Childhood Diseases

Posted by: topaz_sa | 2011-03-02


Asthma or not?

My 2.5 year old daughter has a cough. I think it started out with a chest infection that would not go away. I took her to the GP who treated the chest infection with antibiotics, it went away and then the cough came back. The doctor said that the sound she hears in the lungs is a wheeze, and not a gurgle, so she is going to treat for asthma. I took her to a paed as well, and he confirmed this was the right course.

She has now been on Singulair sprinkles and seritide pump for over 4 months.

The cough that she has now, is really not that bad. It is worse when she wakes up in the morning, and only sometimes when she is going to sleep at night. During the day she is fine. But my issue is, that she should not be coughing at all!!!

My GP said that she can refer me to an ENT specialist, and maybe do some allergy testing. What would you suggest? If the cough is not actually that bad, should I just leave it and live with it, even though it is every morning? I don''t know what to do. Please help.

Expert's Reply



You have set your question out very well. It is almost certain that your daughter has asthma and her cough is typical of asthma. The question here is why is she not responding to her excellent asthma medicines? She is too 'old' to be on Singulair sprinkles and she should be on the 4mg chewable tablet of Singulair. My guess is that she is not using the Seretide pump correctly. She may have an incorrect spacer for her age. She should be using the Aerochmber yellow spacer with facemask at her age. Please let me know what kind of spacer she is using and if the doctor showed you how to use this spacer with her Seretide.

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