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Old 12-11-2004, 05:18 AM   #1
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Shelby_36 HB User
Asthma/pneumonia- scared

Hi, My daugther is 4 is has had minor asthma symptoms for 2 years. It ususally doesn't present regular daily problems in breathing but seems to be the underlying source of recurrent pneumonia (4 times in 2 years) They've tested her for CF already)

Recently she had pneumonia twice back to back and she is on singular, albeuterol neubulizer, pulmicort inhaler (after a round of oral steriods) biaxin day 20 of a now prescribed 31 day dose (she is allergic to penicillins)

Well on top of all of this yesterday she started getting sick again- so back to the dr. and the pneumonia appears to be going away. (YEAH) but the dr said she was starting with a viral infection. The only thing we could do was treat the asthma and prevent this viral infrection from getting into her chest again.


Well she got up this morning and she can BARELY BREATHE> I could hear her coming down the hall from my bedroom this morning- she sounded like Darth Vader. She has a croupy cough too. Honestly guys - when she had asthma attacks so far it hadn't been this bad...and when she had pneumonia it wasn't this bad.... Myhusband is in a closed door meeting hours away.... I'd take her to the dr. but shes already on everything!

I ran down the hall and gave her the neubulizer. The dr told me 2x a day for this week (one with the steroid) But I'm going to go back to the pneumonia time table (every 4 hours) for the weekend. It seems to have helped a little.

I am prepared to call my dr. (I know she'll call me right back) if I need to... But anyone- Is there anything else I can or should be doing today to keep her safe? I've honestly got no one to bounce this off of..I'm here by myself..no family... Help?

 
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Old 12-11-2004, 05:38 AM   #2
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jerrie97 HB User
Re: Asthma/pneumonia- scared

Quote:
Originally Posted by Shelby_36
Hi, My daugther is 4 is has had minor asthma symptoms for 2 years. It ususally doesn't present regular daily problems in breathing but seems to be the underlying source of recurrent pneumonia (4 times in 2 years) They've tested her for CF already)

Recently she had pneumonia twice back to back and she is on singular, albeuterol neubulizer, pulmicort inhaler (after a round of oral steriods) biaxin day 20 of a now prescribed 31 day dose (she is allergic to penicillins)

Well on top of all of this yesterday she started getting sick again- so back to the dr. and the pneumonia appears to be going away. (YEAH) but the dr said she was starting with a viral infection. The only thing we could do was treat the asthma and prevent this viral infrection from getting into her chest again.


Well she got up this morning and she can BARELY BREATHE> I could hear her coming down the hall from my bedroom this morning- she sounded like Darth Vader. She has a croupy cough too. Honestly guys - when she had asthma attacks so far it hadn't been this bad...and when she had pneumonia it wasn't this bad.... Myhusband is in a closed door meeting hours away.... I'd take her to the dr. but shes already on everything!

I ran down the hall and gave her the neubulizer. The dr told me 2x a day for this week (one with the steroid) But I'm going to go back to the pneumonia time table (every 4 hours) for the weekend. It seems to have helped a little.

I am prepared to call my dr. (I know she'll call me right back) if I need to... But anyone- Is there anything else I can or should be doing today to keep her safe? I've honestly got no one to bounce this off of..I'm here by myself..no family... Help?
Definitely do treatments every four hours. This way, her airways are as open as possible.

If she gets worse, take her to the emergency room! Asthma frequently becomes very bad with viral infections.

Does she use a face mask with her nebulizer? If she does, make sure she's breathing through her mouth (she probably already is if her nose is stuffy.)

Has she been tested for allergies? A lot of times, allergies can cause frequent bronchitis/pneumonia (take me for example, I have multiple allergies and had bronchitis 14 times last year. Now that the allergies are being treated, the infections are markedly reduced.) I know you've mentioned that she's on Singulair, but it's fallen out of favor with many doctors. If she does test positive to some allergens, something like Zyrtec or Allegra can be added to her medication regime.
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Last edited by jerrie97; 12-11-2004 at 05:39 AM.

 
Old 12-11-2004, 05:47 AM   #3
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Shelby_36 HB User
Re: Asthma/pneumonia- scared

Yes, we have had some doubts with SIngular too. While I do notice a difference compared to when she does and doesn't take it..it still doesn't totally control here allergies.

