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Dizzy spells, frequent shortness of breath. Put on steroids by mouth. What's wrong ?

My daughter is 16 years old. She is in the band and mascot at her school. She was told a few years ago she may have asthma . This summer she started having dizzy spells during band. Then, after a few weeks her chest would bother her. She would get hot and have shortness of breath. I took her to the doctor he put her on a steriod inhaler twice a day and use her albuterol inhaler as needed. Then, she had another attack. her chest tightened up. She could not breathe well. I took her to the hospital. The doctor at the er put her on steriods by mouth, vistaril , and sulcrafate. I need to know what is going on. What is triggering this? Who to take her to in order to find out? Can you help?
Asked On : Mon, 22 Oct 2012
Answers:  2 Views:  79
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Pulmonologist 's  Response
Your daughter`s symptoms may be a result of asthma. The diagnosis of asthma is based more on clinical history rather than lab tests. However you may go in for a routine bliid tests including AEC, IgE levels in the blood chest x ray and a PFT. This will help to establish the diagnosis amnd rule out any other pathology. She should take a montair lc and a seroflo inhaher and should be regular with her treatment for optimum control. Consult a pulmonologist who can regularize her treatment.
Answered: Tue, 23 Oct 2012
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Pulmonologist Dr. Arnab Maji's  Response
Thanks for query
First of all from the history given by you it seems to me your daughter has asthma but it should be confirmed by spirometry with bronchodialator reversibility testing.
Secondly if it is proved to be asthma, it is not well controlled.
Look diagnosis of asthma is mainly clinical and clinically your daughter seems to have asthma. On the spirometry testing if obstructive pattern is seen with bronchodialator reversibility then your daughter's asthma will be confirmed.
To achieve control your treating physicians already stepped up the asthma therapy to step 4 as per recent GINA guidelines. Controlling asthma symptoms is the most important aim of treatment because virtually there is no cure for asthma.
Common triggering factors are house dust mite, cockroaches, dust, pollen, pollution, smoke etc. Keep your daughter aloof of them. You can consult allergist to detect the allergen by performing skin prick test and specific serum IgE assay and can combat them by giving specific immunotherapy.
Thank you.
Answered: Tue, 23 Oct 2012
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