Brief Answer:
Could be wheezing - Not asthma

Detailed Answer:
Hi...Thank you for consulting in Health Care magic. Greetings from XXXXXXX
By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -
Questions:
1. How many days per month does she cough or feel breathless?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she runs 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.?
6. Is the cough always associated with fever?
If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing.

get back to me with answers please.

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).,

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Brief Answer:
History is suggestive of multi triggered wheeze

Detailed Answer:
Hi XXXXXXX ..This history what I have obtained after going through the answers you have provided - I feel that your kid has got a multi triggered wheeze. Any kid less than 5 years is not to be labelled as asthma, as there is a fair chance that the kid might grow out of it. So we should not be labeling them as asthmatics.

Another issue is that - seasonal changes, exercise and lower ambient temperatures at night seem to trigger this sort of cough is her and this occurs due to narrowing of the airways which manifests as cough.

If I were your treating pediatrician, I would prefer to start her on Budesonide (Budecort) 100mcg metered dose inhaler 2 puffs in the morning and 2 puffs in the night regularly for 8 weeks along with oral Monteleukast 4mg once a day at 6PM daily (also for 8 weeks) and reassess. These are for preventing further attacks and episodes. But in-spite of these if the symptoms occur, then I would advice Levosalbutamol (Levolin) or Salbutamol (Asthalin) metered dose inhaler to be used only if she is having severe cough or breathlessness. This is the currently recommended therapy for your daughter according to national and international standard recommendations.

If this is what you have mentioned in your query under the heading of - Current medications - then be rest assured, you are in the right direction.

A very important point is that the technique of giving the metered dose inhaler using a spacer and regularity are as important as the medicine itself.

In this sort the therapy if the technique of drug delivery with spacer is incorrect or if the medicine is not given regularly up to the period prescribed by the physician, it might not work. This is what I meant when I quoted above as I will reassess after 8 weeks of therapy. After 8 weeks you need to get back to your doctor and he or she will reassess the patient control of symptoms and modify or extend the therapy.

Regards - Dr. Sumanth

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Brief Answer:
Not related to kids- its not contagious

Detailed Answer:
Hi...it is not related to the kids at school - it is not contagious. But it might be related to certain pollen or plants in the school premises or the vehicular smoke and pollution she is getting exposed to during the travel to school and also the inside environment of the class room.

if you are happy with my response kindly rate it.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

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