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Old 05-08-2008, 09:16 PM   #1
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Please help with my 4 year old

My four year old recently underwent allergy testing (via scratch tests) and came up as allergic to everything tested other than cockroaches (about 20 environmental allergens). Her allergist wants her to start allergy shots in another year or so.

She's had GERD since birth and now is on Prevacid for that. Her allergist diagnosed her with eczema, reactive airway disease and asthma. My daughter is on Flovent, Albuterol, Nasonex and Zyrtec for allergies and asthma. X-rays of her lungs show that they are "fluffy" (to use the highly untechnical term employed by her allergist) and they want her to do an MRI, but I'm postponing it as long as possible because I know it will terrify my daughter.

Her main asthma symptom is coughing and we are supposed to use the Albuterol as a "rescue" medicine for when she is coughing. My problem is that I don't know when she really needs the Albuterol. I'm not living with asthma and I really have no clue what she is feeling when she is coughing.

For those of you who have experience with this, when do *you* feel the need for a rescue medicine? Is it the first time you cough or after you've been coughing for a little while?

I don't want to overmedicate...nor do I want to undermedicate. Help!

Last edited by MamaOdy; 05-08-2008 at 09:29 PM.

 
Old 05-09-2008, 06:57 AM   #2
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Re: Please help with my 4 year old

For me, it's when I feel a real tightness in my chest, and I can't take a good deep breath. It's like someone is sitting on my chest. Sometimes that happens without coughing. Does your daughter use a peak flow meter? Once you determine what her normal range is, that will give you an indication as to how much air she is able to take in. If it starts really dropping, the albuterol may be called for. For example,400+ is good for me. If I can't blow more than 300 on the meter, that's an indication that I'm heading for trouble, and the albuterol may be needed. Good luck with your little one. Hope she feels better.

 
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Old 05-09-2008, 07:26 PM   #3
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Re: Please help with my 4 year old

I have a two year old with asthma, and it is hard for her to communicate when she is having chest tightness. Our specialist recommended using albuterol when we hear wheezing or notice her raising her shoulders to breathe. I don't give it to her when she is just coughing unless she is in distress.

 
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