Q. Despite using Esiflo, my son has breathing problem. What to do?

Hi,

Welcome to icliniq.com. I would like to know more about you as follows:

• I understand that your son is having breathing difficulty for the last five months. But overall, what are the best and the worst seasons for your son?

• What are his nose symptoms - congestion, running nose, sneezing, nose itching, etc? How frequent and severe his nose symptoms are?

• Does he have any eye symptom? If yes, what are they - itching, excess watering, redness, etc?

• Is there any digestive symptoms? If yes, what are they - constipation, frequent loose stools, indigestion, flatulence, frequent acidity or chest burns, feeling of fluid in mouth, etc?

• Are you routinely exposed to any kind of smoke or pollution?

• Since when he is taking Esiflo (Salmeterol)? What frequency? In what form - rotahaler, metered dose inhaler, etc? Have you shown the technique of using inhaler to your doctor?

• Above details would help me to know your complaints better and therefore to make suggestions for you more specifically.

• At present, from your short query, I can assume that he is having asthmatic complaints. Detailed suggestion of treatment can be given after knowing in depth about your symptoms.

• If you have started using Esiflo for more than two weeks and still have same complaints and the technique of using the inhaler is proper, I would suggest my such patients to increase dose or frequency of inhaler or to add additional daily drug such as Montelukast.

• Please avoid exposure to smoke, cold air, pollution and dusts as much as possible.

• I will also suggest two tests: Allergy skin prick testing for common air-borne allergens, to know whether the person is allergic and also to identify the allergy and spirometry, to know the lung capacity.

• These two tests will help to diagnose the condition. Above tests will also help your doctor to plan the treatment in a better way.

• Regular breathing exercises including pranayama and yoga will also help to gradually improve the lung health.

Revert back with detailed answers to a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist

Dr. Parin Niranjanbhai Parmar

Pediatric Allergy/Asthma Specialist

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