K.,
I thought I would reply because I had severe asthma as a child, so I KNOW exactly what your son suffers. I applaud your questions, because gaining greater knowledge of some aspects of the disease and of "asthma management" is sure to help both you and your son. The good news is two-fold: 1) Many children "grow out of" asthma - I did. I am 54 now, and by the time I was in college, I hardly ever had an attack [although there are certain triggers that I still avoid.] 2) The BEST thing is that medications and treatment methods are much better today. Back then, we only had the inhalers that were used once an attack was underway. The medications could only be used sparingly (because they made you so jittery and were not effective if used too often). With the "new" medications like the daily inhalers (Advair), asthma can be treated much better today than it was when I was a child - so be encouraged! Here are some personal observations:
(1) When people (even some doctors) speak about asthma, they often say, I/he/she "can't breathe." Both having had asthma and having grown up in a family full of asthmatics, I know that the REAL problem with asthma is getting the air OUT of the lungs. During an asthma attack, it is like you have a lung-full of air that you cannot expel; there is no place for additional/new breaths of air to go. It feels like you simply have no ability to expel the air and draw a new breath.
(2) Asthma is triggered by different factors in different people. If your son has not had allergy tests, I would recommend them. Knowing what to avoid will improve his (and your) quality of life. I would get asthma when: I was exerting a lot of energy (running, playing rambunctiously, etc.); the air was very cold (and even more so when I was hot, bundled up, or running about in the cold night air); I was exposed to allergens (for me, certain fall-time triggers, like weeds, wood-smoke, cat dander, molds, etc.). I would almost certainly get asthma when I got sick with a cold and then I would get bronchitis. I took allergy shots for years to build up my resistance to the things I was allergic to and apparently this really helped. When I was very young, the nurse gave them twice weekly. When I got older, I gave them myself. By the time I was in college, I asked the doctor if I needed to continue shots and he said there was no to way to tell without stopping them. We discontinued the shots on a trial basis and I did very well.
(3) Asthma is first and foremost a physiological disease, but there is a very REAL psychological aspect to it, also. It is quite frightening to feel that you are unable to get new air into your lungs. So, when someone - particularly a very young child - is having an asthma attack, it is good for everyone to be very calm and still. This is why "quiet games" are good for controlling asthma - everything from "I Spy" (when a little one is confined to bed) to jigsaw and crossword puzzles, and I'm sure today Game-Boy and other electronic games that one can play with quietly on his/her own. I personally feel this need for "calming" is why there is a "tradition" that Chihuahua dogs are helpful. My great-grandmother had heard of this and, because I had such severe asthma, she purchased me a Chihuahua puppy (it was 1962 and I was 8 years old!) That little Chihuahua was soooo tiny. He became a complete house-dog (king of the house, that is - we ALL adored him.) My parents would let me have him in bed when I was having asthma. He would curl-up and sleep right there by my chest, where I could pet him and talk to him. It was SO calming to have a tiny animal lying there with me. And, I imagine the tradition formed because Chihuahuas are one of the best breeds for little hair/dander and they are generally inside dogs and therefore are not bringing in pollens from outside. Whatever the secret, my Chihuahua was a blessing to me during my asthma years (he lived for 19 years and it was an enormous loss to the entire family when he died.)
(4) Running is very tricky for asthmatics, so I'm surprised that your son plays soccer. It has to do with the "rhythm" of breathing, which can be thrown off by running, huffing and puffing. CONTROLLED exercise is very good (versus erratic exercise, which often brings on an attack.) My physician suggested that I become involved in swimming because it would build my lung capacity. So, I started swimming at the local "Y" and became a good swimmer. I eventually got involved in the swim team. My strength was duration swims for long distances. Indeed, I gained much greater control/discipline of my breathing through swimming, and this may be the real factor for my continued improvement, to the point that I do not experience asthma as an adult*.
[*FYI: When I was in my mid-20s, I did have a sudden and sever asthma attack when, without knowing it would happen, I went into the Rabbit Barn at the State Fair. Something (an allergy?) triggered a violent reaction and I literally "stopped breathing." My husband had to practically carry me out of the enclosure, where I was able to regain the ability to breath once outside. We we had to head home. That never happened again, but interestingly enough, I still keep an asthma inhaler at home (unused, but I get it renewed when it expires) and I carry it in my luggage when I travel overnight. There is something about not wanting to be "caught" without relief, even though I have not had an asthma attack for 30+ years, now.]
Anyway, I hope that ALL of the responses you get will add to your knowledge of the disease and will help you to discover some lifestyle changes that will provide the greatest benefits. You have my sympathy. Asthma affects the WHOLE family (and I know my own mom and dad had countless sleepless nights and much worry over me. I TRUELY LOVE and APPRECIATE their love, care and supportive actions.) One thing that will really help your son is for you and other family members to remain very calm and serene when he is experiencing breathing problems. It will also help if you will help him to do things to take his mind off of the situation. Your attitudes will calm him and encourage him a great deal.
Because I am very AWARE of the blessings of being able to breath, here are two of my favorite Bible verses. Perhaps these will encourage you, too:
Psalm 150:6 - "Let everything that has breath praise the LORD. Praise the LORD!"
Acts 17:24-28 - "The God who made the world and all things in it, since He is Lord of heaven and earth, does not dwell in temples made with hands; nor is He served by human hands, as though He needed anything, since He Himself gives to all people life and breath and all things; and He made from one man every nation of mankind to live on all the face of the earth, having determined their appointed times and the boundaries of their habitation, that they would seek God, if perhaps they might grope for Him and find Him, though He is not far from each one of us; for in Him we live and move and exist, as even some of your own poets have said, 'For we also are His children.'
God bless you all,
K.