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Medical Forum / Diseases and Disorders / Asthma / July 2003

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2 Year Old Asthma

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Mic - 06 Jul 2003 18:41 GMT
I have heard that it is sometimes too early at 2yo to diagnose kids with
asthma.  I went to an allergist and he said that my said has asthma
though.  I wanted to get a second opinion so I am hoping to find another
asthma doc or support group in the Tampa area.  I am willing to go to
the National Jewish Research center in Colorado if I have to.  Seeing my
son cough his brains out (between crying) is enough to make me want to
seek any options.  I welcome any and all suggestions.  I think the onset
of his asthma is because of viruses.

Mic
CBI - 06 Jul 2003 20:26 GMT
> I have heard that it is sometimes too early at 2yo to diagnose kids with
> asthma.  I went to an allergist and he said that my said has asthma
[quoted text clipped - 4 lines]
> seek any options.  I welcome any and all suggestions.  I think the onset
> of his asthma is because of viruses.

Many children wheeze in response to viruses. It is common to hold off on
giving the diagnosis of asthma to young children because they often outgrow
the symptoms. In this case the term reactive airways disease is preferred.
Unfortunately, the symptoms return later (about age 5-7 years) about half
the time. This tends to be the case in kids who have family histories of
allergies and asthma. Since the treatments are not substantially different
I'm not sure seeking another opinion will be fruitful. Why not try the meds
and see if they help?

--
CBI, MD
Mic - 06 Jul 2003 21:11 GMT
>>I have heard that it is sometimes too early at 2yo to diagnose kids with
>>asthma.  I went to an allergist and he said that my said has asthma
[quoted text clipped - 16 lines]
> --
> CBI, MD

The meds are tough for my son.  Even though Singular is chewable, it is
tough to entice my son to take it.  We usually have to put it (and the
orapred) in a drink.  We have learned to calm him down when he starts
coughing/weezing, but sometimes he gets so upset he regurgitates the
medicine and food.  Question if singular blocks the triggers, what does
pulmacourt do.  Is it the same thing?

Thanks,

Mic
CBI - 07 Jul 2003 01:43 GMT
> The meds are tough for my son.  Even though Singular is chewable, it is
> tough to entice my son to take it.  We usually have to put it (and the
> orapred) in a drink.

Yep - oral prednisone elixirs taste awful. The thing I have found that works
the best it to use chocolate milk and add the syrup until it masks the taste
( a lot). Sometimes it is better to just get the pills, crush them, and put
them on a spoon with the chocolate syrup. He shouldn't be on the oral
prednisone for long (one would hope). The singulair you can crush and put in
whatever soft food he eats - yogurt, pudding, apple sauce, etc. It should
not be as hard since it does not taste as bad.

> We have learned to calm him down when he starts
> coughing/weezing, but sometimes he gets so upset he regurgitates the
> medicine and food.  Question if singular blocks the triggers, what does
> pulmacourt do.  Is it the same thing?

The Pulmicort is an inhaled steroid. It is acting similarly to the Orapred.
The idea is that if they use the inhaled product not as much goes to the
rest of the body and causes side effects. The Singulair is also a
preventative but it acts differently (blocks a mediator if inflammation
called leukotrienes) and so is given to increase control while trying to
minimize the dose of steroids.

--
CBI, MD
Allie - 07 Jul 2003 18:15 GMT
My son is 17 months and has been on singular for 2 months now. We used
to crush it up in applesauce and he never even noticed. Now he is off
applesauce due to the whims of a toddler so I just had him the pill to
eat. Somewhere along the way he got the idea that it was a treat.
Maybe give him some fruit snacks and that with them so he makes the
connection? (most likely reinforcing the issue so many kids have that
medicine is candy, but I think they go through this regardless of what
you do here.) Since it doesn't seem to have a bad taste it shouldn't
be too hard. Getting him with the process/routine is the hardest part.
We try to do everything in the same order, same time of day but not
connected to him getting ready for bed or a meal.

Allie

> >>I have heard that it is sometimes too early at 2yo to diagnose kids with
> >>asthma.  I went to an allergist and he said that my said has asthma
[quoted text clipped - 27 lines]
>
> Mic
Ellis - 08 Jul 2003 08:16 GMT
> I have heard that it is sometimes too early at 2yo to diagnose kids with
> asthma.  I went to an allergist and he said that my said has asthma
[quoted text clipped - 6 lines]
>
> Mic

You could try for a 2nd opinion at a university hospital with good
pulmonary dept or children's hospital.

You can find Best Hospitals in several categories at:
http://www.usnews.com/usnews/nycu/health/hosptl/tophosp.htm

http://www.usnews.com/usnews/nycu/health/hosptl/rankings/specreppedi.htm
Pediatrics

#1 is Children's Hospital Boston

#20 is Miami Children's Hospital
http://www.mch.com/
This not-for-profit hospital with a medical staff numbering over 650,
is the largest freestanding pediatric teaching hospital in the
Southeastern United States. Miami Children's Hospital is also the
only licensed specialty hospital in South Florida that's exclusively
for children.
Miami Children's Hospital supports over 40 pediatric specialties and
    sub-specialties [including pulmonology, allergies, asthma]
----------------------------
Ellis
jervisjl - 21 Jul 2003 12:20 GMT
www.buycoralcalcium.com

I go to this website to buy coral from Okinawa Japan for my Son.  He has not
had asthma related problems since I started giving it to him.  It also made
the warts on his hands go away in 2 weeks...  Calcium deficiency is the main
reason for allergy and asthma.  Don't believe me, read it for yourself...
Also, look for reasons his diet may strip calcium from the body, i.e. too
much soda, red meat...  By the way, the lack of daily sun light will reduce
the body's ability to produce Vitamin D; Vit D helps your body absorb
calcium in your small intestine...  look into it...

Good luck,

John...

> I have heard that it is sometimes too early at 2yo to diagnose kids with
> asthma.  I went to an allergist and he said that my said has asthma
[quoted text clipped - 6 lines]
>
> Mic
 
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