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  1. #1
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    Default Asthma diagnosis under 2?

    Wondering if anyone had experience with Asthma treatment/diagnosis in a toddler? DD is 19 months. She has had 3 episodes of "viral onset asthma" since November, 1 requiring a 24 hour stay in hospital for oxygen.
    The Paed who saw her in hospital said just use salbutamol in the spacer every 2-4 hours when she is unwell, as she doesn't need any treatment at all when she is well.
    So I was up giving it to her every 2 hours on Saturday night & thinking there must be a better option?
    Anyone had their toddler started on a preventer or long acting reliever under the age of 2? If so how did you get a diagnosis? GP or Paed?
    She saw the after hours doc on sun & we're off to the GP on Thursday but would like an action plan on whether i insist on a referral or push the GP for treatment options. Thanks!

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    My DD was diagnosed pretty young (though I can't remember if she was under 2 - I think it was) by the GP and I asked for a referral to a respiratory specialist. She was put on a preventer which helped immensely. She has now largely grown out of it and just used ventolin when needed.
    I would ask your GP for a referral to a respiratory specialist.

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    rosey82  (16-02-2016)

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    Ds1 has asthma he is 3 1/2 now. Started to really be a problem around 2 1/2.
    He was diagnosed with 'sensitive lung disease' 😒
    It took a 2 day stay in hospital and me BEGGING them for answers before they would say it was asthma.
    He is now on flixotide inhaler twice a day and asmol when needed (when it rains he is guaranteed to end up short of breath)
    Find a good asthma specialist, they will explain to you exactly how to handle all the different situations that come along with asthma.

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    rosey82  (16-02-2016)

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    *Flixotide junior

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    Default H

    2 of mine were diagnosed early (6 months & 15 months) &were on flixotide before age 2. Our asthma plan is basically flixotide jnr 2x per day, ventolin for relief when needed, predmix (liquid steroid) when an exacerbation occurs. We were told if they are needing relief more than every 4 hours, they are needing to see a dr. I have never heard of salbutamol every 2 hours being any form of standard asthma care. I would perhaps try for an asthma specialist, or even a good GP who knows their sh!t about asthma.

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    Quote Originally Posted by cheeeeesecake View Post
    2 of mine were diagnosed early (6 months & 15 months) &were on flixotide before age 2. Our asthma plan is basically flixotide jnr 2x per day, ventolin for relief when needed, predmix (liquid steroid) when an exacerbation occurs. We were told if they are needing relief more than every 4 hours, they are needing to see a dr. I have never heard of salbutamol every 2 hours being any form of standard asthma care. I would perhaps try for an asthma specialist, or even a good GP who knows their sh!t about asthma.
    Agree with the 2 hrly thing. If ds ends up in hospital, they will not discharge him un ti l he is able to go 3 hrly on ventallin. (Which we then have to wean to 4 hrly then 6 hrly)
    In our asthma plan, they say if you are not getting relief from 3 hrly bursts you must go to dr/hospital.
    I will take a photo of our plan and show you, so you know what you should be asking for.

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    rosey82  (16-02-2016)

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    Ds action plan
    Attached Images

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    rosey82  (16-02-2016)

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    Default Asthma diagnosis under 2?

    Thanks for the advice. Yes I am familiar with Asthma Action Plans & will be talking to the GP about preventer/referral. Not really happy with just getting brushed off & getting a bit worried about how winter is going to pan out.
    Every Dr we have seen is very reluctant to prescribe predmix, saying not necessary/not used much anymore?
    They seem to think because it's only for 24-48 hours when she is unwell with a virus there is no other treatment plan except ventolin (this is from the Paed at hospital).
    I was all set to take her to hospital on sat night, luckily her breathing settled down & she was needing 4 hourly doses by 2am, otherwise I would have been straight to ED.
    ETA:she then saw the after hours GP first thing who didn't seem to think she needed to be in hospital.
    Last edited by rosey82; 16-02-2016 at 13:29.

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    Quote Originally Posted by cheeeeesecake View Post
    2 of mine were diagnosed early (6 months & 15 months) &were on flixotide before age 2. Our asthma plan is basically flixotide jnr 2x per day, ventolin for relief when needed, predmix (liquid steroid) when an exacerbation occurs. We were told if they are needing relief more than every 4 hours, they are needing to see a dr. I have never heard of salbutamol every 2 hours being any form of standard asthma care. I would perhaps try for an asthma specialist, or even a good GP who knows their sh!t about asthma.
    That's my point - she hasn't been formally diagnosed & the Dr's are just like wait & see. Well it's 3 times now so no more wait & see for me!

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    Asthma is terrifying! When your watching your kids O2 levels drop to 82% and noone seems to care, it is about as bad as you get.
    I was in tears talking to the specialist, because for the first time ever he was giving me answers and the ability to fix my child (well atleast help them through the attacks etc)
    Noone seems to take asthma seriously! I was the one that had to beg my gp for the preventer. The first gp I saw when regular gp was on hols told me that there was no such thing as child preventer and if ds got bad to put saline in his nebuliser.. 😒

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    rosey82  (16-02-2016)


 

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