My son, who is 18 months old, had pneumonia in the middle of March, was placed on an Antibiotic and received a nebulized form of albuterol every four hours (except at night) for three days. A chest X-Ray was done and some minor inflammation around his lung was found. He eventually got well, however, this week his breathing trouble began again. We took him back to the Doctor where another Chest X-Ray was completed determining that there was still some minor inflammation. The doctor immediately made the diagnosis of asthma and ordered more albuterol, as well as an oral steroid. After the oral steroid is finished (in a few days), he is to nebulize pulmicort twice a day.
This is all very new to my wife and I and am wondering is certain tests should have been completed before the diagnosis of asthma was reached? It seems a bit odd, considering no one on either side of our families has asthma, we donít smoke, and have no evidence of allergies. My son is pretty small (~21 lbs.) and we are worried. His breathing sounds labored at times and he gets winded quite easily.
We have another appointment in 2 weeks and would like to ask the ďrightĒ questions. Any help would be greatly appreciated.
Yes, I don't think any doctor w/o doing certain tests can definitely say if someone has asthma or not. I was told that lung infections and other irritations can cause spasms that mimic asthma. I had a full blown asthma attack in February and my pulmonary doc has yet to dx me with asthma. I first did lung function tests which were normal and now I am scheduled for a methacholine challenge test - which is described on this board and elsewhere as the "gold standard" for asthma diagnosis. Is the doc that dx'd your son his ped? He should be seeing a pediatric pulmonary specialist. Check with the closest children's hospital in your area to locate one.
And why are all these children on albuterol?? I would really think that the norm would be to prescribe xopenex to kids. I was put on albuterol during my attack and it 1)did nothing for my breathing and 2)made me tachycardic. As soon as I was switched to xopenex my breathing improved and my heart stopped pounding.
I hope you are able to get the answers you are looking for soon. Good luck!
Thanks for the reply, I think that he should see a specialist, his primary pediatrician diagnosed him without doing any sort of testing (just a chest X-Ray). Do you think that the medication he is on is ok, especially for a child of his age/weight?
My son started on the pulmicort neb quite young also. He was dx before he was a year due to recurrent lung infections, pneumonia, bronchiolitis, etc. They actually thought he had cystic fibrosis and tested him at about 2 and again last year at the age of 6. He was dx with a pimary immune deficiency about 2 years ago. Ive got to say that the last year he hasnt needed his albuterol neb that often. And when I say that often I mean, he was getting it every 4 hours every day regardless until the preventive meds kicked in. He is on albuterol(before excersize and when needed), singulair, advair diskus 250/50 ( but thats going to change to a lower dose ) Rhinocort aqua. I think thats all his asthma meds. I agree that he should be seen by a pediatric pulmonary specialist. My son has seen them since dx. He went to Boston Childrens when we lived in Massachusetts and now he sees a wonderful pulmonary in Florida. There are many great ones out there. Hope this helps
We are definitely going to ask for a referral to a specialist, we are also worried about the possibility of Cystic Fibrosis, but have no evidence of that on either side. This has all just come out of left field and it is painful to see your child struggling, especially when trying to breathe.
I hope you get some answers! Trust me I know how you feel right now. Up until 2 years ago we had no idea why (besides the asthma) my son would have pneumonia 6 months out of a year. I also have no family with cystic fibrosis also. Dont worry too much about that. My way of dealing with things is dont get yourself too worried until u know whats going on, that way you have some relief just knowing why these things are happening. I agree with you on the watching your child struggling to breathe, it is the scariest thing for a parent. I know I have been there. My son was rushed to the ER with a 106 fever and an O2 sat of 85%. That was when he was 2. But we have had many of those nights, not only due to the asthma, so I hope I dont worry you. He does have many dx. I hope you get some answers soon, the hard part is the waiting and finding out. try and keep a positive attitude with all this, it helps the kiddos too. I hope this helps! And push for the referral if you have to! You and your child desrve it!
Hi, My daughter was also diagnosed around age of 18 months after repeated viral infections and resp ditress. her problems started about 9 months and she is now three. She was prescribed albuterol neb every 4 hours around the clock until she got better, also was on a short period steroid, pulmicort, and singular.
I have now learned that the xopenex is better for children from being on this forum. I never knew about it. We recently switched asthma doctors and I didn't even have to mention it-he just took her off the albuterol.
I have learned it is easier on the heart and the effect of it are way better and last longer.
Albuterol can make children hyper and there heart rates very fast. That is why when you take them to the ER for the lovely 1 hour treatments they have to be on a monitor. My daughter has had many ER trips.