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At just six months old, our little boy was diagnosed with bronchiolitis, which is a viral infection leading to lung inflammation and congestion. Due to his young age, his pediatrician prescribed two medications to be delivered through a nebulizer, a device designed to help administer medication effectively.
Like clockwork, we would place the mask over his mouth and nose just after he had fallen asleep. The gentle hum of the machine seemed to soothe him, although he often resisted the mask. His cough and difficulty breathing always seemed to intensify at night. Today, he lives with asthma.
In the United States, around 6.1 million children under 18, like our son, are affected by asthma, a chronic condition. According to a study by the American Lung Association, more than 3.5 million children experienced an asthma attack in 2016.
So, what triggers asthma in children? For some, it’s genetic; for others, environmental factors like pollution play a role. Allergens, such as dust mites, can also be culprits. The Mayo Clinic notes that while childhood asthma has no cure, appropriate treatment can help manage symptoms and protect developing lungs.
Some children may outgrow their asthma as they age, while for others, the condition can worsen, particularly at night. A recent study published in the American Journal of Physiology Lung Cellular and Molecular Physiology found that melatonin, a natural hormone released at night, can weaken the efficacy of inhalers used by asthmatics. Higher levels of melatonin were also shown to constrict the bronchi, the airways leading to the lungs.
Kids First Pediatrics highlights that asthma symptoms are often heightened during sleep. Nocturnal asthma symptoms such as chest tightness, shortness of breath, wheezing, and coughing—often disrupting sleep—are common but concerning.
If your child is experiencing nighttime asthma attacks, here are some strategies to help:
- Inspect Bedding: Common materials in bedding, like dust mites, pet dander, or down feathers, can trigger nighttime attacks. Regular cleaning and using dust-proof covers on pillows and mattresses can minimize allergens.
- Elevate Their Position: Lying flat can exacerbate asthma symptoms, especially with sinus issues or acid reflux. Consider using a wedge pillow or stacking regular pillows for a more upright sleeping position.
- Optimize Air Quality: Cold, dry air can irritate the airways. Check for drafts from windows and consider using a humidifier, especially in the dry winter months.
- Maintain a Clean Room: Keeping your child’s bedroom as dust-free as possible can significantly reduce nighttime asthma triggers.
- Restrict Pet Access: Pet hair and dander can contribute to asthma symptoms. While it may be tough to keep pets out at night, it’s advisable to have them sleep in another room.
While prevention is essential, it won’t always avert every nighttime asthma episode. If an attack does occur, medications like steroids or fast-acting nebulizers can provide relief. However, witnessing your child struggle to breathe—especially at night—can be frightening.
For additional insights on parenting and health, you might find this resource on pregnancy and home insemination helpful, as well as this informative article on home insemination kits.
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Summary
Managing your child’s asthma, especially at night, can be challenging but is essential for their overall wellbeing. By making simple adjustments in their sleep environment and being prepared for potential attacks, you can help your child breathe easier and sleep better.
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