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Old 03-23-2013, 03:58 PM   #11
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Google Cough Variant Asthma. It is what DS has...he doesn't wheeze. He coughs, particularly at night. We do pulmicort twice a day, and albuterol 4 times a day when he is bad.
Yup, I have the same and so do all my 4 kids. We never wheeze, just get that night cough.

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Old 03-23-2013, 08:08 PM   #12
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OMG thanks for this! DD has been battling this cough for a couple years now. It comes and goes, but last for weeks when she has it. It's almost always associated with a cold and then a respiratory infection. And definitely gets worse when we get vog (volcanic smog) and when it's cold (the winter months are the worst for us). She coughs so bad at night, she sometimes can't breathe and then vomits.
Her cough actually started up last week, and we gave her Pulmacort at night. It made it worse?? I tried again the next day at her nap, and yup, it heightened her cough. We stopped it and have been doing just albuterol as needed and she's almost completely better.
You have to give pulmicort on a daily basis even when she isn't sick. It's a preventative so you can't just start it up when she gets sick and expect it to work. It has to be in her system and it takes a while.
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Old 03-23-2013, 09:12 PM   #13
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You have to give pulmicort on a daily basis even when she isn't sick. It's a preventative so you can't just start it up when she gets sick and expect it to work. It has to be in her system and it takes a while.
Thanks.i tried starting it up again and it aggravated her cough again.maybe I'll wait til she's completely better and then start it up again
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Old 03-24-2013, 08:55 AM   #14
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Re: Child asthma

I would make an appt. with an allergy/asthma specialist. Treating a child who doesn't have asthma w/ an inhaler isn't really going to do damage, but there are preventative medicines that can really be effective if he really has asthma. My DS is on a daily dose of Singulair for asthma/allergy's and has a nebulizer w/ albuteral as needed. He goes in for regular check-ups w/ our specialist to evaluate his condition. Some allergy's and asthma is something kids can "grow out of" and is really subjective. He may be being effected by the season, certain pollens, mold, etc. This is such a bad year for colds/flus, that I really wouldn't assume he has asthma until he is checked out by a specialist and there is more than one episode. There has been a nasty cold going around up here that has been turning into bronchitis for many people with some symptoms that might resemble asthma. Hope he is feeling better soon!
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Old 03-24-2013, 12:52 PM   #15
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Re: Child asthma

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Thanks.i tried starting it up again and it aggravated her cough again.maybe I'll wait til she's completely better and then start it up again
Pulicort is an anti-inflammatory maintenance med. You give it in addition to albuterol when coughing. It takes 2 weeks to fully get in the system, according to my pulminologist. For someone who is coughing, his first response is a round of prednisone, albuterol 4 times a day (with a 5th in the middle of the night if it is bad), and pulmicort twice a day. You do that for 2 weeks to cut the major inflammation. Then, you wean back to albuterol twice and pulmicort twice, and then just to pulmicort.

His take is that inflammation and coughing=lung damage, so he starts with the heavy hitters. He'd rather over medicate and stop the damage than under-medicate and allow it to build to more.

I would definitely ask for a pulminology referral.
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Old 03-24-2013, 01:16 PM   #16
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Originally Posted by luvsviola

Pulicort is an anti-inflammatory maintenance med. You give it in addition to albuterol when coughing. It takes 2 weeks to fully get in the system, according to my pulminologist. For someone who is coughing, his first response is a round of prednisone, albuterol 4 times a day (with a 5th in the middle of the night if it is bad), and pulmicort twice a day. You do that for 2 weeks to cut the major inflammation. Then, you wean back to albuterol twice and pulmicort twice, and then just to pulmicort.

His take is that inflammation and coughing=lung damage, so he starts with the heavy hitters. He'd rather over medicate and stop the damage than under-medicate and allow it to build to more.

I would definitely ask for a pulminology referral.
Thanks. In our case, where the pulmicort seems to be making it worse, would you still give it? She has been taking it all thru winter with no problems. Just this time, it made het cough worse to the point she was coughing constantly thru the night and threw up a few times
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Old 03-24-2013, 02:55 PM   #17
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Re: Child asthma

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Ditto this. My oldest has cough variant asthma.
So does mine. We just have a rescue inhalor for when she gets bad. She only needed it once all winter. I's essentially like once she gets a respiratory bug, she just can't shake it, and she coughs and coughs for weeks. Last winter it seemed like she never stopped coughing.
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Old 03-24-2013, 06:02 PM   #18
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Originally Posted by corinne76

Thanks. In our case, where the pulmicort seems to be making it worse, would you still give it? She has been taking it all thru winter with no problems. Just this time, it made het cough worse to the point she was coughing constantly thru the night and threw up a few times
I'd honestly call your on-call ped and ask. That has never happened for us.
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Old 03-25-2013, 09:47 AM   #19
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Re: Child asthma

Asthma's are so tricky IMO as it can be triggered if not have very similar symptoms. But IF for any reason she does get diagnosed for one I'm going to assume she'll have intolerance and allergy like symptoms to foods especially processed dairy, citrus like oranges and chocolates that can trigger wheezing and coughing. I've had it all my life so I can relate to other asthmatic patients...

Either way hopefully it was just a one off situation and is well
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