Navigation Links
Pediatric Wheezing: If Not Asthma, Then What is It?
Date:5/30/2008

Experts Examine Eight Alternatives to Exercise-Induced Asthma

INDIANAPOLIS, May 30 /PRNewswire-USNewswire/ -- When a child experiences coughing, wheezing and chest pains while engaged in physical activity, the default conclusion is that the child must be suffering from exercise-induced asthma (EIA). However, there are several other explanations for wheezing in pediatric patients often overlooked and therefore, left untreated. A featured science session at the 55th Annual Meeting of the American College of Sports Medicine (ACSM) addressed the issue of pediatric wheezing and the possible diagnoses beyond EIA.

Lucien R. Ouellette, M.D., session chair, explained that there is plenty of confusing information about EIA, how to approach it and how to treat it. Ouellette and co-presenter Michael Pleacher, M.D., outlined alternative diagnoses to explain pediatric wheezing that may present while engaged in physical activity, the appropriate tests and proper treatments.

"Unfortunately, it's all too common for athletes to be diagnosed with exercise-induced asthma, only to miss the real source of the wheezing," said Dr. Ouellette. "These patients are frequently treated with an inhaler only to continue experiencing the symptoms. The patient then quits using the medicine since it's ineffective, and the true diagnosis is left undetected."

Asthma is certainly a problem for children and receives a considerable amount of attention because of environmental causes such as second-hand smoke and air pollution. According to the American Lung Association, asthma is the most common chronic disorder in children, currently affecting an estimated 6.8 million children under 18 years old, of which 4.1 million suffered from an asthma attack or episode in 2006 according to data from the U.S. Centers for Disease Control and Prevention (CDC).

Because of the increasing prevalence of asthma, it's easy to explain why EIA is a common diagnosis for children who wheeze (expiratory noise) or have stridor (inspiratory noise). However, many non-asthmatics may present asthmatic symptoms triggered by exercise (exercise-induced bronchospasm).

In a recent study, researchers from the University of Iowa examined 142 pediatric patients referred for exercise-induced dypsnea, 98 of whom had been presumed to have EIA by their primary care physician. Upon further examination, only 11 patients (9 percent) actually had EIA. Seventy-four (63 percent) patients were exercising too hard or were not properly conditioned for their activity level. Other diagnoses included restrictive abnormalities (13 percent), and vocal cord dysfunction (11 percent), among others.

Ouellette and Pleacher detailed eight common non-asthmatic conditions during the session. The conditions (listed in alphabetical order) are:

1. Deconditioning -- when the patient is not in shape for the engaged

physical activity

2. Exercise-Induced Anaphylaxis -- allergic reaction to exercise

3. Foreign Body Aspiration -- inhaled items

4. Gastroesophageal reflux disease (GERD) -- a digestive disorder of the

lower esophageal sphincter

5. Hyperventilation -- excessive breathing

6. Psychogenic Cough -- a dry, non-productive cough associated with

emotional or psychological problems

7. Tracheomalacia -- collapse of the airway

8. Vocal Cord Dysfunction -- closing of vocal cords when breathing in

Ouellette explains that replicating the situation and symptoms is important for an accurate diagnosis. "For example, if a patient is a swimmer, you should test them at the pool. If they are a hockey player, you should test them in an ice-rink where the environmental elements are consistent."

While a pulmonologist, allergist or ear, nose and throat specialist are perfectly qualified to treat these patients, these professionals may miss an important explanation for the symptoms based on athletic performance. A sports medicine specialist is trained to consider how physical activity may be causing the problem and perform some of the testing that may best uncover the solution.

The American College of Sports Medicine (http://www.acsm.org) is the largest sports medicine and exercise science organization in the world. More than 20,000 international, national, and regional members are dedicated to advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine.

The conclusions outlined in this news release are those of the researchers only, and should not be construed as an official statement of the American College of Sports Medicine.

The American College of Sports Medicine 55th Annual Meeting is going on now at the Indiana Convention Center in Indianapolis, Ind.


'/>"/>
SOURCE American College of Sports Medicine
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. APA Comments on FDAs First Approval of Medication to Treat Pediatric Schizophrenia and Bipolar Disorder
2. Parental surveys boost diagnosis abilities of pediatricians
3. Nautica Malibu Triathlon Presented by Toyota Raises $718,000 for Childrens Hospital Los Angeles Pediatric Cancer Research
4. Super Jake Foundation Offers Hope for Pediatric Cancer
5. FDA Panel Recommends Approval of SyntheMeds REPEL-CV(R) Adhesion Barrier for Pediatric Patients
6. Verus Pharmaceuticals Announces Divestiture of Pediatric Asthma Development Programs to AstraZeneca
7. Super Jake Foundation Hosts 3rd Annual Heroes Bash on Nov. 3 to Benefit Pediatric Cancer Research
8. Statement from the Consumer Healthcare Products Association on the Safety of Pediatric Over-the-Counter Medicines
9. UT Southwestern investigating hypothermic technique in treating pediatric head injuries
10. Washington Capitals to Visit Patients at Childrens National Medical Center, Announce Launch of Initiative to Fight Pediatric Cancer
11. Pediatricians Awarded for Innovative Approaches to Combat Childhood Obesity
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... , ... June 25, 2016 , ... "With 30 hand-drawn ... specific project," said Christina Austin - CEO of Pixel Film Studios. , ProHand ... all within Final Cut Pro X . Simply select a ProHand generator and ...
(Date:6/25/2016)... Montreal, Canada (PRWEB) , ... June 25, 2016 , ... ... the pursuit of success. In terms of the latter, setting the bar too high ... low, risk more than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... Texas (PRWEB) , ... June 24, 2016 , ... ... International Conference and Scientific Sessions in Dallas that it will receive two significant ... of the grants came as PHA marked its 25th anniversary by recognizing patients, ...
(Date:6/24/2016)... , ... June 24, 2016 , ... People across the ... Genome magazine’s Code Talker Award, an essay contest in which patients and their families ... to be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual Education ...
(Date:6/24/2016)... ... ... National recruitment firm Slone Partners is pleased to announce the ... as Vice President of North American Capital Sales at HTG Molecular . ... team in the commercialization of the HTG EdgeSeq system and associated reagents in North ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016   Bay Area Lyme Foundation ... Dean Center for Tick Borne Illness , Harvard ... MIT Hacking Medicine, University of California, Berkeley, and ... the five finalists of Lyme Innovation , ... than 100 scientists, clinicians, researchers, entrepreneurs, and investors ...
(Date:6/24/2016)... SAN CLEMENTE, Calif. , June 24, 2016  American Respiratory ... testing company, is now able to perform sophisticated lung assessments in ... Medical Technologies , Inc. Patients are no longer ... to ndd,s EasyOne PRO ® , ARL patients like Jeanne R. ... testing done in the comfort of her own home. ...
(Date:6/24/2016)... , June 24, 2016  Arkis BioSciences, ... less invasive and more durable cerebrospinal fluid treatments, ... funding.  The Series-A funding is led by Innova ... Fund, and other private investors.  Arkis, new financing ... instrumentation and the market release of its in-licensed ...
Breaking Medicine Technology: