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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for asthma and cough

my son has been having asthma flare ups over the past several months at least once a month. Every time his asthma flares up his doctor puts him on prednisone. Over the past couple months I have noticed his voice becoming hoarse in addition to having a cough. The coughing wakes him at night when he has the exacerbations . Is there anything else we can be doing to better manage his asthma? He is currently using symbicort
                                                                 
Fri, 26 Sep 2014
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General & Family Physician 's  Response
Hello
Read this very carefully and you will get the desired answer for your son.
ASTHMA :Airways hyperresponsiveness that is secondary to inflammatory airways disease that results in recurrent or chronic episodes of WHEEZE, SHORTNESS of BREATH(SOB0, CHEST TIGHTNESS &/or COUGH particularly at night or in the early morning ( your son is having all these symptoms including hoarseness of voice , may be due to laryngeal edema ( side effect of prednisolone or inflammation of larynx).
Pollen , dust ( fine dusting powder) mist , molds ,pests ( cockroaches ) , fumes , smoking ( active and passive ) , sudden chance of temperature ( increase or decrease ) , as all these are predisposing factors which triggers asthmatic attack.
If possible avoid these .
When such patient visit my clinic I prescribe Montelukast+bambuterole tablet once or twice in day . dosage are 0.2 mg of / kg body weight of each tablet .
Hot coffee and steam inhalation provide instant relief as these acts as bronchodilators.
I never prescribe PREDNISOLONE my patient .This is only meant for serious cases .
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