Understanding pediatric asthma: winter triggers and symptoms

According to the Centers for Disease Control and Prevention (CDC), approximately six million children in the United States have asthma, making it one of the most common chronic conditions in childhood. During the winter, parents are reminded to be vigilant about asthma management in children.
Eric Schauberger, DO, pediatric allergy specialist at Emplify Health by Gundersen, highlights the importance of recognizing asthma triggers during the colder months.

“Winter can be particularly challenging for children with asthma due to various environmental factors,” says Dr. Schauberger. “Cold air, viruses and falling off medications can all exacerbate asthma symptoms.”
 
Asthma-related triggers in winter
Cold air/change in weather:
• Breathing in cold air and dry air can irritate the airways and lead to asthma symptoms.
• Wearing a mask or scarf and having albuterol handy will help.
• Humidifiers can be helpful for dry air, but be careful with over humidifying.
- Mold from condensation or not cleaning them appropriately can cause symptoms.
- Nasal saline mist to help moisten nose and reduce dryness can be an alternative.
Viruses:
• The winter months see a rise in respiratory infections, which can trigger asthma exacerbations.
- Avoid contacts
- Wash hands frequently
Falling off medications:
• Patients will often forget their medications with a change in routine.
• Stay adherent to medications going into winter/viral season.
• Long-term control is important.
• It’s crucial for children to maintain asthma medications.
Strong smells
• Candles, “Christmas tree” syndrome from mold and debris on the tree
• Smoke/smell from fireplaces or tobacco or other smoke
• Be careful around fires and avoid smoke.

Parents are encouraged to work closely with their healthcare providers to develop an asthma action plan and ensure that their children are prepared for the winter months. For more information on managing pediatric asthma, contact Pediatric Allergy & Immunology at 608-775-3400 or visit gundersenhealth.org/services/allergy-immunology.