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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Asthma Attacks In My Son?

My 5 year old has had 2 asthmatic episodes (breathing distress and wheezing) and was hospitalized for 2 nights during 1 episode. He also gets sick more often than my other 2 kids. About 5 times a year, he gets a short lived stomach virus. I'm wondering if adnoids may be a problem - I'm reading about mucopurulent drainage and wondering if his tonsils / adnoids should be removed.
Fri, 13 Mar 2015
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Allergist and Immunologist,  's  Response
Hello,

Thank you for asking at HCM.

I went through your history and would like to make suggestions for you son as follows:

1. If he has 2 asthmatic episodes, I would not suggest him removal of adenoids or tonsils unless he has severe or persistent nose/sinus symptoms due to adenoids.

Adenoids and tonsils have important immune function in a child's body and should be removed only when necessary.

2. It is unusual to develop "stomach virus" around 5 times a year. I would like to confirm whether they are really due to infections or other causes like gastritis, food allergies, etc. I would suggest you to consult a gastroenterologist who may ask his stomach problem in detail, may examine him and may identify cause of repeated stomach problems with help of some investigations.

3. For infrequent asthma symptoms, I would suggest my such patient to use "rescue" inhalers like salbutamol or levosalbutamol to be used on as-and-when-needed basis for wheezing or breathing difficulty symptoms.

4. If he has continuous/frequent asthma symptoms, then only I would suggest him regular "preventer" inhalers.

Hope above suggestions will be helpful to you.

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

Wish your son the best of the health ahead.

Thank you & Regards.
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What Causes Frequent Asthma Attacks In My Son?

Hello, Thank you for asking at HCM. I went through your history and would like to make suggestions for you son as follows: 1. If he has 2 asthmatic episodes, I would not suggest him removal of adenoids or tonsils unless he has severe or persistent nose/sinus symptoms due to adenoids. Adenoids and tonsils have important immune function in a child s body and should be removed only when necessary. 2. It is unusual to develop stomach virus around 5 times a year. I would like to confirm whether they are really due to infections or other causes like gastritis, food allergies, etc. I would suggest you to consult a gastroenterologist who may ask his stomach problem in detail, may examine him and may identify cause of repeated stomach problems with help of some investigations. 3. For infrequent asthma symptoms, I would suggest my such patient to use rescue inhalers like salbutamol or levosalbutamol to be used on as-and-when-needed basis for wheezing or breathing difficulty symptoms. 4. If he has continuous/frequent asthma symptoms, then only I would suggest him regular preventer inhalers. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish your son the best of the health ahead. Thank you & Regards.