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Asthma Evaluation & Management

Consultant Paediatrician & Respiratory Specialist
MBBS, FRCPCH, EACVI (Cardiac Imaging & Respiratory Care)

Asthma is a chronic inflammatory condition of the airways that leads to episodes of wheezing, breathlessness, chest tightness, and coughing. In children, these symptoms can fluctuate in severity and frequency, affecting sleep, school performance, and overall quality of life. At Dr Neeraj Jain’s practice, we provide a comprehensive, family-centred approach—from precise diagnosis through personalised treatment plans and ongoing support.

What Is Paediatric Asthma?

Paediatric asthma involves hypersensitive airways that narrow in response to specific triggers. Common triggers include viral infections, environmental allergens (dust mites, pollen, pet dander), exercise, cold air, and stress. Proper management aims to control inflammation, prevent exacerbations, and maintain normal lung function and activity levels.

When to Seek Specialist Assessment

Refer your child for paediatric asthma care if they experience any of the following:

  • Two or more flare-ups requiring oral steroids within 12 months

  • Persistent daytime or nighttime symptoms more than twice weekly

  • Need for reliever inhaler use more than twice a week

  • One or more asthma attacks leading to emergency care or hospitalisation

  • Reduced participation in sports, growth concerns, or school absences due to breathing difficulties

Our Diagnostic Approach

Detailed History & Examination

Assess symptom patterns, family history of atopy (eczema, allergic rhinitis), triggers, and response to prior treatments.

Fractional Exhaled Nitric Oxide (FeNO)

Non-invasive test to gauge airway inflammation and guide anti-inflammatory therapy.

Allergy Evaluation

Skin prick or blood tests to identify sensitisation to common environmental allergens.

Spirometry & Reversibility Testing

Lung function testing (in children ≥5 years) to measure airflow limitation and improvement after a bronchodilator.

Peak Flow Monitoring

Home monitoring of peak expiratory flow variability to track control and adherence.

Imaging & Additional Tests

Chest X-ray only if atypical features arise; advanced imaging reserved for complex or refractory cases.

Asthma Phenotypes We Manage

Allergic Asthma

triggered by environmental allergens

Exercise-Induced Bronchoconstriction

presenting as cough or wheeze around physical activity

Viral-Induced Wheeze

in younger children, managed with close follow-up

Severe/Refractory Asthma

requiring advanced therapies, including biologic agents

Adolescent & Occupational Asthma

linked to workplace or recreational exposures

Management & Follow-Up

  • Stepwise Medication Plan
    Following paediatric guidelines, we start with inhaled corticosteroids and short-acting bronchodilators, then adjust treatment intensity based on control.

  • Asthma Action Plan
    Personalized, written plan detailing symptom-based medication adjustments and emergency steps.

  • Inhaler Technique & Adherence Support
    Hands-on training with appropriate devices (spacers, mask fittings) and regular technique checks.

  • Trigger Reduction & Comorbidity Care
    Guidance on allergen avoidance, tobacco smoke exposure, and management of rhinitis or acid reflux.

  • Regular Reviews
    Scheduled follow-ups every 1–3 months for moderate to severe cases, including lung function and inflammation monitoring.

Beautiful Nature

Why Choose Dr Jain for Asthma Care?

  • Dual Expertise
    Specialized training in paediatrics and respiratory diagnostics ensures accurate assessment and tailored therapy.

  • Child-Friendly Testing
    Play-based spirometry and distraction techniques to ease anxiety and improve cooperation.

  • Multidisciplinary Collaboration
    Coordination with allergy specialists, physiotherapists, and school health teams for comprehensive support.

  • Evidence-Based Practice
    Adoption of the latest international paediatric asthma guidelines, reviewed annually.

  • Flexible Access
    In-person clinics at Buckhurst Hill, Spire London East, and Spire Hartswood, plus secure telehealth follow-ups.

  • Q: Is tilt-table testing safe for my child?
    A: Yes. It’s performed under close medical supervision with continuous monitoring. While it can induce fainting in controlled conditions, staff are ready to return your child to a flat position immediately and safely.
  • Q: Can my child continue to play sports?
    A: After evaluation, we’ll advise on safe participation. Many children with benign syncope continue sports with simple precautions. Those with exercise-induced arrhythmias may need specific restrictions until treated.
  • Q: How long does the evaluation take?
    A: An initial cardiology consultation lasts about 45–60 minutes. Depending on findings, diagnostic tests may be scheduled on the same day or at follow-up visits.
Baby with Teddy Bear

Book an Appointment

When it comes to your child’s heart health, prompt, expert care makes all the difference.
Call 07424 794298 or email info@cardiopaediatrician.com to arrange your consultation.
You can also use the Book an Appointment button below to reserve your slot online.

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