Is nabuliser the right treatment for asthma?
Patient: HImy son is 8 yrs old and he is asthma patient. He is already undergoing the treatment of asthma  with daily two puffs of Brocade and one puff of asthaline inhaler.  Usually during  nights he started coughing and this leads to vomit after that he feels fine and sleep. we had consult doctors for the same but as per them it’s  pretty normal and suggest to follow the treatment (inhaler). Now from last couple  of weeks his situation is getting worst during night. He is not able to cough properly , its feels like something is blocked at his neck.  We rushed him to nearest hospital where they provide him Nabuliser (Brocade and  asthaline)  and usually this  help in this situation, but now we had noticed its not working as good as it was earlier in his case. One Doc also suggest to take : acebrophyllinesyrup, L-montus and omanacortil , 5 ml dose once a day... just wanted to ask, are we on right track of tratment? we had started these medicine from yesterday but the boy is still coughing although that neck choking feeling is not there.thanks Doctor: Hello dear,The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection.Management involves:1. A course of antibiotics to eradicate the causative organism.2. Asthalin & Brocade inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)Can be used whenever he is having an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamine & anti tussive preparations for symptomatic relief from cough.5. Maintain adequate hydration & a healthy balance diet.6. Also make sure that he is well protected from cold, dust & other allergens.If symptoms still persist, kindly consult a Pediatrician/ Pulmonologist for proper clinical evaluation.Wishing him a good health.Take care.