Thank you for asking at HCM.
I went through your son's history and would like to know more about him as follows:
a. Since what age he requires nebulization? In what frequency?
b. What are his nose symptoms - sneezing
, congestion, running nose, etc?
c. Does he have fever?
d. Does he have fast breathing, difficulty in breathing, whistling like sound from chest (wheezing
e. Does he vomit frequently?
f. Is he routinely exposed to passive smoke, any other smokes/fumes/dusts or air pollution?
Above details would help me to know more about your son and therefore to make suggestions for him more specifically.
At present, from your provided history, I would like to make suggestions for him as follows:
1. Foracort is a "preventive" type of inhaler. If he requires nebulization often, then regular foracort inhaler would help him to prevent repeated attacks of breathing problems.
2. If he does not have frequent attacks, using "rescue" types of inhalers or nebulization with salbutamol or levosalbutamol
will be useful.
3. If he has nose problems, I would also suggest him to start montelukast
which improves nose symptoms.
4. Regarding future asthma, no it is not always and cannot be predicted at this age. Usually most of the children improve by age of 5-6 years and do not develop asthma.
However, some children may continue to have such episodes and they can develop future asthma. Such children usually have family members with allergies, are exposed to environmental pollutants/smoking
5. I usually also suggest my such patients allergy
testing for common air-borne allergens like house dust mites, molds, pollens, insect proteins, animal dander, etc. However, detailed history is necessary before suggesting appropriate testing.
Hope above suggestions will be helpful to your son.
Should you have any further query, please feel free to ask at HCM.
Wish you the best of the health ahead.
Thank you & Regards.