My son aged 4 years and 4 months is premature by birth at 34 weeks. His current weight is 15.5 kg. He always used to get a cough and sometimes fever in an interval of every two to three months, especially since last one year. However, there is no other visible physical or mental problem because of his preterm birth. Recently doctor has diagnosed, based on his stethoscope examination and repeated illness, mild intermittent asthma. However, we do not have any family history of asthma. His last 6 months illness history and medication are attached here. Kindly go through it and reply to my queries. Based on the symptoms and background, can it be confirmed that my son is suffering from asthma? If it is asthma, is it the right course of medication in the initial stage? Do we need any other test for reconfirmation and start with essential medicines? Is it permanently curable? What are the dietary do and do not for asthmatic patients? Is there any other better means of treatment in ayurveda or homeopathy for complete treatment? Earlier he was advised 1 mL of Kidrich D3 (multivitamin) for 3 months. Can we continue this along with present medicines? What about routine vaccinations like polio drop, etc? Thanks and regards for your valuable advice.
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Though your son is premature, it does not matter with the present illness. Let me first clear you that he is suffering from bronchial asthma. And anyone can have asthma without any family history. So, it is not necessary to be always run in families.
To confirm the diagnosis we do spirometry test in children over 6 years of age. But as your son is too young, he will not be able to perform the spirometry. So, we have to make diagnosis on clinical basis. There is no other way to confirm. Now, we have made a firm diagnosis of asthma.Regarding the treatment, nebulization medications are only to be used in emergency. Also, it is not advisable to use steroids syrup on long-term basis.
The best treatment for asthma to your son is using inhaler medicines with spacer. You start him on Budecort inhaler (Budesonide) 100 two puffs twice daily with Zerostat VT spacer. Both medicines are from Cipla company. Ask him to gargle after each use of inhaler. Multivitamin and cough syrup can be used as required. But stop Syrup Omnacortil (Prednisolone) by tapering the dose.
Use Asthalin nebulizer (Salbutamol) when required in emergency only and not daily. You can give him his vaccines even polio drops while on inhaler treatment. There is no problem in it. Last thing to clear you is that asthma is a life-long disease. We can only control the symptoms of asthma by taking inhaler medicines. It is an incurable disease.
In many children, asthma disappears as they grow, in many it remains the same and in some cases it gets worse with increasing age.At this step, no one can predict what will happen to his asthma ahead. So for time being, we must continue with the inhaler medicines.I have tried to give you overall idea about asthma as much possible after carefully reading the history. Please get back if you have any doubts.
Allergy to anything.Treatment plan:
1. Inhaler medicines like Budecort 100 MDI (metered dose inhaler) 2 puffs twice daily with Zerostat-VT Spacer.
2. Asthalin MDI to be used as required.
Avoid dusts, cold liquids or ice creams.
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