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Respiratory Disorders (Expert Forum)
A breathing problem
Answered by
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A breathing problem
by bennyboy, Dec 19, 2003 12:00AM
Our 4 year old son has chronic renal failure as a result of posteriour urethral valves. his renal function is stable at present. He is also asthmatic. In the last four weeks, however, he has developed a chronic wheeze and difficulty in breathing. He has been hospitalised and given several prednisone courses as well as the usual asthma medications of Qvar and ventolin. He has had an heart echo and ultra sounds to rule out any underlying heart problem and his renal specialist is not concerned about his kidney function. He has seen a paediatric respiritory specialist whom suspected mycoplasma, however, he has tested negative to this. This morning, he is as bad as he has been over the last month and we are very concerned about him, but are at a loss about what to do next. Can you suggest any other possibilities.
Doctor's Answer
by National Jewish, Dec 23, 2003 12:00AM
, Dec 23, 2003 12:00AM
This is obviously a concerning and complex problem for you and your family. It is apparent that the Qvar™ Inhaler (beclomethasone dipropionate HFA) is not controlling the level of inflammation for your son. This may be because of the dose or the delivery system. For some 4-year-old children, it is necessary to use a nebulizer with a steroid solution, such as Pulmicort Respules™ (budesonide inhalation suspension), to get sufficient medication in the lungs to control the problem.
As to the cause, this is difficult to say without having much information. The most likely cause of ongoing problems like you are describing is an infection. Mycoplasma is only one of these. It is possible that this is a sinus infection or a viral illness or a non-infectious cause. Further evaluation might be needed to determine the reason for the persistent wheezing.
If your son is continuing to have problems, you might suggest a short visit to National Jewish Medical and Research Center to try to determine the cause and work on better control. At National Jewish, we can offer a multi-disciplined approach to finding out the problem and trying to solve it.
As to the cause, this is difficult to say without having much information. The most likely cause of ongoing problems like you are describing is an infection. Mycoplasma is only one of these. It is possible that this is a sinus infection or a viral illness or a non-infectious cause. Further evaluation might be needed to determine the reason for the persistent wheezing.
If your son is continuing to have problems, you might suggest a short visit to National Jewish Medical and Research Center to try to determine the cause and work on better control. At National Jewish, we can offer a multi-disciplined approach to finding out the problem and trying to solve it.
Member Comments (3)
by valerieat, Dec 20, 2003 12:00AM
re my above question, the contents of the can were a light penetrating oil and the propellent was butane. I was spraying a rusty fly screen and would have sprayed for about 1-2 minutes. I was outside and thought I would not be inhaling it, but I was obviously wrong as the symptoms developed a day later.
by valerieat, Dec 20, 2003 12:00AM
SORRY-THE ABOVE COMMENT WAS MEANT TO ACCOMPANY THE 'INHALED HYDROCARBON' QUERY-SORRY FOR CONFUSION..
