Asthma is a common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Common symptoms include wheezing, coughing, chest tightness, and shortness of breath.
Bronchial asthma is an inflammatory disease of the respiratory airways. People who have asthma are usually allergic to a combination of substances, such as pollen. When exposed to these substances, they begin to experiencing wheezing, difficulty breathing, chest discomfort and episodes of coughing. If treated properly, asthma rarely causes long-term complications, but if left untreated the disease can cause a variety of complications.

Asthma can occur at any age. But the Child hood asthma or children asthma is the most common health problem in the present day society. Similarly chronic bronchitis is also another major respiratory problem frequently occurs in children at any age groups. If this chronic bronchitis is not treated properly with constitutional homeopathic treatment then it may turns into bronchial asthma in the future. The common symptoms of chronic bronchitis and child asthma are - frequent attack of cough, cold, fever, tightness of chest, shortness of breath with wheezing sound on respiration, easy fatigue and loss of appetite. The prevalence of asthma is increasing especially in the children. That episodic attack of child asthma and chronic bronchitis can be cured completely and permanently by constitutional homeopathy treatment.

The chronic bronchitis and bronchial asthma are not only limited to children but in adult case also. But in comparison to adult the children are more suffer with chronic bronchitis and asthma because children are exposed to more and more allergens such as dust, air pollution, and second-hand smoke. Their immune system is not so much stronger to resist those infections. Another factor is decreasing rate of breastfeeding to the children that deprives the essential substances required for a healthy immune system of a child. So it is also another major factor of weak immune system of the child. Now a day the children more like to all types of junk and fast foods that also one factor of deprivation of essential micro nutrients needed to build up a healthy immune system. The others causes are the genetic or hereditary factors.
CAUSES OF CHRONIC BRONCHITIS AND ASTHMA
The external environmental factors: Those are - exposure to dusts and pollen, secondhand smoke, faulty diet habits, food allergens, chemicals (pesticides), environmental factors (dust mites, cats, cockroaches, fungi) and temperature intolerance are major factors of creating chronic bronchitis and asthma. Physical exertion or exercise also influences to induce asthmatic episode. Certain infections such as viral, bacterial, or fungal infections often lead to asthmatic breathing too.

The Internal Immunological or hereditary factors: Besides the external stimulatory factors, the low immune system of the child also plays an important role in manifesting the symptoms asthma and bronchitis in child cases. There are many factors responsible for weak immunity of a child. Among them decreasing rate of breast feeding that deprives the required essential substances for a healthier immune system, habits of taking more junk and processed foods that also deprives the essential micronutrients required to build up a healthy immune system plays the most important role in developing chronic bronchitis and asthma. Thus the weak immune system of the child is very prone or susceptible to any change in the atmosphere or slightest exposure to any infection may be viral or bacterial or fungi lead to develop respiratory problems.
CHANGES OCCUR IN THE RESPIRATORY TUBES OF AN ASTHMATIC CHILD
Asthma is a respiratory disorder caused by the inflammation in the airways called the bronchi that lead to the lungs. This inflammation can constrict the airways and tighten, which blocks air from flowing freely into the lungs, making it hard to breathe. Symptoms include wheezing, shortness of breath, tightness of chest, and fatigue on little exertion or play, shortness of breath and cough at night or after exercise/activity. The inflammation of the bronchus makes them very sensitive, resulting in spasm of the airways that tend to narrow, particularly when the lungs are exposed to any allergens, cold air, any smoke, infection and exercise. Things that trigger asthma differ from person to person. Some common triggers are allergies, viral infections, exercise, and smoke. When asthma patient is exposed to a trigger, their bronchus become inflamed, swell up, and fill with mucus. In addition, the muscles lining the swollen bronchus tighten and constrict, making them even more narrowed and obstructed. The inflammation of the bronchus, excess mucus secretion, narrowed airways or bronchoconstriction are the three major changes that occurs in asthmatic bronchus. Anyone can have asthma, including infants and adolescents. The recent scientific reports suggest that patients with asthma are likely to develop more severe problems due to H1N1 infection.

