My daughter,6 years old, has exercise induced and seasonal asthma. she has been cough so much she pukes from bronchitis. she is on proair,augmentin and orapred. we have done steam,cold air ect...nothing is stopping her cough. anything more we can do?

Asthma: If your child is not well controlled on her current asthma regimen, please discuss with your doctor. You should have a plan for exacerbations, which can occur with viral infections, colds, or even cold exposure. Especially since her symptoms are Seasonal, you should have an asthma action plan or a more intensive regimen for more severe seasons. Consider seeing a pulmonologist.

Mgt: If your daughter has allergies, she should avoid triggers such as dust, mold, pets. Avoid all smoke exposure and maintain a very clean environment. I would suggest that your PCP add additional medications and that she use a daily inhaled steroid. Blood work can include an eosinophil count, IgE and allergy testing. A CF sweat test and chest radiograph can be obtained as well

Not every cough: Come from the respiratory tract, sinuses, middle ears, reflux all can cause or increase cough. The post tussive vomiting you described is typical of uncontrolled asthma, untreated sinusitis or reflux. Orapred burst is fine but still might not have touched the real cause(s). She isn't on controller therapy for her asthma, check aaaai.org or acaai.org for an allergist for comprehensive management