner can’t remove all dander. It remains for months or sometimes years and can still cause symptoms despite regular cleaning, even after the pet has been removed.

Your pets

Boy with dog

© Crown copyright

A pet can be an important part of the family but what happens when your pet is making you or your families asthma worse?

Not everyone with asthma has an allergy but if you do, any pet with fur, feathers or small animals in cages can make allergies and asthma symptoms worse.

Your allergy is usually not to the pet but to their “dander”. This is the dead skin, saliva, urine, pollen or dust mites they pick up on their fur, feathers or in dusty or damp bedding of small animals. Droppings in cages can attract mould spores.

So is there anything you can do to reduce the risk?

Altered breathing pattern versus asthma?

How do you identify the source of your child’s breathlessness?

  • If your child is breathless – sit them down.
  • Zone into their breathing and note what they are feeling.
  • Carry out your child’s breathing control exercises for 2 minutes.
  • If they still feel breathless follow their asthma action plan and help them to take their usual dose of blue reliever inhaler.
  • If your child feels better after your breathing control exercises, it may have been normal breathlessness or their altered breathing pattern.
  • If they feel better after their reliever inhaler then it was their asthma.
  • If they don’t feel better after both, follow their asthma action plan and seek medical review and advice.