
Infant Has Strong Tendency To Develop Cold And Cough, Was Treated For Acute Bronchial Asthma. Again Having Symptoms

on may 1st 2013 he had an acute episode of bronchial asthma of which he was treated conservatively in PICU . i hav attached his discharge summary and reports for review. he was fine after that, till on 21st aug 2013 he again hav a similar episode but of lesser severity. after that he has been on tab. singular 4 mg and metaspray once daily. and nebulisation by levolin 0.63 mg.
he has a repeat episode tday itself.
my consern is ...are we on right line of management for him & wat else could be done??
PLS GUIDE
You need to step up treatment
Detailed Answer:
Hi
Thanks for writing to XXXXXXX
I went through your discharge summary which states that your kid was treated for pulmonary TB for 6 months and that the PICU admission was due to wheezing.
I too beleive this is separate from his past illness.
From what I can understand as allergy asthma specialist I do encounter such kids very often.
Wheezing can start at any age and can be any severity at presentation.
Metaspray is for allergic rhinitis and singular is to decrease his allergies. YOU NEED TO CONTINUE BOTH.
But I usually put such kids on regular inhalers to prevent further attacks.
You can start with budesonide ( thats the same medicine in metaspray ) inhaler at 100mcg per dose twice daily.
Please note that this will not cause any side effects as the dose is in microgram and taking inhaler for a year is equal to 3 days of oral steroids.
You can get allergy testing done from local allergist to find out the trigger factors for this problem, which can be avoided if tested and identified.
Hope I answered your query
Do let me know if I could help further
Regards
Dr Arun


Sorry. I am based in Chennai.
You can find allergy specialist in Delhi who does allergy skin test. There are many who do it example Apollo, etc
You can safely start budesonide inhaler as I had suggested .
Wishing your kid good health
Regards


Regards
Dr XXXXXXX

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