She uses a face mask- I didn't realize that the nose mouth thing made a difference..thanks for sharing that.

I haven't had her tested for allergies yet. It took several office staff to get her flu shot last month so I think they'd have to knock her out to do allergy tests.

 
Old 12-11-2004, 06:29 AM   #4
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jerrie97 HB User
Re: Asthma/pneumonia- scared

Quote:
Originally Posted by Shelby_36
Yes, we have had some doubts with SIngular too. While I do notice a difference compared to when she does and doesn't take it..it still doesn't totally control here allergies.

She uses a face mask- I didn't realize that the nose mouth thing made a difference..thanks for sharing that.

I haven't had her tested for allergies yet. It took several office staff to get her flu shot last month so I think they'd have to knock her out to do allergy tests.
I'm wondering if maybe she could get RAST allergy testing. It's a blood test that detects allergies - it's not as accurate as skin testing, but it's still worth a shot.

Anyway, there are two other ways of skin testing that can be done. The first one, which is the most accurate, involves the doctor injecting a small amount of allergen in the upper arm (they usually do a few at a time).

The second one is probably the best for children. They load up this thing with 5 prongs on it with the allergens and they don't inject it, but they lay it on the skin so that there are little "puddles" of allergens sitting on their arm. The only drawback to this type of testing is that you'd probably have to hold her arms still -- everyone, especially children, always wants to scratch whatever they are allergic to.
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Old 12-11-2004, 06:55 AM   #5
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Shelby_36 HB User
Re: Asthma/pneumonia- scared

I've never heard of RAST testing. Do you think a smaller city would have an allergist with this or is it mostly at the big medical facilities?

At this point we've just been seeing our Family Dr. She is really good and she has been reluctant to do the allergist thing because she knows what they will do as soon as they get her.

She did say yesterday about the pneumonia component of it and possibly sending her to a pulmonary specialist at some point.

She's feeling better now..I gave her cough med for the croupy cough and it had codiene in it so she is sleepy. Her breathing is better and she can have another neubulizer in an hour. She told me a few minutes ago she knew what wwould make her feel better ...a kiss.... too cute.

 
Old 12-11-2004, 08:26 AM   #6
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Join Date: Nov 2003
Location: Indiana
Posts: 503
jerrie97 HB User
Re: Asthma/pneumonia- scared

Quote:
Originally Posted by Shelby_36
I've never heard of RAST testing. Do you think a smaller city would have an allergist with this or is it mostly at the big medical facilities?

At this point we've just been seeing our Family Dr. She is really good and she has been reluctant to do the allergist thing because she knows what they will do as soon as they get her.

She did say yesterday about the pneumonia component of it and possibly sending her to a pulmonary specialist at some point.

She's feeling better now..I gave her cough med for the croupy cough and it had codiene in it so she is sleepy. Her breathing is better and she can have another neubulizer in an hour. She told me a few minutes ago she knew what wwould make her feel better ...a kiss.... too cute.
A small city should have an allergy/asthma clinic. If you get a referral, the allergist would tell you whether or not he/she feels that your child has allergies. There are a few outward symptoms of allergies that the doctor looks for - one that's common in children is the nasal crease, which is a line that goes across the bridge of the nose that results from repeated rubbing.

The RAST testing would have to be done at the hospital, though. I believe the bloodwork is also a sendout, so it could take up to three weeks to get results back.

Do you have any pets in your home? Plants?

Pulmonary specialists - the good thing about pediatric pulmonologists is that most of them think of allergies playing a role in asthma first. Most are equipped with the supplies needed to test for allergies in young patients. So, either an allergist referral or a pulmonologist would be an excellent idea.

Oh! And if you do get a referral, ask the doctor about obtaining a peak flow meter. Most children around your daughter's age are capable of doing peak flows. What this helps with is determining how she's responding to treatment, when her asthma symptoms are minimal, and when the asthma is bad enough to go to the doctor or the ER.

Glad to hear she's doing a little better.
Asthma sometimes seems to be much worse for people in the morning (especially with a virus!). Around 3PM, it gets better, and then at night it can get bad again.
Take care.
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Rachel

 
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