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Hello Doctor What Exactly Is The Function Of Asthalin And
Question: Hello Doctor
What exactly is the function of Asthalin and Budecort in treatment of Asthma in young children.
If there is only nose block/slight congestion without coughing, which one is preferred out of the two?
My daughter who is 4 has Asthma and I'm always worried since her cold/dust often triggers her asthma and to keep it in check, i either avoid her catching a cold being always on my toes which costs me my mental peace, or i look to nip it in the bud by giving her one dose of Budecort that eases her breathing.
She had been prescribed Asthalin and Budecort two years ago when she was diagnosed with Asthma.
I need help from an expert that can clarify and help me understand how and when i can use Budecort and Asthalin for her, based on the symptoms.
As of today, after her flu shot, she presented some discomfort in her throat before retiring for the night. It looked a bit like acid reflux but I'm not sure if it's that or throat discomfort as upon swallowing saliva, she looks uneasy.
Regards
What exactly is the function of Asthalin and Budecort in treatment of Asthma in young children.
If there is only nose block/slight congestion without coughing, which one is preferred out of the two?
My daughter who is 4 has Asthma and I'm always worried since her cold/dust often triggers her asthma and to keep it in check, i either avoid her catching a cold being always on my toes which costs me my mental peace, or i look to nip it in the bud by giving her one dose of Budecort that eases her breathing.
She had been prescribed Asthalin and Budecort two years ago when she was diagnosed with Asthma.
I need help from an expert that can clarify and help me understand how and when i can use Budecort and Asthalin for her, based on the symptoms.
As of today, after her flu shot, she presented some discomfort in her throat before retiring for the night. It looked a bit like acid reflux but I'm not sure if it's that or throat discomfort as upon swallowing saliva, she looks uneasy.
Regards
Brief Answer:
Nasal congestion and sore throat is not asthma
Detailed Answer:
Hi
I have gone through the details and do understand your concern.
Asthma is chronic (long standing) may be persistent or intermittent inflammatory disorder( most common due to allergen, seasonal changes) of LOWER airways. Here inflammation causes swelling and thus narrowing of airways leading to noisy breathing and breathing difficulty.
First of all I would like to mention that diagnosing asthma at age of two years is not easy and it is usually diagnosed after age of 3-4 years.
Budecort is an steroid(antiinflammtory) and helps in relieving the swelling of airways. Asthalin is a bronchodilator and it relieves the airways spasm.
Asthma is a disease of lower airways and nasal blockage or sore throat/itchy throat can be due to allergy but are not the signs of asthma. So budecort and asthalin is not needed in such cases.
Depending on the etiology of nasal blockage or sore throat like allergic,viral or bacterial as evaluated by a pediatrician; medications like antiallergic, decongestives,antibiotics etc are prescribed.
So for each episode of respiratory issue, proper evaluation with a pediatrician is needed.
I hope this helps.
Please let me know if you have any doubt.
Thanks and regards
Nasal congestion and sore throat is not asthma
Detailed Answer:
Hi
I have gone through the details and do understand your concern.
Asthma is chronic (long standing) may be persistent or intermittent inflammatory disorder( most common due to allergen, seasonal changes) of LOWER airways. Here inflammation causes swelling and thus narrowing of airways leading to noisy breathing and breathing difficulty.
First of all I would like to mention that diagnosing asthma at age of two years is not easy and it is usually diagnosed after age of 3-4 years.
Budecort is an steroid(antiinflammtory) and helps in relieving the swelling of airways. Asthalin is a bronchodilator and it relieves the airways spasm.
Asthma is a disease of lower airways and nasal blockage or sore throat/itchy throat can be due to allergy but are not the signs of asthma. So budecort and asthalin is not needed in such cases.
Depending on the etiology of nasal blockage or sore throat like allergic,viral or bacterial as evaluated by a pediatrician; medications like antiallergic, decongestives,antibiotics etc are prescribed.
So for each episode of respiratory issue, proper evaluation with a pediatrician is needed.
I hope this helps.
Please let me know if you have any doubt.
Thanks and regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor
Thank you for your response.
What i meant was that i administer Budecort/Asthalin depending on her symptoms thats is, if there's a breathing difficulty, wheezing, congestion without any mucous making sleep difficult or a long standing cough that just won't go away with all possible home remedies and syrups.
