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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Nabuliser The Right Treatment For Asthma?

HI
my son is 8 yrs old and he is asthma patient. He is already undergoing the treatment of asthma with daily two puffs of Brocade and one puff of asthaline inhaler. Usually during nights he started coughing and this leads to vomit after that he feels fine and sleep. we had consult doctors for the same but as per them it’s pretty normal and suggest to follow the treatment (inhaler).
Now from last couple of weeks his situation is getting worst during night. He is not able to cough properly , its feels like something is blocked at his neck. We rushed him to nearest hospital where they provide him Nabuliser (Brocade and asthaline) and usually this help in this situation, but now we had noticed its not working as good as it was earlier in his case.
One Doc also suggest to take : acebrophyllinesyrup, L-montus and omanacortil , 5 ml dose once a day... just wanted to ask, are we on right track of tratment? we had started these medicine from yesterday but the boy is still coughing although that neck choking feeling is not there.

thanks
Thu, 13 Mar 2014
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection.

Management involves:
1. A course of antibiotics to eradicate the causative organism.
2. Asthalin & Brocade inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)
Can be used whenever he is having an acute attack.
3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.
4. Antihistamine & anti tussive preparations for symptomatic relief from cough.
5. Maintain adequate hydration & a healthy balance diet.
6. Also make sure that he is well protected from cold, dust & other allergens.

If symptoms still persist, kindly consult a Pediatrician/ Pulmonologist for proper clinical evaluation.

Wishing him a good health.
Take care.
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Ayurveda Specialist Dr. Mudit Thapliyal's  Response
Dear i can understand ur situation n i feel very bad about ur kid ......but i can help u to improve the condition a lot and he can sleep without any trouble. Actully the basic treatment for asthma is same as u r getting....but u can consult a chest physcian.
I suggest u some home remedies which is so effective u cant imagine.
In my opinion u should provide steam inhalation to ur kid before sleeping at nit
- stop curd , rice , bulky fatty meals especially at dinner.
- drink tea n put crushed ginger in boiling tea n add a pinch of black pepper in tea.
- Make a powder of equal parts of clove , black pepper , Tulsi / ocimum, and shunthi( dry ginger) and lick i 1 gram of it with honey 3 times a day after meal.
- Add 1 gm of rock salt to 50 ml warm mustard oil n mix it ... then massage with this warm oil in whole chest of ur kid before he sleeps....this will make him sleep comfortably n prevent cough
- use warm water for drinking whenever he need it.
U can also start some herbal medicines like
1) syrup Tulsi( himalaya drugs) 2 tbspn thrice a day after meal.
Ask a chest physcian to check the doses of bronchodilator drugs i n prescribtion as he feels choked due to bronchoconstriction.
Follow al these measure n see ur kid smiling .
Good luck
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Is Nabuliser The Right Treatment For Asthma?

Hello dear, The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection. Management involves: 1. A course of antibiotics to eradicate the causative organism. 2. Asthalin & Brocade inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs) Can be used whenever he is having an acute attack. 3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma. 4. Antihistamine & anti tussive preparations for symptomatic relief from cough. 5. Maintain adequate hydration & a healthy balance diet. 6. Also make sure that he is well protected from cold, dust & other allergens. If symptoms still persist, kindly consult a Pediatrician/ Pulmonologist for proper clinical evaluation. Wishing him a good health. Take care.