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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms To Start Using Orange Puffer In Kids?

My child is 8. He has a flovent puffer (orange). He has a mild case of asthma. He only uses the puffers on occasion. Whenever he gets a cold and starts coughing. I was told by our doctor to start him on the orange puffers as a preventive to him wheezing. He now is stuffy and coughs 20 + times a day. Should I start giving him the orange puffer now?
Mon, 11 Aug 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your son's history and would like to know more about him like - Since what age he is having asthma? Does he have nose symptoms (nasal congestion, running nose, sneezing)? Does he have any other allergies? What is the frequency of his symptoms?

From your history, I would like to make following suggestions for your son:

1. Flovent is Fluticasone, which is to be used on regular basis ("preventer" type of inhaler), not on as-and-when-needed basis. Once started, it has to be continued for minimum 1-2 months and not to change the dose unless suggested by his doctor.

Were I treating him, I would suggest him to start Flovent if he has anyone of following: he awakes due to cough in night at least once in a week, he has difficulty in performing his daily activities due to wheezing or he has breathing difficulties at least 2 times in a week. However, please consult your doctor before starting.

2. For acute symptoms of wheezing/breathlessness, there other types of inhalers like salbutamol or levoaslbutamol ("reliever" type of inhalers).

It is very important to know difference between these two types of inhalers and also when and how to use them in asthma.

3. Were I treating him, I would add regular montelukast in his treatment, which may reduce his requirement of inhalers and also will help his nose symptoms if he has.

4. Please avoid exposure to dusts, smokes and air pollution as much as possible.

5. A diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help him in a long run.

Hope above suggestions will be helpful to him.

Should you have any further query, please feel free to ask at HCM.

Wish your son the best of the health.

Thank you & Regards.
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What Are The Symptoms To Start Using Orange Puffer In Kids?

Hello. Thank you for asking at HCM. I went through your son s history and would like to know more about him like - Since what age he is having asthma? Does he have nose symptoms (nasal congestion, running nose, sneezing)? Does he have any other allergies? What is the frequency of his symptoms? From your history, I would like to make following suggestions for your son: 1. Flovent is Fluticasone, which is to be used on regular basis ( preventer type of inhaler), not on as-and-when-needed basis. Once started, it has to be continued for minimum 1-2 months and not to change the dose unless suggested by his doctor. Were I treating him, I would suggest him to start Flovent if he has anyone of following: he awakes due to cough in night at least once in a week, he has difficulty in performing his daily activities due to wheezing or he has breathing difficulties at least 2 times in a week. However, please consult your doctor before starting. 2. For acute symptoms of wheezing/breathlessness, there other types of inhalers like salbutamol or levoaslbutamol ( reliever type of inhalers). It is very important to know difference between these two types of inhalers and also when and how to use them in asthma. 3. Were I treating him, I would add regular montelukast in his treatment, which may reduce his requirement of inhalers and also will help his nose symptoms if he has. 4. Please avoid exposure to dusts, smokes and air pollution as much as possible. 5. A diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help him in a long run. Hope above suggestions will be helpful to him. Should you have any further query, please feel free to ask at HCM. Wish your son the best of the health. Thank you & Regards.