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Suggest Treatment For Bronchiolitis Asthma In Child
hello ,
my son is 3 year old, since last 18 months he is having problem of broncholite astama and he i s been given flohale 50 and levoline inhaler and along with that he takes montair tablet and most of the time he is coughing in the night,. so please suggest what to do next
my son is 3 year old, since last 18 months he is having problem of broncholite astama and he i s been given flohale 50 and levoline inhaler and along with that he takes montair tablet and most of the time he is coughing in the night,. so please suggest what to do next
Wed, 6 Aug 2014
Hello.
Thank you for asking at HCM.
I went through your son's history and would like to ask a few more details like - Does he have repeated fever? Does he have nose symptoms (sneezing, nose congestion, running noes)? Is he exposed to any smoke at home? Does he regurgitates/vomits foods often? Does he have any skin allergies?
From your given history, I would like to make suggestions for him as follows:
1. Were I treating him, first of all I would review his inhaler device and technique. This is very important as if the device/technique are improper, most of the drug may not go into the lungs and therefore the treatment may not become effective.
So, personally I would suggest you to get the inhaler device and the technique of using it reviewed by a pediatrician experienced with inhaler therapy.
In my opinion, metered dose inhaler with spacer device with mask is the best device for a 3 year old child.
2. I would agree with the drugs that your doctor has suggested. It is important to remember that Flohale and Montair are to be taken regularly and Levoline is to be taken when he has wheezing on as-and-when-needed basis.
3. If he has frequent nose symptoms, I would add a daily antihistamine like cetirizine/levocetirizine to above treatment.
4. Were I treating him, I would also prescribe him vitamin C for 2-3 months. I would also suggest you to get his hemoglobin levels and if low, maintain hemoglobin around 14 g%. These two measures will help improve his immunity and reduce frequent infections.
5. Personally I would suggest him testing for allergies to air-borne allergens and food proteins. Allergy testing will help you to identify the substances causing troubles to him and also to know how to avoid them.
6. In general, please try to avoid exposure to dusts, smokes and air pollution as much as possible.
7. A nutritive diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help him in a long run.
Hope above measures 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.
Thank you for asking at HCM.
I went through your son's history and would like to ask a few more details like - Does he have repeated fever? Does he have nose symptoms (sneezing, nose congestion, running noes)? Is he exposed to any smoke at home? Does he regurgitates/vomits foods often? Does he have any skin allergies?
From your given history, I would like to make suggestions for him as follows:
1. Were I treating him, first of all I would review his inhaler device and technique. This is very important as if the device/technique are improper, most of the drug may not go into the lungs and therefore the treatment may not become effective.
So, personally I would suggest you to get the inhaler device and the technique of using it reviewed by a pediatrician experienced with inhaler therapy.
In my opinion, metered dose inhaler with spacer device with mask is the best device for a 3 year old child.
2. I would agree with the drugs that your doctor has suggested. It is important to remember that Flohale and Montair are to be taken regularly and Levoline is to be taken when he has wheezing on as-and-when-needed basis.
3. If he has frequent nose symptoms, I would add a daily antihistamine like cetirizine/levocetirizine to above treatment.
4. Were I treating him, I would also prescribe him vitamin C for 2-3 months. I would also suggest you to get his hemoglobin levels and if low, maintain hemoglobin around 14 g%. These two measures will help improve his immunity and reduce frequent infections.
5. Personally I would suggest him testing for allergies to air-borne allergens and food proteins. Allergy testing will help you to identify the substances causing troubles to him and also to know how to avoid them.
6. In general, please try to avoid exposure to dusts, smokes and air pollution as much as possible.
7. A nutritive diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help him in a long run.
Hope above measures 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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Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
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