She seemingly has an allergy to dust/pollution..and ive noticed that when i took her to another city on a holiday with obvious change in environment with regards to air pollutants, natural greenery and fresh unpolluted air(read, the hills) , her condition drastically improved. This lead me to believe that the diagnosis of asthma might be true. I don't have much information to believe otherwise.
Once, her condition had worsened so much that she had to be nebulized. It was then that she was diagnosed with Asthma and a management for the same was prescribed.
This is the reason why I'm phobic to her catching any allergy or cold.
This morning she woke up with a cold with mucous..so at least im relieved that it's coming out and not stuck inside. Maybe her doctor is going to prescribe Allegra which is what he usually does.
Please do let me know if my understanding is correct. And the way forward. Should i take her to a paediatric pulmonologist or a allergist to understand if at all she has Asthma and what can be done is cases of wheezing if at all we can call it wheezing and in cases of cough and cold worsening and not getting cured by reguy medicines.
Regards.
Thank you for your response.
What i meant was that i administer Budecort/Asthalin depending on her symptoms thats is, if there's a breathing difficulty, wheezing, congestion without any mucous making sleep difficult or a long standing cough that just won't go away with all possible home remedies and syrups.
She seemingly has an allergy to dust/pollution..and ive noticed that when i took her to another city on a holiday with obvious change in environment with regards to air pollutants, natural greenery and fresh unpolluted air(read, the hills) , her condition drastically improved. This lead me to believe that the diagnosis of asthma might be true. I don't have much information to believe otherwise.
Once, her condition had worsened so much that she had to be nebulized. It was then that she was diagnosed with Asthma and a management for the same was prescribed.
This is the reason why I'm phobic to her catching any allergy or cold.
This morning she woke up with a cold with mucous..so at least im relieved that it's coming out and not stuck inside. Maybe her doctor is going to prescribe Allegra which is what he usually does.
Please do let me know if my understanding is correct. And the way forward. Should i take her to a paediatric pulmonologist or a allergist to understand if at all she has Asthma and what can be done is cases of wheezing if at all we can call it wheezing and in cases of cough and cold worsening and not getting cured by reguy medicines.
Regards.
Brief Answer:
Your believe might be right as per your description
Detailed Answer:
Hi
As per your description I agree that this can be due to hyper responsiveness of airways due to irritants.
The symptoms can be due to involvement of upper or lower airways.
Most of the times it is limited to upper airways like mild cough,common cold and in such cases antiallergic like allegra helps in recovery and prevents further aggravation. Sometimes it extends to the lower airways and in that cases nebulisation helps.
At this age asthma is suspected based on clinical assessment. This can be confirmed by pulmonary function test which can only be done when she gets older enough to undergo the test (usually after 5 years of age).
So if she is very sensitive to irritants, allegra (an antiallergic) or combination of montelukast cetrizine (long term and short term controller of allergy)along with other regular cough medications should be given initially under close observation to check if the symptom is improving or worsening. If symptoms are not improving or worsening ( can be with or without breathing difficulty) a clinical evaluation with pediatrician should be done and based on that nebulisation can be given. As the baby grows repeated exposures with various irritants/allergens helps in sensitization and thus severity decreases in most with age.
I hope this relieves you and helps to clear your doubts.
Please let me know if you want to know something else.
Your believe might be right as per your description
Detailed Answer:
Hi
As per your description I agree that this can be due to hyper responsiveness of airways due to irritants.
The symptoms can be due to involvement of upper or lower airways.
Most of the times it is limited to upper airways like mild cough,common cold and in such cases antiallergic like allegra helps in recovery and prevents further aggravation. Sometimes it extends to the lower airways and in that cases nebulisation helps.
At this age asthma is suspected based on clinical assessment. This can be confirmed by pulmonary function test which can only be done when she gets older enough to undergo the test (usually after 5 years of age).
So if she is very sensitive to irritants, allegra (an antiallergic) or combination of montelukast cetrizine (long term and short term controller of allergy)along with other regular cough medications should be given initially under close observation to check if the symptom is improving or worsening. If symptoms are not improving or worsening ( can be with or without breathing difficulty) a clinical evaluation with pediatrician should be done and based on that nebulisation can be given. As the baby grows repeated exposures with various irritants/allergens helps in sensitization and thus severity decreases in most with age.
I hope this relieves you and helps to clear your doubts.
Please let me know if you want to know something else.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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