Childhood Diseases

Posted by: Sar | 2009-11-25


Acute Ashtma Attack

hi Dr
My daughter 2 1/2years had a last thursday, just gave her Rinex as she was not chesty, by friday afternoon i sent her to casualty with my husband and the on call Dr gave her flu meds and sent her home, by 1am it she had extremely heavy breathing, i called casualty and the nurse says the dr didnt assess her properly so we had to take her back, this time they put her on a pneuboliser but it didnt help, did a xray and they found a problem with the left lung and was admitted. the paed that saw her the next morning said she had an acute astma attack , the thing is she never had this before nore astma she is now put on meds for astma, though she is still chesty with a flemmy cough, how can he paed diagnose astma so soon, how does its work? i need to ask him questions as he doesnt ellaborate much..thanks

Expert's Reply



I am not sure about your daughter's diagnosis of her illness from your description. It sounds more like she has had a chest infection following a cold. She has had no previous symptoms of asthma with cough and wheezing [whistling sound] of her chest. Do you have a family history of asthma?Paediatricians usually diagnose asthma based on the history of the complaint, frequent dry cough at night and wheezing on exercise. Also relief of the symptoms when the child is given a bronchodilator with an inhaler such as Ventolin,Asthavent etc.Please discuss this with your paediatrician.

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