How to treat severe asthma in a 10-year-old?

Question

Hi doctor,

My son is 10 years old, and he coughs every day because of climate change. He also has adenoids, so it is hard for him to breathe. The doctor said it could be uncontrolled asthma. I do not know what to do for his asthma management. It gets worse during the allergy season, and we have tried so many things, but it is still there. Should he use inhalers or corticosteroids? I am worried about all these triggers, like dust and pollen. Is there any better way to deal with pediatric asthma? I feel lost and want to make sure he gets the right treatment. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

It sounds like you are going through a challenging time with your son’s health, and it is understandable to feel lost. As mentioned, your son seems to be suffering from bronchial asthma. The key to the treatment of asthma is the use of inhaled medications. For adequate asthma control, appropriate inhalers in the right dose are to be used with the appropriate technique, and they should be used regularly.

Investigations to be done for diagnosis and evaluation of bronchial asthma include:

1. Complete blood count.

2. Serum total IgE (immunoglobulin E).

3. Chest X-ray.

4. Pulmonary function test.

The following advice is to be followed if bronchial asthma is diagnosed:

1. Start using inhalers Budetrol (Formoterol and Budesonide), one puff twice daily with a spacer followed by mouthwash.

2. Mac spacer (it is to be attached to the inhaler; the technique of its usage can be learned online).

3. Consult a pulmonologist either physically or virtually regularly.

4. Take vaccinations appropriate for the age if not taken already.

5. Since his symptoms worsen during allergy season, consider implementing measures like air purifiers and keeping windows closed during high pollen days.

6. Work on minimizing exposure to dust and other allergens at home. Regular cleaning, using dust-proof covers, and maintaining low humidity can help.

7. Develop a written asthma action plan with his treating doctor. This plan should outline daily management, medication usage, and steps to take during an asthma attack.

8. Encourage a healthy diet and regular exercise (as appropriate) to strengthen his lungs.

9. Teach him proper breathing techniques.

10. Help him understand his condition. Teaching him about asthma can empower him to recognize symptoms and take action when needed.

Take care to follow up with investigations or earlier if further queries are there.

I hope this information will help you.

Thank you.