Symptoms of allergies vary from virus infections and other infections:
* Itchy eyes tend to associate more with allergies than colds.
* The fluid nasal drip due to allergies tends to remain transparent.
* Fever or hoarse voice are not symptoms of allergies.
* Many children with allergies have parents or siblings who have allergies.

The counter antihistamines are effective in treating symptoms of allergies. However, many antihistamines have a sedating effect. Consult your pediatrician to ensure that an antihistamine is appropriate and determine the correct dose according to the age of your child. If symptoms occur daily, ask your pediatrician for a prescription non-sedating drugs or nasal steroids.

A child with this severe allergic reactions may benefit from allergy testing to identify specific antigens, or substances that can trigger an allergic reaction. During an allergy test, place a small plastic device in your child’s back, and tests are done simultaneously with multiple antigens, such as pet dander, dust mites and pollen. If after 15 minutes reaction occurs, the child is allergic to that particular allergen. When nasal allergies are worse, it is possible that children are more prone to asthma. Therefore, the diagnosis and appropriate treatment are very important.

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Crisis
The measures taken depend on the degree of asthma. They can range from using a bronchodilator to the immediate need of hospitalization.

Failure to act properly, the patient runs the risk of even death by respiratory arrest. Although not common this type of death, yes there are several. In 2001, the World Health Organization reported that in 250 deaths, one was for asthma.

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May be a wheezing or whistling sound, which is typical of asthma. Wheezing occurs for the following reasons:
* The muscles surrounding the airways tighten and the lining of the airways swells and pushes inward.
* The membranes that line the airways secrete extra mucus than normal.
* The mucus can form plugs that further block the air passage.
* The air, passing through the narrowed airways produces the wheezing sounds.

ALERT!
1. The Asthma is a serious disease. Each year, about 5,000 Americans die of asthma and emergency room are nearly 2 million people for consultations related to this disease.
2. Asthma is an unpredictable disease. Asthma symptoms may seem mild or even exist, but can escalate and get worse at any time.
3. Though not the feel, the disease can hurt. It may not feel it, but airway inflammation (swelling and irritation) is always present, even when you have no symptoms. If left untreated, inflammation can cause damage to the lungs and impair lung function.

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• What happens during an asthma attack

Airways finest casual and reversibly reduced in size by its smooth muscle contraction or widening of its mucosa to become inflamed and produce mucus, usually in response to one or more triggers, and exposure to an inappropriate environment (cold, wet or allergen), exercise or exertion in patients with hyper -reactive, or emotional stress.

In children, the most common triggers are common illnesses like those that cause the common cold.

Fundamental objectives of respiratory rehabilitation:
1. Improve cardiovascular function respiratoria.
2. Prevent or treat complications without employing invasivos.
3. Prepare the patient and / or family to acquire responsibility for their rehabilitación.
4. Take steps to óptima.
5 medical care. Reduce the number of recaídas.
6. Decrease disnea.
7. Increased ability to esfuerzo.
8. Educate the patient and family for a realistic face with his illness.
9. Guarantee the individual and / or a more active, productive and emotionally satisfactoria.The assisted physiotherapy techniques can be performed even in infants.

Most popular are:
Postural Drainage:
Method, combined with various breathing techniques and various decubitus position using the force of gravity, facilitates the passage of mucus from segmental to lobar ramifications of these to the main bronchi and trachea to be expelled or swallowed .

Positions. As drain segment, assisted cough accompanied by vibrations and other maneuvers. Time: 10 to 15 minutes

Training in the Use of the Diaphragm:
1.-Put one of our hands on the abdomen of the patient, without pressure and that this breathing down our hand and raising, raising awareness and breathing diafragmática.
2 .- Patient Using both hands, one on his chest and one on abdomen, we ask that you focus your breathing by raising and lowering your left hand-inferiormente.
3. Using a ball of air with minimal weight on the abdomen, raising or lowering this during breathing.

Block:
Consists of the pressure exerted on the chest, as trafficked area for 4 to 5 respiratory cycles, aims to improve lung ventilation through a redistribution of airflow to bad areas or reexpansion ventiladas.Descompresión: Maneuver kinesics consisting to lift the blockade on the inspiratory act, thereby obtaining a change of pressure and airflow resistance in the bronchial tree, providing further mobilization of secretions and promoting lung ventilation

Drainage dynamic Autogenous.
Is a methodology that is taught to the patient (age 8 +), or does the therapist, and is to apply various pressures to produce different ventilatory flows in certain control points, and aims at bringing secretions the periphery to the center of the respiratory tract to be expelled or swallowed.

Contraindications for physiotherapy.
When the child is not in secretory phase.

During asthma attacks.
The percussion instruments are not made in case of bronchospasm, emphysema or pleural effusion.

Bronchial asthma has been defined as a pulmonary disease characterized by reversible obstruction of the airway inflammation of it and increase its responsiveness to various stimuli.

The airway obstruction in asthma is due to the combination of several factors, including smooth muscle spasm of the route, mucosal edema, increased mucus secretion, cellular infiltration of the walls of airway (especially eosinophils and lymphocytes) and injury and desquamation of respiratory epithelium.

The reaction is exaggerated bronchial respond differently than the bronchi, these same stimuli, in non-asthmatics. We present repeated frames of increased inflammation and bronchial hyper-called crisis or episodes of acute exacerbation. Symptoms may be reversible, in whole or in part, with early and appropriate treatment or, less often, spontaneously.

The concept of Asthma includes a range of issues
* Nonspecific chronic inflammation of the airways including the bronchus, with obstruction of them in a bilateral and diffuse but not symmetrical. This inflammation occurs in individuals ‘predisposed’ to asthma.
* Most patients also exhibit bronchial hyperactivity although it is not unique to the pathology, can be found in other conditions.
* In sputum of asthmatic can find a number of cells: macrophages, dendritic cells, T and B lymphocytes, mast cells, eosinophils and others.
* Chronic inflammation and bronchial secretions, which also produces obstruction may be reversible, in whole or in part, in most patients with early treatment, adequate and prolonged.
* The clinical manifestations during episodes of acute exacerbation, vary with the degree of airway obstruction. They are not pathognomonic of asthma. as there are other conditions that present, constituting the diffuse bronchial obstruction syndrome or syndrome of “air trapping” bilateral lung.
* Clinical manifestations of exacerbations vary from one patient to another and even within a single patient. These exacerbations have other features that will be cited later.
* Possible addition to the above some other points raised by several authors:
* Childhood asthma is often presented as a condition complicated, haphazard, confusing and usually disappears at puberty, which is not true.
* Not controlled by proper treatment is a lasting experience, unpredictable, frightening, that a greater or lesser degree impairs the quality of life for patients and their families, may be irreversible and even fatal.
* Controlled with proper treatment has a favorable prognosis, although their evolution should continue for months or years.
* It currently has a total cure but its clinical manifestations, which are those that bother the patient, can be made to disappear or greatly decrease, achieving normal or nearly normal life for him and his family, with a series of measures, drug and not drug, taking into account existing knowledge about stroke.

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