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Child has asthma. Taking inhaler puffs. Difficulty breathing through nose

Hi, My daughter is 5 years old.she is asthametic and is on regular enhaler puffs twice a day for past one year and she is doing good in that. Her nose remains stuffed and she has difficulty in breathing through nose. sometimes she stops breath for 3-4 seconds and suddenly opens her mouth and starts breathing again. her nose remains stuffed all winter and it is like this for past three years. i have been trying saline water drops but not much difference. i am just worried that her difficult breathing may be putting extra strain on her lungs for breathing. plz guide me as to what should i do and secondly let me know if it has some effect onher lungs causing asthma flare.
Asked On : Tue, 8 Jan 2013
Answers:  2 Views:  46
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Pediatrician 's  Response
Thanks for your query.
AS mentioned by you, your daughter is having asthma,she is having blocked nose most of the times so i will suggest you to take her to ENT specialist or pediatrician,as chronic sinusitis needs to be ruled out for which she needs a course of antibiotic.You should also do a regular follow up for her asthma medication.
Your daughter will be fine.
God bless.
Answered: Wed, 9 Jan 2013
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Pulmonologist Dr. Arnab Maji's  Response
Thanks for your query
Your child is asthmatic and problem she had in her nose is because of allergic rhinitis which is present along with asthma in 60-70% cases. For allergic rhinitis initially for 1 month or so your child needs to have a nasal spray consisting of fluticasone and azelastine followed by fluticasone spray for atleast 3 months.
You should consult a pulmonologist and assess your child for asthma control and if control is not acheived yet then some add on therapies may be added to achieve the control for asthma.
I think my advice will be of help to you.
Thank you.
Answered: Tue, 8 Jan 2013
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