How to cure a hyperactive airway disease in a child?

Question

Hello doctor,

My daughter is three years old. When she was two, we shifted to a new place, and from there she started having allergy problems like bronchitis. Every time she catches a cold, it develops into allergic bronchitis. In the X-ray report, it says she has hyperreactive airway disease. Now finally, I changed place again. How long will it take to improve as she still sneezes a lot? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

As per the history and the doctor's notes, I understand your daughter has allergic rhinitis and lower airway hyperreactivity. There is no easy solution for allergies. Allergy is due to some component in the air that she breathes. We must identify what she is allergic to. The following things might help.

1. After using the Duonase spray (Fluticasone propionate 50 mcg and Azelastine 140 mcg) for 15 days as given by your doctor, change it to Mometasone (steroid), and use it once daily. Two puffs in each nostril for 30 days, and thereafter, one puff in each nostril. There is a particular way to use spray. If you do not know that, then revert back.

2. Continue the Montair LC (Levocetirizine 2.5 mg/5 ml and Montelukast 4 mg/5 ml) syrup for a couple of weeks, and keep using it whenever she gets an allergy. When you start, continue it for a day. A single daily dosage is sufficient usually. Inhalers like Asthalin (bronchodilator) and Seroflo (Salmeterol 25 mcg and Fluticasone propionate 250 mcg) are to be used as per the chest physician's advice. Keep both handy and may need to be used whenever there are flare-ups.

Some tips that might help include:

1. Maintain a diary, and write down whenever she gets allergic symptoms, when she goes to some new place, when she opens any old book, garden, pollen, or any relation to the food she eats, linens, beddings, etc.

2. Keep house and surroundings extremely clean and tidy.

3. Stop exposure to smoke, pollution dust, and direct cold air.

Do revert back to me for further support and help. It is important the kid has a healthy childhood for appropriate development physically and mentally.

Thank you.