Childhood Diseases

Posted by: Mandy | 2009-02-25



Dr, my son has been using Singulair and Zyrtec the last year.....He is 5 yr old now. As far as I know he can' t be ' tested '  for asthma with the lung function tests because he is to young...? I always thought that I have slight asthma and is using Singulair and on and of Ventolin, but the other day a specialist did a lung function test on me and he said that my lungs are looking great!(Maybe I had never had asthma at all?) So now I am wondering how can we be sure that my son at this young age realy has asthma? He does cough after running and he sometimes coughs at night with mucus. Last winter he was very tired and when the pead did a chest X ray they saw a black ' patch'  between his lungs and heart and said that this can be because of asthma, his lips was also a bit blue...for 2 weeks......(He was then on al mentioned meds and pulmicort and combivent daily). He did have a heart sonar 2 yr ago that was normal. How do the dr diagnose asthma in such young children, can they hear it just by listening to his lungs? He has never had a severe asthma attack that he couldn' t breath.....

Expert's Reply



It is quite common for children with asthma to never have an actual attack. most children are diagnosed with having asthma if there is a family history of this condition, a night cough and exercise-induced cough or wheeze. Your son does fit the diagnostic profile for asthma.The Xray you mention is also suggestive of asthma. He is now old enough to blow on a simple peak flow meter so he can have this lung test done now. In fact he must have this test done at every visit to the paediatrician.

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