23 doctors weighed in:
My 10yo has mild asthma buy recently has been worsening requirng more frequent puffs, what can I do?
23 doctors weighed in

9 doctors agree
In brief: See the doctor
Worsening asthma symptoms, even when mild, require an office visit to properly adjust the medication.
Asthma is categorized based upon the severity and frequency of symptoms and management is tailored to the category. There might be other reasons, like infection or allergy, that could be impacting the asthma. See your doctor soon.

In brief: See the doctor
Worsening asthma symptoms, even when mild, require an office visit to properly adjust the medication.
Asthma is categorized based upon the severity and frequency of symptoms and management is tailored to the category. There might be other reasons, like infection or allergy, that could be impacting the asthma. See your doctor soon.
Dr. Ronda Dennis-Smithart
Dr. Ronda Dennis-Smithart
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Dr. Albert Pizzo
Family Medicine
7 doctors agree
In brief: Asthma problems
Asthma is a complex disease that requires thorogh investigation as to the cause in a specific individual.
Consult a physician who is well versed in the diagnosis and treatment of asthma and develop an on going treatment plan. Frequent re-evaluations are necessary to optimize treatment. Follow your physicians instructions carefully concerning what you can do to help.

In brief: Asthma problems
Asthma is a complex disease that requires thorogh investigation as to the cause in a specific individual.
Consult a physician who is well versed in the diagnosis and treatment of asthma and develop an on going treatment plan. Frequent re-evaluations are necessary to optimize treatment. Follow your physicians instructions carefully concerning what you can do to help.
Dr. Albert Pizzo
Dr. Albert Pizzo
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1 comment
Dr. Albert Pizzo
I believe that over 80% of asthma sufferers have significant allergies, so an allergy workup by an allergist is highly recommended.
Dr. Steven Machtinger
Internal Medicine - Allergy & Immunology
6 doctors agree
In brief: Asthma TreatmentPlan
Lots of good advice so far. I'm going to add that an asthma treatment plan is a useful tool for controlling asthma.
A plan is an agreement between the patient and the treating physician of what medications will be taken when feeling well, how to recognize worsening asthma & what to do about it, and when to see the physician. Plans often add clarity.

In brief: Asthma TreatmentPlan
Lots of good advice so far. I'm going to add that an asthma treatment plan is a useful tool for controlling asthma.
A plan is an agreement between the patient and the treating physician of what medications will be taken when feeling well, how to recognize worsening asthma & what to do about it, and when to see the physician. Plans often add clarity.
Dr. Steven Machtinger
Dr. Steven Machtinger
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Dr. Francine Yep
Family Medicine
6 doctors agree
In brief: What's changed?
When you use your quick-acting rescue inhaler more often, you need to change how you're using your controller medicine, which helps heal your airways and prevent asthma.
Besides changing medication, it's time to play detective! ask yourself what's different lately. Any new pets/animals? More dust, mildew, mold? Any fumes? Secondhand smoke? More colds lately? Any tummy troubles [heartburn/reflux]?

In brief: What's changed?
When you use your quick-acting rescue inhaler more often, you need to change how you're using your controller medicine, which helps heal your airways and prevent asthma.
Besides changing medication, it's time to play detective! ask yourself what's different lately. Any new pets/animals? More dust, mildew, mold? Any fumes? Secondhand smoke? More colds lately? Any tummy troubles [heartburn/reflux]?
Dr. Francine Yep
Dr. Francine Yep
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1 comment
Dr. Anatoly Belilovsky
Also, overuse of albuterol makes the lungs less sensitive to it - more reason to adjust controller meds or reevaluate the environment.
Dr. Laura Webb
Pediatrics
5 doctors agree
In brief: May need more meds
Please go see your pediatrician for a full evaluation.
However if your child is using their rescue inhaler more often it may be a sign that s/he needs more medications- specifically an inhaled corticosteroid that they would take daily. This has been shown to lessen the daily symptoms as well as the number of asthma attacks.

In brief: May need more meds
Please go see your pediatrician for a full evaluation.
However if your child is using their rescue inhaler more often it may be a sign that s/he needs more medications- specifically an inhaled corticosteroid that they would take daily. This has been shown to lessen the daily symptoms as well as the number of asthma attacks.
Dr. Laura Webb
Dr. Laura Webb
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Dr. Maziar Rezvani
Internal Medicine - Allergy & Immunology
2 doctors agree
In brief: Go to her doctor
The most common cause of an asthma exacerbation in children is viral infection, specifically rhinovirus (the "comon cold").
Otherwise there are numerous other environmental and host factors which may be contributing to increased bronchospasm, including exposure to a sensitizing allergen (dust mite, pollens, animal dander), weather changes, emotional stress, cold air, exercise or solvent fumes.

In brief: Go to her doctor
The most common cause of an asthma exacerbation in children is viral infection, specifically rhinovirus (the "comon cold").
Otherwise there are numerous other environmental and host factors which may be contributing to increased bronchospasm, including exposure to a sensitizing allergen (dust mite, pollens, animal dander), weather changes, emotional stress, cold air, exercise or solvent fumes.
Dr. Maziar Rezvani
Dr. Maziar Rezvani
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1 doctor agrees
In brief: Rescue vs Prevent
If your child is requiring his inhaler (rescue medicine) more than 2 days a week, you should check with your doctor to see if he needs a preventative medicine.
Rescue meds give quick relief, but are not adequate for good control when asthma keeps flaring up. Preventative medicines can significantly decrease sick days, er visits, hospital stays, and severe attacks. Check with your doctor.

In brief: Rescue vs Prevent
If your child is requiring his inhaler (rescue medicine) more than 2 days a week, you should check with your doctor to see if he needs a preventative medicine.
Rescue meds give quick relief, but are not adequate for good control when asthma keeps flaring up. Preventative medicines can significantly decrease sick days, er visits, hospital stays, and severe attacks. Check with your doctor.
Dr. CHERYL COLDWATER
Dr. CHERYL COLDWATER
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1 comment
Dr. Susan Lurie
Also using the rescue medicine too often may decrease its efficacy.
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Dr. Cindy Juster
Board Certified, Pediatrics
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