My 3 year old daughter has been dx'd with RAD, and I'm pretty sure well on her way to full blown asthma. My question is does asthma compromise the a person's immune system? She seems to be sick all the time. She goes from ear infection (she has tubes, but still gets ear infections), to strep throat, to bronchiolitis, to pneumonia, to urinary tract infections, to sinus infection, to you name it. The poor thing has been on more antibiotics than any one person should ever be on, but she always seems to come down with something that needs to be treated with an antibiotic. Her doctor seems to be puzzled. If we treat the asthma and put her on a preventative, could that help? or is there something else? or is the asthma just part of the symptom and not the problem? Any insight would be of help. Thanks.
This is not an easy question. The easiest part is to tell you that asthma does not compromise the immune system. The pattern you have described is a fairly common one in children of your daughter's age. There is usually an underlying problem, such as chronic sinusitis that causes a continuance of infections and secondary respiratory problems, such as asthma. There are a few things that can be easily done to get this under control. The first is to see a specialist who deals with these types all the time. This is usually a pediatric pulmonologist or a pediatric allergist. Either of these specialists can start your daughter on preventative medication to control the asthma symptoms. At the same time, they can start an investigation of why all the things you have described are happening. A CT of the sinuses will happen early in that process. Other lab tests or x-rays may be needed. Do not despair; these problems can usually be controlled.
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