Does you kid have asthma? ??? for you

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Posted 4/9/2014 by Jaci in NSBR Board
 

Jaci
StuckOnPeas

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Posted: 4/9/2014 12:17:04 PM
Do they play sports? Do they/can they run long distances?

My daughter has allergy induced asthma. She was diagnosed a couple of years ago and never had a problem unless her allergies are just going crazy. She plays soccer and is in great shape and can sprint with the best of them. But...her soccer coach makes them run four laps around our cluster of fiels, which equals about 1 mile (maybe a little more). She can't even make a full lap at a jog without stopping to walk and after two laps, she need her rescue inhaler.

She's on albuterol twice daily. She takes claritin daily. She also has a nasal spray (Rx but I can't remember the name). Normal day to day, she never uses the rescue inhaler.

Any advice?

TIA
Jaci


ETA: My mistake....she takes Flovent twice daily. The albuterol is the rescue inhaler.

Sorry for the confusion...trying to do too many things at once and this has been on my mind lately.


Working wife and soccer mom of two beautiful girls

Kelpea
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Posted: 4/9/2014 12:21:22 PM
Sounds like you need to have an updated plan that works for your daughter. I strongly recommend bypassing a pediatrician and working directly with a pediatric pulmonologist. Get updated as to what she needs to do for preventative maintenance therapies, as what she is doing now is not working for her. And please please get her a "SPACER" for her inhaler. Without it, your daughter's puffer meds are simply shooting into the back of her mouth into her throat and not going into her lungs.



Jaci
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Posted: 4/9/2014 12:28:14 PM
We see a nurse practitioner who's specialty is asthma, but still at our pediatrician's office. I will look for another more specialized doctor. She does have and use a spacer.

I was just wondering if distance running during allergy season gave similar symptoms to like kids.



Working wife and soccer mom of two beautiful girls

Plapple
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Posted: 4/9/2014 12:35:47 PM
I'm a respiratory therapist, so asthma is in my wheel house, so to speak. It sounds like your daughter needs a new management plan, as Kelpea suggested. I would recommend working either with an allergist or, preferably, a pulmonologist. My off-the-cuff recommendation would be that she start using an inhaled steroid. Albuterol is not for management; it's for rescue purposes. There are a number of different inhaled steroid options. People tend to get scared of the word "steroid" because it has such negative associations. However, studies have proven over and over that inhaled steroids have little to no systemic effects. There are also a few oral asthma controller medications, but because I work in the inpatient (acute) setting, I don't have as much experience with them. Honestly, since your daughter's asthma is allergy/exercise induced, I really think an inhaled steroid is the best option. It can be used during the specific seasons that trigger her symptoms, then not take it outside that time.

I think it's AWESOME that you're taking such a proactive approach to helping her manage her asthma. It makes my heart sing!


Kim


busypea
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Posted: 4/9/2014 12:36:10 PM
I agree you need an updated plan. Is she not on any maintenance med?

DS has virus-induced asthma. He plays on a soccer team, does judo and gymnastics. Lots of activity and no breathing issues.

But when he gets sick, the asthma will flare up and make him sicker and for longer. To combat that, he is on a maintenance med daily (Flovent) through cold and flu season. He has albuterol for use only when he's having symptoms - and the Flovent keeps things under control well enough that even when he is sick, he rarely needs the albuterol. Before Flovent, if he got a cold, he would develop a nasty cough and mild wheezing and it would stick around for a couple weeks. He also couldn't be very active during that time or it would make his symptoms worse. Albuterol would alleviate the symptoms for a short time, but they would soon be back.

Anyway, that's what works for him. My point is, your daughter's treatment plan isn't working for her. She shouldn't be needing a resuce inhaler that much. Our pediatrician suggests - and we do - an every six-month evaluation of how the treatment plan is working. Some tweaks have been made here and there and we feel like he is very well controlled.

You need to revisit it with your pediatrician and perhaps a specialist.

Jaci
StuckOnPeas

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Posted: 4/9/2014 12:45:04 PM
My mistake....she takes Flovent daily. Sorry for the confusion...trying to do too many things at once and this has been on my mind lately.


Working wife and soccer mom of two beautiful girls

*rosebud*
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Posted: 4/9/2014 12:51:36 PM
My 15 year old son was on 3 daily asthma meds from ages 4-13 (flovent, zyrtec, singulaire). We started to ween him off the meds, and 13 and he seems to have outgrown his asthma.

He plays soccer, and is a distance runner. He never had exercise induced asthma. His triggers were viruses (colds) and trouble in fall due to his ragweed allergy.

I think you need an updated action plan, and a better read on her triggers. Triggers can change over time. I also recommend working with a pediatric pulmonologist - untile we did that my son's asthma was out of control.

Good luck!

dalayney
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Posted: 4/9/2014 1:02:47 PM
My 15 yr old son has asthma and takes Advair daily in the spring and fall. It's been wonderful, as he has 2 hour practices, they run the mile often in both baseball and football... he doesn't have any problems in August when football does the brutal 2 a days. He also has his abutoral but if he's diligent w/taking his prescribed Advair, he barely needs it. He doesn't need the Advair in the winter or summer though, and I used to call what he had "Seasonal Asthma". Which his Dr. said, "No, you either have Asthma, or don't. LOL"

So yes! Take thee above peas advice! Advair has been a God send.



bugluver
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Posted: 4/9/2014 1:19:16 PM
DS 15 has been in various inhalers and allergy meds for years. My best advice is make sure who ever is treating your child does breathing tests quarterly preferably just before their most difficult season. Doing the breathing tests has helped us keep meds at the correct dosage and combination as he grew and his body changed.
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cdnstorelady
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Posted: 4/9/2014 4:06:15 PM
I have had asthma since teenage hood. I qm a distance runner, training for my 8th half marathon.i also take a steriod inhaler twice a day and singulair once a day. Very very rarely use my rescue inhaler.

I wonder what is in the fields. You said she has allergy induced asthma....what is she allergic to? If its a plant, is that in bloom now in the fields near where she's running?

feliciay
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Posted: 4/9/2014 10:30:32 PM
One word: Advair.

freecharlie
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Posted: 4/9/2014 10:46:00 PM
Ds sees a specialist that specializes in asthma Na allergies. Does you dd see an allergist?


Tribbey: I believe, as long as Justice Dreifort is intolerant toward gays, lesbians, blacks, unions, women, poor people, and the first, fourth, fifth, and ninth amendments, I will remain intolerant toward him! [to Ainsley] Nice meeting you

freecharlie
What happens in NSBR, stays in NSBR

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Posted: 4/9/2014 10:48:56 PM
Sorry, I didn't answer the question. DS plays sports year round. He has had an attack once. All the middle school coaches have always known and been good about letting him sit or walk if he needed to


Tribbey: I believe, as long as Justice Dreifort is intolerant toward gays, lesbians, blacks, unions, women, poor people, and the first, fourth, fifth, and ninth amendments, I will remain intolerant toward him! [to Ainsley] Nice meeting you

trixiecat1
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Posted: 4/10/2014 5:45:33 AM
Thanks for this thread. My 12 year old daughter plays basketball and was diagnosed with exercise induced asthma by her pediatrician. She will take her inhaler 20 minutes before each basketball game and I believe it is the Albutoral. She is good most of the time, but if she has constant back and forth, hard running on the court she feels it coming on and will sit out. I am thinking I need to see a specialist because I would like to eliminate these episodes more. Part of me wonders if she had more endurance capabilities then these would not come on as often and then the other part of me wonders if she took something stronger then that is the answer. She also has seasonal allergies but she just maintains them with over the counter medication.
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