Hello,
Thank you for asking at HCM.
I went through your son's history and would like to make suggestions for him as follows:
1. I usually suggest my such patients regular
montelukast and inhaled
budesonide for at least 3 months. If your son has nose symptoms also, I would add
levocetirizine to his treatment also.
I also suggest them to use
salbutamol inhaler on as-and-when-needed basis.
2. Please make sure your technique of using inhaler is correct. At this age, metered dose inhaler with spacer device with mask is a good option to use. However, the technique is equally important, so please review your technique of using the inhaler by your pediatrician/pulmonologist/allergist.
3. I would also suggest your son
allergy testing for common air-borne allergens like house dust mites, molds, pollens, insect
proteins, pet dander (if you have pet). This will help you identify the substances causing allergies to your son as well as to know the measures to avoid them.
4. In general, I would suggest him to avoid exposure to dusts, smokes and air pollution as much as possible.
5. I would like to mention here that
childhood asthma needs long term treatment (sometimes for months and sometimes for years also). So I would sincerely suggest you to not to keep changing drugs and doctors but continue the medications which help your son.
Hope above suggestions will be helpful to you.
Sould you have any further query, please feel free to ask at HCM.
Wish your son the best of the health ahead.
Thank you & Regards.