Doctor insights on:
Medicine For Pediatric Asthma
There has been much work on developing evidence based guidelines for asthma care. Patients who get evidence based care have better outcomes. Here is a link to a valuable document: http://www. Nhlbi. Nih. Gov/guidelines/asthma/asthma_qrg. Pdf
generally, your child should be receiving care that is coherent with these guidelines.
Good luck. ...Read more
Usually late teens:
Or until they become comfortable and established with an "adult" doc.
I see kids when they go off to college as it is a period of transition and I want to make sure they are controlled and they have someone that is familiar with them as they go off to school and transition. ...Read more
Can be controlled!: There are over 20 million americans tha have asthma and is is now common in children. As asthma is a chronic disease it is not curable in a sense but it can be very well controlled, with kids leading normal active lives. There are many olympian champions who have been asthmatics. It is important to understand what asthma is and the triggers in the environment as well as genetics and allergies. ...Read more
I've read about an article pointing out junk food as a worsening factor of asthma in children. Does this apply to adults?
Mgt: It is quite common and an estimated 1/7 children has had a history of recurrent wheezing. There are many presentations of this diverse disease which result in different patterns of presentation and course. Fortunately, there are effective treatments available. A virtual appointment is available online. ...Read more
Rescue and Control: We use a combination of rescue meds (albuterol) for acute (right now) symptoms AND controllers (inhaled steroids or leukotriene modifiers)for everyday/ long term control of symptoms. Reduction of triggers like tobacco smoke, dust, mold, other allergens. Talk to your primary care about options. ...Read more
Yes: According to CDC statistics asthma incidence (new cases per year) among adults (age 18+ years) was 3.8/1000, whereas that among children was 12.5/1000. Incidence among children aged 0–4 years was 23.4/1000, more than five times greater than that among youth aged 12–17 years (4.4/1000). ...Read more
Avoid triggers: Avoid known triggers, ale sure your environment is not filled with chemicals, scents or fumes. Avoid second hand smoke, be very mindful of environmental triggers and allergens and pollens, as well as clastic changes. Keep an eye on reactions to foods and make sure you are taking your medications as directed. ...Read more
Cough, wheeze, SOB: Coughing is the most common symptom of asthma especially if cough occurs with exercise or laughing. Colds that routinely go to the chest are very common in patients with asthma. Wheezing and shortness of breath may also occur with colds or exercise, but cough is the most common symptom. ...Read more
Not breathing: Asthma is still a cause of death and that is the biggest risk. However it is avoidable when you keep it controlled with appropriate medications. Avoiding triggers, and (foods and environmental triggers) to the best of your ability. Understanding how and when to begin meds is crucial. People with asthma can also be more susceptible to pneumonia and bronchitis. ...Read more
What is the best way to manage asthma in children ages 4-9years old? Also would a specific diet be required?
Varies: Asthma is a disorder of variable intensity and trigger factors. It can vary from unrecognized to chronic and life threatening. Each patient must be evaluated and treated based on their individual findings. No two patients have responded exactly the same to any treatment. As such, it is unrealistic to list a "best" medication or plan. Find what works and keep track of triggers ; a written action plan ...Read more
I want ask u about asthma in children 12months here docto gave him inhaler of ventolin 3times aday. It's not good to take it 3 times aday?
Asthma: Ventolin inhaler can be used in young children via an airochamper with mask or albuterol solution by nebulizer every 4 hours as needed, other meds are available depending on the severity of his asthma, make sure he is not exposed to passive smoking, or any triggers in her environment. Good luck. ...Read more
What are the typical signs of asthma for a 3 year old? My daughter is 3 1/2 years old. She makes this noise with her throat quite often; it sounds if she is trying to clear her throat. I am concerned, because a year and a half ago, her previous pediatric
My eldest suffers wiv asthma and they have rwcently axed all piediatric services would it be adviasable too request home oxygen only to be used in 911?
Corticosteroids: Inhaled corticosteroids such as Flovent (fluticasone), Pulmicort (budesonide), qvar, alvesco, (ciclesonide) advair etc. Are the best medicines for asthma because they treat the underlying cause which is inflammation. If the patient is acutely ill or in the er then these medicines would not be used. First the patient would have to be treated/stabilized with oral corticosteroids and albuterol. ...Read more
There are Controller MAEDICTIONS which some patients have to take every day to keep Asthma under control
Long Term beta agonists (Long Term Bronchodilaters)
Steroids Inhaled and Leucotrine like Singular
Reiever or Resque Meds
Quick acting Bronchodilaters like Albuterol, Xopenex
Short Course of Steroids
Most meds are given via inhaler or Nebuliser
Except Singular or Oral Steroids ...Read more
Depends on severity: Asthma severity is classified by how often someone has symptoms. Therapy for mild asthma is inhaled beta-agonists such as albuterol. If albuterol is needed more than twice per week or if symptoms occur at night, a longer acting medicine with corticosteroids with or without long-acting beta agonists is added such as fluticasone or salmeterol+fluticasone. There are many drugs of the same type. ...Read more
Yes: Multiple medications are available for management of asthma. However these medicatioons are used only when inhaled medications fail. If you are having difficulty using an inhaler talk with your doctor about using a spacer. Spacers make it much easier to use inhaled medications and make the medication more effective. ...Read more