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  1. #1
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    Default asthma and pneumonia in my 4 yo: experienced asthma mums please read

    My 4 yo ds has asthma which is sometimes well controlled and sometimes not. this year his hayfever has been quite bad and his asthma flared up more than usual so he has started on singulair which I felt was working well, alongside his usual preventer. However his wheezy dry cough turned into a more chesty cough and he really hasn't been improving. He had a bad asthma attack last night and today he was diagnosed with pneumonia. I am really in stress town right now with all this ****e. He is now on prednisolone and antibiotics, as well as his singulair and flixotide. I just dont know what to do. I can't see his asthma specialist for two weeks, and I want to ask him whether the singulair may have caused the pneumonia or something, as he has NEVER had a chest infection.. but then again he was clearly already running a virus weeks ago so it could just be that.
    ANYWAY. I don't suppose anyone knows anything about this stuff, or at least how I can make DS more comfortable.

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    hopefully the pred is kicking in and settling the asthma side of things down and the AB's settling the pneumonia. It is scary when they have attacks.

    I think the medications he's on sound right. Preventer, bronchodilator and now the steroid and AB. I doubt the drugs predisposed him to the pneumonia. More likely his asthma may have made the chest infection worse/more severe (and more sick than someone who doesn't have asthma).

    Is he old enough to try peak flow testing? I find with DD hers starts to drop in the days before an attack so we can start initiating our asthma plan early and try to prevent an acute attack.


    I find hers is also seasonal (she's starting to need the ventolin throughout the day again) and we can up her preventor meds during these times. It is a challenge to find that medium of therapeutic level without needing her to be on constant steroids at a higher level to what she needs.


    We have also had allergy testing done as I thought that an underlying allergy was also triggering her asthma.

    We use an asthma plan and asthma Australia is a wealth of information.


    Are you using a spacer or nebuliser? Research shows that spacers are just as effective as nebs but DD gets more relief from a few doses of nebs (the resp Dr doesn't believe me on that though!!) so uses that in acute stages when I can't get the salbulamol through the spacer lasting longer than an hour.

    If you are worried though ring an ambulance and get him checked out again. A few times I have sat to long at home thinking we can control it and realise that I should have called for help.

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    Thanks for replying. He is resting watching kung fu panda, I'm not sure if he has improved yet.. I know its very much about watch and wait.. but its so worrying. I will Definitely call an ambulance again if necessary. Ds is the reason we got private health insurance lol. You are right its hard to find the best balance of medications, particularly steroids. I'm not sure how long he needs off kindy either. His teacher will probably send stuff home.

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    Oh yeah and we use a spacer. We don't have s nebuliser. Specialists dont seem keen on them do they? Perhaps I will ask again.

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    Thanks Miss_mack. We did actually go and get good probiotics today. I was concerned about the amount of medication he is on at the moment so thought it would be wise. He is starting to cough up some mucous now which he wasn't doing before, and complaining of a belly ache. His colour is quite bad too, several people have commented, but there is no blue around his lips because I'm usually quick to notice that. I think he has improved some in the past couple of hours, but I really hate being an on call nurse at home !!
    DS was only on flixotide before, and its only been recently that his asthma is no longer controlled well by that alone, so we have started the singulair. I have made an appointment with our specialist. What do you use instead of singulair?

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    Don't forget you can contact Asthma Australia for information and advice on 1800ASTHMA (1800278462) you can also register online to have a free Control pack sent to you that has heaps of information to help you better manage asthma symptoms and includes an emergency fridge magnet.
    http://asthmaaustralia.org.au/assist/


 

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