Childhood Diseases

Posted by: DN | 2010/09/14


Heart murmur/asthma

My son was diagnosed with asthma in March this year. He turned 3 end of March. His paed put him on Flixotide and Ventolin. Since March he''s gone into respiratory distress 3 times. The last time this happened his paed said he must take the Ventolin every 4 hours and Prelone.
This past weekend he had another episode and we put him on the Ventolin. He seemed to respond but I took him to the nearest GP just to make sure he was fine. The GP said he detects a heart murmur and questioned the diagnosis of lung asthma vs. cardiac asthma. We then took our son to his paed who said it''s a " slight wheez"  and questioned how the GP can detect a murmur with just auscultation. I would like to get another opinion because the GP raised a lot of questions which the paed answered but also seemed to stress that we shouldn''t go to a GP!

What is your take on this - the heart murmur/slight wheez and asthma?

Expert's Reply



It is certainly possible that some forms of congenital heart conditions can lead to episodes of wheezing particularly one known as a VSD [ventricular septal defect] It is essential that your paediatrician gives you an absolutely definite statement that your child does not have a heart murmur and the GP mistook his wheezing for a heart murmur. Then,if your son indeed has asthma,he is having too many break through asthma attacks for a child on asthma treatment. His medicine is not holding his asthma adequately and he requires step-up in treatment, probably the addition of a medicine called Singulair. Is he using a spacer with the Flixotide because without a spacer his asthma will not be properly treated?I would recommend that your son be seen by a paediatric pulmonologist.

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