My daughter Lily, is 9 and has ""difficult asthma"". She's on seratide, 2puffs twice a day, montelukast, cetirizine, flixonase, and has blue inhaler as per her asthma action plan. She's on prednisolone at the minute 30mg for 5 days as she's had an attack 3 times this week. On one of them we had to go to a&e. She's always had the persistent cough and never had a wheeze. The ambulance people practically laughed at us when we called them and said it's just a cough, not asthma. When we got to a&e they gave her a nebuliser of salbutamol, and she fell asleep, this was at 4.30am. I'm finding it really difficult to be believed that it's asthma, just because she's not got the typical wheeze associated with asthma. The paramedics made me doubt myself and sat watching while she struggled to breathe, only when I got angry did they take her to a&e!! Even then thru kept saying had she had a cold! It's so hard when you're on your own and the GP isn't open, you have to make that call of whether she needs a nebuliser or not. Our asthma nurse at addenbrookes is brilliant, and is a true gem, it's just the emergency services and a&e.
Sorry for the rant! It's just I feel her asthma is getting worse and I feel I'm winging it!