Reply to Asthma diagnosis for 2 year old

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[quote=Anonymous]My 7 year old son has asthma. Same presentation as yours. Totally fine most of the time but an upper respiratory infection often made him wheeze. One winter was bad enough the pedi had him do daily neb treatment with pulmicort as a preventive for about a month. But for years it was only treat when sick.

Fast forward to last winter and it seemed to change. He had fewer episodes while sick with a cold but seemed triggered by exercise in gym class. So he changed up to a daily inhaler of albuterol on PE days at school.  So while the asthma on the upper respiratory side seemed to get better, the exercise induced  asthma was a new thing. But I thought it was under control.

He got very bad very fast at school one day last spring, though, and they had to call 911. He was in the hospital 3 days and was so bad they used magnesium and almost had to transfer him to Children's. But he pulled through. They gave me a little plastic breathing tester (can't remember the name) where he blows as hard as possible and I can measure output on a graph. So his personal best is 250. When it starts falling I know to be on alert. And I got an asthma action plan on how to treat different symptoms. He was also put on 2 preventive drugs, Flovent and Singulair. I hate daily drugs but I hate my kid not breathing worse than that. He wS able to wean down to just Singulair. I am keeping an eye on him this fall for colds, etc. But fingers crossed this treatment plan will continue to work. He spent all summer at sports camps and never had an issue. He hasn't yet had a cold so I don't know how that will work.

Besides seeing a pulmonologist, which is a good idea, three more things: 1) get a flu shot (for him, family)  if you don't already do that. If your child is susceptible to breathing problems causing asthma, it's best to prevent and minimize.
2) ask about a treatment plan if he's in day care or going off to preschool next year.
3) watch out for this enterovirus making its way here from the Midwest. It has a high hospitalization rate from wheezing.

Good luck. [/quote]

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