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Suggest permanent solution for asthma in children

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Posted on Sat, 30 May 2015
Question: My son is >7 years old & Weight 24kg . He gets easily infected in allergic cold n cough due to dust , pollution n cold . He has bn suffering this since childhood. Our doctor normally prescribes Antibiotic ( Augmentin ; 6ml per dose twice in a day for 5 days ) alongwith Syrup Lastussla , Mucolite when high fever ,cough & only above syrup & nebulizing with levolin & sometimes budecort whenever persistent cough . In between I had also tried homeopathy (Dr BATHRA) since almost 2 yrs but no relief. My child also not very foody ( no fruits , milk but like non veg fish , chicken ) . Due to this he is not able to attend school regularly .
Doctor my query is what are the side effects (short term and long term) for my child with all this. When will he outgrow this allergy as we don't have a history of allergy in our family ? What is the parmenent cure for his problem ? Any other route like Ayurvedic treatment ? Please pl advice how to address this problem for ever
doctor
Answered by Dr. Sumanth Amperayani (22 minutes later)
Brief Answer:
Suggestions on asthma

Detailed Answer:
Hi....coming to your queries one by one -

1. Well controlled asthma doesn't produce side effects. But poorly controlled asthma may cause airway remodeling and cause chronic airways disease.

2. Usually some kids who get it at an early age outgrow it by 5-6 years of age and some 12-18 years and some unfortunately have it for lifetime. There's no way to predict who will get relieved when.

3. Permanent cure which you can offer is by understanding by observation what are his triggers and avoiding them.

4. By what you quote I feel what your kid is having is asthma. Rather than using frequent antibiotics it is better to have a label and follow up with simpler alternatives than using steroids which are associated with complications.

I have a few questions and suggestions for you -
Questions:
1. How many days per month do the kid cough or feel breathless?
2. How many nights per month do the kid’s sleep get disturbed due to above symptoms?
3. Does the kid feel breathless when running 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.?

Suggestions:
1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and not asthma is 100% controllable.
2. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Foracort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. 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 Foracort.

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.
3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (1 hour later)
Thanks for quick reply .
My reply to yr queries as follows :
Questions:
1. How many days per month do the kid cough or feel breathless?- 3-5 days
2. How many nights per month do the kid’s sleep get disturbed due to above symptoms? --> 3 or XXXXXXX 4 nights
3. Does the kid feel breathless when running around or plays with other kids?--> Not at all
4. Are the symptoms when there are seasonal changes? -> yes but not always
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?--> No family history of Asthma but skin allergy

My son is very active during normal day & some time even when he is suffering .
1 . consider his age n weight , is he growing fine ?
2. considering the above answers , pl advice proper medication & process for permanent cure at the earliest
3. What should be his alternate diet considering his like , dislike as mentioned in my first mail ?
4. Is there any yoga or exercise it can help
5. Any natural therapy for this problem

3.




doctor
Answered by Dr. Sumanth Amperayani (8 hours later)
Brief Answer:
Further suggestions on management

Detailed Answer:
Hi...

1. His weight in comparison to his age is appropriate.

2. Please understand that allergy problems can never be cured. The kid has to grow out of it or the triggers have to be avoided. But allergies can be controlled - though not cured. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Foracort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. 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 Foracort.

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.

Permanent solution is trigger avoidance - Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.

3. This is not related to diet - so do not restrict anything in diet.

4. Yoga and exercise can definitely help. Swimming is the best exercise for this.

5. Natural th4erpay query be better directed to alternative system practitioner. I suggest you post a direct query on this website to Dr. Senthilnathan, who is very good. He is available on this website.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (13 hours later)
Dear Dr. XXXXXXX ,

Thanks so much for valuable advice .
Kindly let me know some inputs as per below query :

1. Kindly suggest how to improve his immunity or body defence system through any diet chart , natural therapy as well as any Tonic /vitamin can be recommended .

2. Could you pl suggest any famous n good Ayurvedic Doctor to whom I can post my query regarding this ?

3) As I am worried regarding his future how he would be able to cope with this so pl advice
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Suggestions

Detailed Answer:
Hi...

1. No immunity boosters are required as this is not immunodeficiency.

2. This is not diet regulated. Mostly changes in environment.

3. I had already suggested the name of Dr. Senthilnathan in my last interaction.

4. Once he grows up it might gradually get better, so do not worry.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8347 Questions

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Suggest permanent solution for asthma in children

Brief Answer: Suggestions on asthma Detailed Answer: Hi....coming to your queries one by one - 1. Well controlled asthma doesn't produce side effects. But poorly controlled asthma may cause airway remodeling and cause chronic airways disease. 2. Usually some kids who get it at an early age outgrow it by 5-6 years of age and some 12-18 years and some unfortunately have it for lifetime. There's no way to predict who will get relieved when. 3. Permanent cure which you can offer is by understanding by observation what are his triggers and avoiding them. 4. By what you quote I feel what your kid is having is asthma. Rather than using frequent antibiotics it is better to have a label and follow up with simpler alternatives than using steroids which are associated with complications. I have a few questions and suggestions for you - Questions: 1. How many days per month do the kid cough or feel breathless? 2. How many nights per month do the kid’s sleep get disturbed due to above symptoms? 3. Does the kid feel breathless when running 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.? Suggestions: 1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and not asthma is 100% controllable. 2. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Foracort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. 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 Foracort. 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. 3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,