Have just gotten back from the out-of-hours GP (my son's usual timing for a trip!). His asthma's gone everso slightly out of control since the hayfever season has kicked in. I've been back to the GP and the resp nurse in the last couple of weeks and he's started in flixonase nasal spray. This has helped the runny nose and any associated coughing but he's still been getting breakthrough symptoms - nothing dead serious - some chest tightening, coughing, a little bit of tummy rising, what I call 'accommodating' (changes to his laugh and his voice) and then the associated tiredness/fatigue (not wanting to ride his bike, saying that he's tired etc). He's only three (nearly four) and so his early symptoms are always a bit vague. We've been giving him his salbutamol PRN and this seemed to be doing the trick. Anyway, the nurse and I had planned that if the flixonase nasal spray didn't really make a huge difference then we were to increase his flixotide dose - which we were going to do this morning.
Anyway, last night my hubby gave him his salbutamol after going to sleep as he thought his breathing was a bit noisy (I was out at a party). His breathing was still a bit noisy when I got in, but we weren't particularly worried. But this morning when he woke his breathing was really raspy and he was coughing a lot. So we rang the docs as it seemed like he might be heading for an asthma attack. The out-of-hours GP was really thorough. He did a really good history, went through our son's notes on screen and did a really good chest exam. He was very thorough and said we'd done exactly the right thing to bring him in - which always makes me feel better! He said that he definitely had a wheeze going on inside (even though you can't hear it on the outside) and has suggested increasing his flix (which we were going to do) and to keep a dead close eye for any deterioration and to give him regular salbutamol. As we were going out the door he just kinda said to me that Ralf's asthma has gone a ""little brittle"". He said again when I was thanking him for taking time to see Ralf. But as soon as I got out of there I started to get a rising panic by the word ""brittle"". No one has ever said to us that they think he's brittle and I'm just wondering what he's based this on? Can you really hear a difference between brittle and non-brittle in the chest examination??? Which is all he has to go on really, as my boy's too young to do his peak flow and other resp measurements. I don't know what to think now and am just wondering if he's used the term loosely? What do you think? Any advice would be welcomed as I'm feeling a bit frazzled again. Thanks x