My son, who has exercise induced asthma, has had a significant chronic dry cough for several weeks. I have taken him in and he was put on prendazone. It did not do any good. He has an inhaler which does not do any good. We are a very smoke free environment. I have bought him a new pillow reduce allergens as much as possible. We are very health conscious... He is having a hard time sleeping and is disruptive in school...
Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to know more about him as follows:a. What is his age? b. since when has he asthma and allergies? c. what are his nose symptoms? Congestion? Running nose? Sneezing? d. any skin/eye symptoms? e. does he headache/facial heaviness/recurrent throat clearing? f. any regular inhalers? g.which inhalers have you used, what dose & frequency? h. did he have fever at onset? i. any investigations? Allergy testing? etc. above details would help me to know his problems better and therefore to make ore specific suggestions for him. At present, from your provided history, I would like to make suggestions for him as follows:1. If he has nose symptoms, I would prescribe him levocetirizine + montelukast for 7-14 days, depending upon response.2. I would also suggest him regular warm saline gargles which will help early recovery of his throat.3. If he has difficulty in sleeping due to nose congestion, regular steam inhalation will also help in addition to above treatment.4. If he has coughing associated with wheezing/breathing difficulty, I suggest my such patients to use rescue inhalers such as albuterol or levoalbutamol.5. For better management of asthma, spirometry with post-bronchodilator reversibility testing and post-exercise testing as well as allergy testing for common air-borne allergens are useful. Spirometry will help to know his lung capacity, whether he requires regular inhalers and what type of inhalers. Allergy testing will help to identify the substances causing allergies to him as well as whether he could be benefited from allergen specific immunotherapy.6. As you are living in a smoke-free environment, it is very appropriate for child Chat Doctor. 7. After recovery, regular physical exercise (including breathing exercise) as well as nutritious diet rich in vitamins & minerals will also help him to improve his lung capacity and immunity respectively. Hope above suggestions will be helpful to him. Should you have any further query, please feel free to ask at Chat Doctor. Wish your son a very good recovery and a very good health ahead. Thank you & Regards.