Bad nights then ok in morning?

My 4 yr old daughter quite often seems to have an attack at night, like last night. I picled her up from school and she had that dry cough, her peek flow was 150 which is a little low for teatime (usually 180-210), gave 2 orange and 2 blue inhalours before bed. Then up at 3am breathing really fast, nostrels flairing, would not settle at all. She dosn't really wheeze that much but never really has. Anyway gave her abuot 10 blue between 3-6am (neither of us getting much sleep) then we had a little nap and she was up running around again this morning, just the cough to show for it and her peek flow was still 150 which is actually quite normal for a morning.

I'm just wondering if other little ones do this? and do you send them to school or keep them off?

I also have asthma and if i have an attack like that then it would take me a good few days to get back to normal, wheras she seems to bounce back really quick...

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my daughter now 15 gets over her attacks very quickly too attack at night takes a lot of ventolin seems okj next morning , has a attack at school in the morning /on way to school bring her home she then goes bk as a rule after lunch she may still be tired has a sleep but then seems ok

recently we found out she can't have vinegar even to the extent of me using a window cleaner but once out of the situation/food after a lot of ventolin she is ok my son he takes days to get over a bad attack and i can be the same

so we put my daughters down to allergy and colds / weather but allergy wise once she out of the situation after ventolin (sometimes having to be nebbed)she is fine

hope this helps

karen

aka mumof4

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I recently saw my daughter's consultant and discussed peak flows with him. Earlier this year my 5 year old had a peak flow of 110 - 130 instead of 200. One of the Nurse practitioner's at the GP surgery said she could go to school!! The school wouldn't take her and I wasn't happy to send her. The consultant has suggested that above 150 she can go to school but under that she stays at home, so this is what I now do. It does mean that some afternoons she is bouncing off the walls having been up during the night and I feel guilty but at least I know she is okay and I can keep an eye on her. I know I worry more if she is at school than with me when her peak flows are low. So I guess what I am saying is have a chat with the person who monitors your daughter's asthma and trust your own instincts. You know your child and her asthma best of all.

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Thanks for your replys.

she has been a bit low over the weekend but no severe attacks, i was nervous about sending her to school today but did and she was fine although her peakflow tonight was only 130 which is not a good sign as nights are usually the best. I'm not working tomorrow so think if her peakflow isn't any better then i'll keep her off.

I'm lucky in that my mum works at the school and will give her her inhalor at lunch, but i really don't have much faith in the school to contact me if she became unwell, i've picked her up some days and she's practially collapsed on me and cryed all the way home til she can cuddle up and go to sleep.

Its such a worry and i agree i worry tons when she's at school even though she's probably fine....i've found it really hard to concentrate all day don't think it helps as i'm a student nurse on a respiratory ward so surrounded by people wheezing all day!

Meant to say i think i will speak to her asthma nurse as to what peak flow she feels would be good to keep her off school at although i'm fairyl sure she'll say to use my judgment - arrrhhhh! why can't they have a red light that flashes when they need rest, he he

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Night time

We call our son's astham the Jeckle and Hyde; during the night my son can be critical and during hospital stays has to be nebulised back to back but then as dawn comes he improves. This cycle can hapen for days and has been very difficult to manage even for a top team in Oxford. Symptomatic control is a challenge as you have to factor in the underlying mechanisms taking place and balance the intervention. It has to be said that all my son's most awful attacks - ie those that led to intubation or even IV salbutamol and or aminophlline happen at night. In one sense this gives me confidence that nothing awful will happen when I am not around but you have to remeber as a parent that if you are up for many nights your capacity to think objectivly bcomes dimished and this can be very dangerous. Both you and your child need to rest in the day after a bad night - even if you just lay down and cannot sleep you must rest.