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Suggest Treatment For Frequent Episodes Of Cold, Fever And Difficulty Breathing In Children

Posted on Wed, 19 Aug 2015

Question: Hi...my 4 year old daughter was digonosed with pnemonia in feb 2015.she had high grade fever with fast breathing which required hospitalizatiob for 7 days. Again in anaother two months in may she had cold which lead to cough and fast breathing without fever where she was again hospitalaised for two days.this repeated again in this month where after all test and diagnosis she has been prescribed asthalin 2 puffs twice a day and budecort. She is now again sneezing...should i be worried that this will agaib lead to the same history?

Answered by Dr. Pradeep Kumar Jain (1 hour later)

Brief Answer:
Chances are less as she is receiving asthalin and budecort

Detailed Answer:
Hello

Thanks for the query

After going through the details I have concluded that she is suffering from hyperreactive airway disease(a condition similar to asthma).
Asthalin is a bronchodilator and it helps in decreasing the breathing problem by relieving the spasm of airway. Budecort is a steroid and it helps by decreasing the inflammation.
Although sneezing may be the initial manifestation of exacerbation of hypereactive airway disease, the chances of worsening are less as already she is receiving the medication.
I would like to add some antihistaminic like cetrizine with montelukast to take care of the allergic component.
Watch for any increase in respiratory rate,noisy breathing or chest wall retraction and if you notice any consult your pediatrician as she may need nebulisation or IV medication.
I hope this helps.
Please do ask if you have any more doubts.
Regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Pradeep Kumar Jain (16 hours later)

Hi,

Thanks for the response...i have taken her to doc for a check up. Doc says her chest is clear, her sneezing has also subsided....doc says in case she has trouble breathing or starts coughing we can increase asthalin puffs...

If she starts coughing should i be concerned considering the two histories where sneezing...lead to coughing and then hospitalization?

Answered by Dr. Pradeep Kumar Jain (6 hours later)

Brief Answer:
Chances are less if she is taking the puffs regularly

Detailed Answer:
Thanks for follow up

I won't get overly worried as she is on medication.
You have to continue the medication even when there are no symptoms and it is only to prevent the recurrence of attack.
The chances are very less if she takes the puffs regularly.
If there is any increase in respiratory rate,any noisy breathing or breathing difficulty just double the asthalin puffs.
Once this acute period subsides you need not to even continue the asthalin puffs and only budecort will be sufficient.
Although sneezing can be the initial symptoms but all sneezing episodes will not lead to the same history.It is the airway spasm which is more important.
So don't get too much worried and be watchful for any respiratory problem.

I hope this helps.
Please let me know if you have any more doubts.
Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar