Suggest Medication For Wheezing In A Child

Posted on Fri, 4 Dec 2015

Question: hi
my chid is 4 years old. he suffered from suffocation two hours ago ... i gave him levolin 0.63 mg nebulisation and steam. kindly tell me what else can be done.

Answered by Dr. Sumanth Amperayani (16 minutes later)

Brief Answer:
Looks like a acute attack of wheezing - need more information

Detailed Answer:
Hi....

1. What is his current weight?
2. Is there any family history of allergy or Asthma?
3. Is there any fever?
4. Us he able to talk?
5. Most importantly - is he better after the nebulization now?

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (35 hours later)

hi
thanks for replying.
he is almost 15 kgs.
his paternal grand father is allergic to dust.
no he had no fever.
he did not talk but was crying
yes nebulisation improved his condition.

we met his doctor yesterday, she asked us to get an eco and a chest x ray done, both were normal. now the peadiateriction assumes that this might be a case of allergy to pollution because this happened on the night of diwali.

kindly tell me how founded the doctor's assumption seems to you. also let me know if any other precaution needs to be taken.

deep regards

Answered by Dr. Sumanth Amperayani (8 hours later)

Brief Answer:
Looks like seasonal allergy

Detailed Answer:
Hi....I feel that kid is having a seasonal allergy. I concur with your pediatrician.

The points in support of seasonal allergy are family history of some sort of allergy and the season which is going on now.

More over the smoke this Diwali period could have exaggerated condition.

Other important clue is that kid has improved after nebulisation.

If I were your pediatrician I would suggest not nebulisation but a metered dose inhaler like Levolin along with oral montelukast for A period of 2 weeks at least.

I think by this time the season and climate might improve making the kid more comfortable.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (4 days later)

thanks for the reply
he has been given:
1. xyal m 5ml OD for 15 days
2. limcee 1/2 tablet OD 15 days
3. neb levolin 0.63 mg 8 hourly 15 days
4. physiomer sos
hope the dose sounds good.

Regards

Answered by Dr. Sumanth Amperayani (7 minutes later)

Brief Answer:
Looks good except that I would prefer an inhaler than nebulization

Detailed Answer:
Hi...this looks good, except that I would prefer an inhaler than nebulization.

I would also suggest using oral Monteleukast for a period of 2 weeks 4mg per day in the evening.

Regards - Dr. Sumanth

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar