My 3 year old son has a Dr. Jekyll and Mr. Hide Asthma. It is
considered mild, but when he contracts the RSV virus, its ER and
admitting for 3 days. O2 level is around 90 and he is on oxygen,
ventalin every 2 hours and given Pediapred to get his breathing back to
normal. Its a 3 day ordeal. Its not so mild with the RSV. The solution
his first Doctor said all you can do is keep him away from colds. So we
were faced with keeping this boy in a bubble and to have him grow up to
be a social misfit. We found a new Doctor who gave us hope. He made an
Asthma Action Plan. We tried the Qvar for maintenance. The RSV
prevailed. We then switched to to Qvar and using Advair during the
onset of a cold. The RSV prevailed once again. Now we use straight
Advair 125 for maintenance and double it with the onset of a cold. He
has yet to be exposed to RSV so we don¹t know what will happen.
Does anyone else have a similar situation? What is your Action Plan for
RSV? Does it work? We are tired of the ER.
Evgenij Barsukov - 14 Dec 2004 19:35 GMT
> My 3 year old son has a Dr. Jekyll and Mr. Hide Asthma. It is
> considered mild, but when he contracts the RSV virus, its ER and
[quoted text clipped - 12 lines]
> Does anyone else have a similar situation? What is your Action Plan for
> RSV? Does it work? We are tired of the ER.
My daughter had mild asthma attacks caused by colds. We were able to
eliminate the attacks (as well as most of the colds, as a bonus)
following a regular respiratory exercise system.
This week was the first time she actually got cold this year (last
year before we started it was almost continuous). Everybody around
her in preschool are coughing (inlcuding her best friend) so I guess
it was unavoidable. But no asthma symptoms whatsoever this time, and
cough itself is very mild and now almost gone after a week. If you want
to try the exerices system check out my translation of the guide here:
http://sudy_zhenja.tripod.com/strelnikova_exercises.htm
Regards,
Evgenij
Brad_Chad - 15 Dec 2004 08:09 GMT
Did you know that 70% of asthma attacks in kids are linked to food
allergies? Probably the best thing for you to do is to go to a doctor
that specializes in allergies (and asthma), like an allergist. I got
rid of my asthma, hayfever, joint pain, and fatigue in one shot, after
I saw an allergist. Most other doctors try for a quick fix, but an
allergist will provide a long term fix. If your asthma is triggered by
a HIDDEN food allergy, it will probably lead to other health problems
later on in life. Take it from somebody who has been there. Talk to an
allergist.
Brad_Chad62@yahoo.com
Brad_Chad - 15 Dec 2004 08:09 GMT
Did you know that 70% of asthma attacks in kids are linked to food
allergies? Probably the best thing for you to do is to go to a doctor
that specializes in allergies (and asthma), like an allergist. I got
rid of my asthma, hayfever, joint pain, and fatigue in one shot, after
I saw an allergist. Most other doctors try for a quick fix, but an
allergist will provide a long term fix. If your asthma is triggered by
a HIDDEN food allergy, it will probably lead to other health problems
later on in life. Take it from somebody who has been there. Talk to an
allergist.
Brad_Chad62@yahoo.com
00doc - 16 Dec 2004 17:04 GMT
I'm a little curious about how all these RSV diagnoses were reached. It
is not usual to get them this many times and the treatment for RSV
bronchiolitis is usually just to watch and wait and treat complications
as they come up. Steroids and nebs do not have much of a role, if any.
If he is having this much trouble with well documented RSV infections
then there are specific steps that can be taken to lessen or prevent
the infections. Usually (but not always), you will need to se a
specialist to get them.
As for an asthma action plan. On the one hand increasing the dose of
inhaled steroids after a flare has started has been shown to not do all
that much - although many (especially older) action plans call for just
that. On the other hand, in ER settings it has been shown that giving a
steroid inhaler along with the usual prescription of oral steroids
prevents return trips. For these reasons I think a reasonable strategy
is to do both - double the inhaled steroid to give control over a
longer time frame and give a short burst of oral steroids for immediate
relief.
There are other medications for asthma like Singulair, Intal, and
theophylline (and others) that can all be incorporated into both
chronic prophylaxis and added as part of an action plan. Since there
seems to be some doubt (at least in my mind) of the diagnosis and
adequacy of the current plan it would probably be a good idea to see a
specialist. Once the diagnosis is confirmed and a workable and working
plan is in place much of the care can then return to the generalist.

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