Thus for a permanent cure to chronic bronchitis and child asthma conditions, the treatment should be aimed to build up a healthy immune system. If the immune system is healthy and strong enough that can be able to protect the child from various allergens and infection that are suppose to give bad impact in their body. It can only be possible by the constitutional homeopathy treatment.

How you can know your child has bronchitis or asthma

Runny nose
Frequent coughing generally occurs at night, while playing or laughing. In early stage cough is the only symptoms present
Malaise (feverishness)
Sometimes sore throat and headache with body pain
Less energy during play
Rapid breathing and complain of chest tightening
Cannot sleep at night with difficult breathing and cough
Whistling sound (wheezing) when breathing in or out
Feeling of weakness and tiredness
No appetite
Please note that all the symptoms mentioned above are not similar to all child it can vary from child to child. The symptoms are also not same in every time the child get the bronchitis and asthma episodic attack. Some symptoms may not come.

PATHOPHYSIOLOGY
When we inhale the air it goes through the nose then through the air tube called trachea that bifurcates into two tubes called left bronchus and right bronchus which supply to the respective left and right lungs. Each bronchus then branches to number of small tubules called bronchioles. Each bronchiole end with a terminal sac like structure called alveoli. It is elastic in nature. The alveoli is surrounded and covered with network of blood vessels. When we breathe in the air with oxygen entered into the bronchus then to the bronchioles then to alveoli. The oxygen is transferred to the blood at the alveolar portion through the network of blood vessels and simultaneously carbon dioxide is received from the blood to the alveolus and is expelled out when we breathe out. This ingoing and out coming of air through the bronchioles and bronchus occurs in a smooth and rhythmical way when the bronchial tubes are free and clear. If there will be any constriction of bronchial tubules due to inflammation of inner bronchial layer, the spasm of bronchial tubules occurs that obstruct the smooth passage of air and the person will face difficulties taking the air in or leaving out. This is the condition called asthmatic condition. Due to the passing of air in a constricted tubules the whistling sound comes which is called in ronchi.
DIFFERENCE BETWEEN BRONCHITIS AND ASTHMA
Asthma is a condition where the bronchial tubes go into spasms. When this happens there is coughing, tightness of chest and has difficulty breathing, and wheezing can often by heard as air attempts to get through the narrowed bronchi. There is often no mucus. Bronchitis is inflammation of the bronchi. The patient with bronchitis always has a cough, dry in the early stage and with of sputum in the later stage. There is no tightness or constriction feeling on chest. It can be due to smoking, or any number of illnesses like colds, or flu.
COMPLICATION OF BRONCHITIS:
1. Patients suffering from bronchial asthma often develop a decreased ability to exercise or perform other physical activities

2. Bronchial asthma can cause a permanent change in the respiratory pathways. This process is called airway remodeling, and is a complication of untreated asthma. The constant inflammation causes the airways, or bronchi, to narrow. This adversely affects the patient's breathing efficiency. If asthma causes airway remodeling, then the patient will need to be monitored for difficulty breathing and decreased oxygen content of the blood.

3. Severe, chronic cases of bronchial asthma commonly prevent patients from getting adequate amounts of sleep. This is because the disease often manifests at night, which causes patients to wake up; the hormones that cause the inflammation of the airways can be released even when patients are asleep. This causes patients to wake up wheezing, coughing or breathing heavily.

HOMEOPATHIC MANAGEMENT:
There are two main variations of the classical approach of homeopathy treatment. One approach applies homeopathic remedies to disease classifications or pathology. This is the so-called clinical approach. The second variation is purely symptom similarity from totality of symptoms i.e. constitutional approach. Current research indicates that the constitutional and clinical approaches are about equally effective and are the preferred classical methods. Genetic Homoeopathy applies both the clinical and constitutional approach of homeopathy treatment.