Hello.
Thank you for asking at HCM.
I went through your daughter's history.
I would like to know more about your daughter like - How frequently does she have nose symptoms (running nose,
nasal congestion,
sneezing)? How frequently dose she have wheezing/difficulty in breathing? Does she always have fever with symptoms or sometimes symptoms can be present without fever? Which are the worst seasons for her or does she have symptoms through out the year? Does she have any other allergies? Does she have anyone in family with allergies/asthma?
Above details would help to decide whether she may have
childhood asthma. Diagnosis of childhood asthma is difficult up to age of 5-6 years.
From your given history, I would like to make suggestions for your daughter as follows:
1. Were I treating her, I would suggest her
montelukast and levocetirizine/cetirizine on regular basis, which may reduce her symptoms.
2. Whenever she has wheezing/breathing difficulty, I would suggest her to use salbutamol/
levosalbutamol inhaler on as-and-when-needed basis. Metered dose inhaler with spacer with mask would be the best inhaler device for her in my opinion.
3. I would also suggest her a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) which will improve her immunity and will be helpful in a longer run.
4. Personally I would suggest her
allergy testing which will help you to identify the substances causing troubles to her and also to know the measures to avoid them.
5. Were I treating her, I would prescribe her
vitamin C for 2-3 months which may reduce frequency of colds.
6. Please try to avoid exposure to dusts, smokes & air pollution as much as possible.
Hope above suggestions will be helpful to her.
Should you have any further query, please feel free to ask at HCM.
Wish your daughter the best of the health.
Thank you & Regards.