Childhood Diseases

Posted by: Racoon | 2012-08-05


reactive airway?

Dear Prof

My almost 2 yo son had RSV pneumonia last year and since then developed a cough after each cold. A few months ago he started on Singulair, but developed a rash on his chest and abdomen whci went away when the Singulair was stopped. He then started on 1 puff Inflammide (left over from the RSV pneumonia) twice a day. This took a while to work, but keeps the evening and morning coughs at bay. Recently I forgot to give it to him for 2 days, the cough started again quite badly. He needs to have the Inflammide strictly about 12 h apart otherwise the coughing is quite severe. He also gets 5 ml Allecet each evening for rhinitis. Apart from that he sleeps well, is very active and very happy. He hasn''t been evaluated for allergy yet, but I would like to ask whether this is a reactive airway due to the RSV last year, or whether it could be asma due to allergy?

Many thanks.

Expert's Reply



You have set out your question very well. Your son's symptoms are typically those of asthma. Unfortunately he cannot tolerate Singulair which would be normally be the ideal treatment for him.Inflammide has been discontinued as far as I know so he won't be able to continue on this either. It would be best to take him to see either a paediatric allergist or a paediatric pulmonologist so that he can be properly tested and put onto the correct treatment to control his symptoms.

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