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Suggest Treatment For Childhood Asthma

Posted on Thu, 19 Mar 2015

Question: Hi, My son is 4 years old. He was suffering from cough and cold since December 2014. it was more of cough. Medicines such as Asthalin plain and mucolite, monticope and relent were prescribed. But in the month of Feb 2015, he had difficulty in breathing for 3 days after going to bed at night. Further to it, he was taking a short breath in the month of November 2014 once he goes to bed at night. this use d to last for 5 to 10 minutes.
At present, doctor has prescribed budecort inhaler 100 for a period of 2 months. Prior to which he was prescribed asthalin inhaler for 15 days along with montair tab.
Kindly suggest is it the case of childhoos asthama as told by doc..and if so is it the correct medicines...Please advise. Thanks..Brown

Answered by Dr. Sumanth Amperayani (50 minutes later)

Brief Answer:
Kinldy answer the questions below

Detailed Answer:
Hi...Thank you for consulting in Health Care magic. Greetings from XXXXXXX

By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -
Questions:
1. How many days per month does he cough or feel breathless?
2. How many nights per month does his sleep get disturbed due to above symptoms?
3. Does he feel breathless when she runs around or plays with other kids?
4. Are the symptoms when there are seasonal changes?
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
6. Is the cough always associated with fever?

Kindly answer questions above so that I can guide you even better.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (3 days later)

Answers:
1. Till 3 and half years occurence of cough was once in 3 to 4months. This is the first time he felt breathless.
2. This type of occurence is the first time ever.
3. No.
4. Cough n cold when it is seasonal or when exposed to dust.
5. My mom was asthamatic. my sis and her daughter has asthma during childhood but not healed. same sister's son has asthma. he iis 13 years now.the same sister's husband also have ashtma but not now.
6. Not associated with fever. its chest congestion.

Let me know is budecort prescribed for children of years...that too for a period of 2 months.

Thanks n Regards
Brown

Answered by Dr. Sumanth Amperayani (9 hours later)

Brief Answer:
It is childhood asthma

Detailed Answer:
Hi...Coming to your queries -

1. Yes, this is childhood asthma (keeping in mind the severity of the symptoms and family history).

2. Your doctor is perfectly correct - this is the latest management strategy for managing asthma in kids of this age.

3. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Budecort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks (2 months). Another metered dose inhaler is Levolin and this can used as rescue therapy whenever the kid is having severe cough in spite of regular usage of Budecort.

4. After 2 months I would review the patient symptoms and again decide how much dose should be given and how frequently and when to gradually reduce and stop. These should not be stopped abruptly.

5. The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your paediatrician for this.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (25 hours later)

Hi.....Thank you so much for the sincere advise. One answer i wrongly mentioned was " my sis and her daughter had asthma during childhood but not healed", which is healed now. Regarding the prescribed dose of budecort, my doctor is in line with your advise. Hence i have started the medication, as 2 puffs twice a day for 2 months for 2 minutes through a spacer.

As i mentioned earlier, doctor had prescribed Montair half tab for ten days. but after 10 days he asked to continue it for another 7 days which i didn't because its a steroid. I hope and pray this will not add on to my child's problem.

Thanks and Regards,
Brown.

Answered by Dr. Sumanth Amperayani (6 minutes later)

Brief Answer:
Happy that my suggestion helped you

Detailed Answer:
Hi...

1. I am happy that my suggestion helped you.

2. Montair is Monteleukast is not a steroid.

3. Montair dosage is less than 5 years - 4mg once a day/ 5-10 years it is 5mg once a day/ above 10 years it is 10mg once a day.

4. Even Montair can be used for 4-8 weeks. It is a very safe drug.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Prasad