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Being proactive about DS’s asthma

My DS (12) has mild asthma, but last year, it seemed to get worse during the school year. He had bronchitis four times, and we even had to begin neb treatments (which he has never needed before). He's on QVAR 80 and Pro Air HFA, montelukast, ranitidine (GERD), and his ped just started him back on loratadine. We thought about having allergy testing, but he's done so well this summer that I really didn't see the point. (He's had NO issues this summer except a little congestion.)  Now that school is about to start again, I'm getting a little concerned about potential triggers. I know he has exercise-induced asthma, but he also gets triggered by heat and humidity, and I am pretty sure that he is also triggered by viruses. His asthma symptoms are cough and shortness of breath, and occasional wheezing, so I know that when I hear that cough, he's having an asthma flare. Any suggestions about avoiding triggers? I was thinking about having him start an asthma journal to see if that will help, but he's 12, and it's hard enough to get him to do his homework.  

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  • Brenda Silvia-Torma

    Hi Dory!!  Here is one resource that might be helpful

      Does he have a peak flow meter?  Perhaps he can he track it over the coming weeks to see how things are going?  That might be easier than to complete an asthma journal?

    • My Zy

      Hello, I read your post and the way I see it, you have to make sure that your child is very educated on the condition. I know you said he only has mild asthma but honestly asthma is such a serious disease and I don't think a lot of people realize it. All of the meds your son is on my daughter was on accept for Qvar, my daughter was on Advair. I feel that you should still have your son tested for allergies. Your son may not want to do a journal but it is a good idea for him to write down how he feels after a flare up and what he may have been doing prior to the flare up. I made sure that my daughter new what asthma was and that she truly understood asthma. You stated that you know his triggers but he has to know his triggers as well. I knew exactly what to do if my daughter had a flare up and she new as well. We had an asthma action plan. We followed that plan to a science but even in doing all of that my daughter suffered a major asthma attack and sad to say I LOSS my baby girl on March 26, 2017.Her name was Zyan and she was 11 yrs old. I knew how serious asthma was but I NEVER thought it would take her away from me. PLEASE, PLEASE, take it serious and pay close attention to any and all symptoms. My life will NEVER EVER be the same!! 

    • dory2005

      Brenda, Thanks so much for the link! It was really helpful! DS has a peak flow meter, but he hasn't really used it much. We will start working on getting him to use it so that we can be more proactive and hopefully, prevent flares. He will be extremely busy with musical theatre until the end of October, and I know that exhaustion seems to play a part in it because he ended up with a terrible case of bronchitis after the musical, and that always exacerbates his asthma. Thanks for the suggestions!

      MY ZY,  I am so so sorry for the loss of your precious daughter. I cannot even imagine your pain, but please know that I am praying for you. I am a severe asthmatic, and understand how serious this disease is, and as a teacher, I've had to take many classes on emergency situations, specifically with asthma, so I know that it can go from mild to life-threatening very quickly. I greatly appreciate your insight and your suggestions. I will be more vigilant with my son's asthma, and thank you for sharing your story. Again, my condolences on the loss of your child. Please know you are in my thoughts and prayers. 

    • LK

      Oh, MY ZY, My condolences on the loss of your dear daughter!!    I am sure you did everything you could.  I pray that the Good Lord will wrap His loving arms around you and give you peace in these times of sadness.  I know how losing a close family member tears at the heart.  

    • Melissa G

      My ZY, I am so very sorry for your loss ! 

      Dory, getting boys to comply sometimes  is so hard! Here is one resource that may help: . Also does he pre-treat before exercise? Does he have an ?

      One thing that helped my son when he was younger was to have the allergist tell him what he needed to do. He always did better when things came from someone else rather than me. 

    • dory2005

      Melissa, Thanks for the link! He has an action plan that we have in place for school, and he is SUPPOSED to pre-treat before PE, but sometimes he forgets. It's really frustrating because when he doesn't, it does cause him to flare, and I don't to start the year like that again. He's also ADHD, so he's not deliberating *forgetting* because the child loses/forgets his glasses every other day and forgets to take his lactose pills before eating dairy. I'm going to work with him the next few weeks on the importance of taking his inhaler before PE/exercise and hopefully, if I can get him in a routine, that might help. I'll also talk to his PE teacher and ask her to remind him to take his inhaler before dressing out. (He does not self-possess because he would lose his inhaler.)  Thanks for the suggestions!!  

    • Melissa G

      Does he wear a watch to school? Could you set an alarm on the days he has gym so it would remind him to pre-treat? My son is 15, nearly 16 and there are days I wonder how he got out of bed…

    • dory2005

      He doesn't have a watch, but that is something we could get. Great idea!! Thanks!  

    • My Zy

      Thank you all so much for all words of kindness, I truly appreciate it. 

    • K8sMom2002

      My Zy … I  have no words for the loss you are going through. Thank you for being so willing to share. I will keep you, your family and your precious daughter in my heart and my thoughts and prayers. Your story inspires me to work harder to bring awareness and education about asthma. 

      Please know that we are here for you.