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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Breathlessness Despite Taking Medication?

My child aged 8 yrs was using Levoline inhaler & telekast 5 for last 2 months after doctor diagnosed him as suffering with childhood asthma. Even after continuing with inhaler and tablet, he is suffering with breathlessness for last 24 hours. After consulting another padeatrician, doctor now doctor states that he is not suffering with child asthma now but with throat infection and viral infection with no wheezing sound. But still breathlessness, why? Prolonged use of inhaler may cause this or any side effects? please help me.
Wed, 25 May 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Asthma is not always a clinical diagnosis. PFT (pulmonary function test) is must for the confirmation of diagnosis. So in my opinion, to solve this controversy about having asthma or not, better to consult pulmonologist and get done PFT.
If PFT is showing obstructive Airway defect then asthma is confirmed.
And PFT will also tell you about severity of the disease and treatment is based on severity only.
Best treatment for asthma is long acting beta 2 agonist (LABA) (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide order fluticasone). Since he is not taking these drugs, he is not improving.
Levolin is having salbutamol. And it is not good drug for asthma.
So better to consult pulmonologist and discuss all these.
Don't worry, with appropriate treatment he will be alright.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
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What Causes Breathlessness Despite Taking Medication?

Thanks for your question on Healthcare Magic. I can understand your concern. Asthma is not always a clinical diagnosis. PFT (pulmonary function test) is must for the confirmation of diagnosis. So in my opinion, to solve this controversy about having asthma or not, better to consult pulmonologist and get done PFT. If PFT is showing obstructive Airway defect then asthma is confirmed. And PFT will also tell you about severity of the disease and treatment is based on severity only. Best treatment for asthma is long acting beta 2 agonist (LABA) (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide order fluticasone). Since he is not taking these drugs, he is not improving. Levolin is having salbutamol. And it is not good drug for asthma. So better to consult pulmonologist and discuss all these. Don t worry, with appropriate treatment he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.