So just needed to rant a little....
I posted about 2 weeks ago when my son caught another cold resulting in a visit to the out of hours clinic and a 5 day course of pred (5th dose in 10 months). The GP upped the dose of the preventer inhaler to 2 x 2puffs 100mcg Clenil and we were hoping to see out the year with no further episodes.... How wrong I was..
He was off school yesterday with a cold and started coughing overnight due to a post nasal drip. We had already started the reliever dosage as per the asthma plan but his condition deteriorated today as his wheezing increased and he became more breathless.. We decided to take him into A&E as we live very close to the local hospital. While there his temperature spiked to 39C indicating a viral infection being the likely suspect for this exacerbation.
So here we go again, nebulised Salbutamol followed by 3 hours of monitoring and another course of Pred, now the 6th in 10 months. Viral bronchitis to blame which I suspect he caught while at school this week and probably more prone to infection due to lower immune system from the pred the previous week...
At least we got a referral to the Respiratory team at the hospital.. I had thought that his asthma was more episodic viral wheeze which would get better with age but now I'm not so sure anymore.. I suspect the next course of action will be the addition of Montelukast. Anyone had any experiences with young children and this treatment?
It was so sad to see so many young children in Pediatric A&E for wheeze and breathlessness.. Some kids were waiting for 4 hours to be triaged.
Rant over.. Hope you are all keeping well..