Spring triggers asthma in my daughter, who is 10. What to do?

Question

Hello doctor,

My 10-year-old daughter has asthma, which flares up during spring when pollen is high. She is on a daily inhaled corticosteroid and uses a rescue inhaler when things get bad, but this past spring has been especially hard, and she has been needing the inhaler almost every day.

Her last check-up showed her lung function was slightly lower than expected, and her doctor is concerned about the frequency of her symptoms. They mentioned possibly adding another medication, but I am worried about the side effects.

Are there other treatment options for kids with asthma and allergies, or anything else that might help reduce her exposure to triggers?

Kindly help.

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

I have read your query, and I understand your concern. It can be worrying to see your child still struggle with asthma symptoms even when you are doing everything right. You are clearly putting in a lot of effort, and that really matters.

Seasonal asthma, especially when triggered by pollen or other allergens, can sometimes be harder to control and may need a slightly more comprehensive approach.

The most important part of asthma management is the regular use of inhalers. When used correctly and consistently, they can make a significant difference.

Here are a few steps that may help improve her symptoms:

Start using the inhaler MDI Budetrol (Formoterol 6 mcg + Budesonide 200 mcg), one puff twice daily with a spacer, followed by rinsing the mouth. This should be used regularly, without breaks, for at least six months unless your doctor advises otherwise.
Using a spacer (such as a Mac spacer) helps ensure the medicine reaches the lungs properly.
Regular follow-ups with a pulmonologist (about once a month) can help fine-tune her treatment.
Make sure her vaccinations are up to date.

It is also important to manage related conditions. Problems like allergic rhinitis or acidity (GERD) can make asthma worse if left untreated. Since her symptoms seem to be allergy-related, antihistamines may sometimes help reduce issues like sneezing, a runny nose, or nasal congestion, which can indirectly ease asthma symptoms. These should be used only after consulting a doctor.

Along with medical treatment, a few simple measures can also help:

Having a clear asthma action plan so you know what to do if symptoms worsen.
Encouraging light, regular physical activity as tolerated.
Ensuring a healthy diet, good hydration, and proper sleep.
Using a peak flow meter, if advised, to monitor her lung function at home.
Keeping an emergency plan ready.

Do get the recommended tests done and follow up after a week so her asthma control can be reassessed. Of course, if anything worsens, do not wait; seek medical advice earlier.

I hope this helps.

Please feel free to reach out if you have any further concerns.

Thank you.