Hello doctor, My son is 9 year old and developed the problem of wheezing when he was 3 years old. My father is asthmatic and I had wheezing when I was a kid (2-3 years of age). We were residing in an area where the industrial pollution is very high and he used to get wheezing more frequently there. In the less polluted parts, incidences of wheezing was much lesser. We shifted to another city 3 years back and the city is highly polluted. The weather here also is very erratic like dull, cloudy, occasional rains and sunny in between. My son had several incidences of wheezing initially though it was never serious to get him admitted. We have a nebulizer at home. We used to give him asthalin before, but now it is either Levolin or Budecort or a mixture of both for nebulization when wheezing is bad. My son was given Omnacortil forte syrup and tablet (10 mg - two tablets per day) for the first time last month. The duration of medication was for 5 days. This year the weather here has been very bad and hence incidences of wheezing have been higher. As per the advice of the doctor, we give him Budecort 50 mg inhaler twice a day as a preventive measure (for 2-3 months in winter but this time in monsoon too) and Levolin inhaler two puffs each 3-4 times a day as and when needed. We have been doing this for more than a year now. This time during the period of wheezing, he complained of chest pain for the first time. We noticed that when we gave him inhaler, the pain reduced. The doctor told that it is related to wheezing and there is nothing to worry. Still we got the chest x-ray done and he is fine. But he regularly used to complain of the chest pain, especially when he stood for long in assemblies. Sometimes we felt that he was making it up to draw attention/to escape studies. Now the weather is warmer and he is fine and there is no trace of chest pain. My younger son who is six years also has had wheezing instances but only 3 times during the past 3-4 years. We also give him Budecort 50 mg inhaler now twice a day. Please suggest a routine management for wheezing. Secondly, should we try to find out any other possible heart problem for chest pain? Thirdly, is it fine to give Budecort continuously/intermittently for 4-5 months in a year at a dosage of 100mg per day?
Hi. First of all, I am replying to your main 3 questions as follows:1. Routine management of wheezing: 2. Should we try to find out possible heart problem for chest pain? 3. Is it fine to give Budecort continuously/intermittently for 4-5 months a year at 100mg per day? I want to clarify a few points here: Hope above information and suggestions will solve your queries. I would like to add further suggestions for both of your children: Hope above suggestions will be helpful to both of your children. For further queries consult a pulmonologist online -->