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Asthma and Allergy  (Expert Forum)
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3 year old asthma out of control
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This forum is for questions and support regarding: Allergies, Asthma, Chronic Cough, Sinusitis, and other Respiratory Disorders.

3 year old asthma out of control

by sally12345, Jul 20, 2008 01:35AM
My three year old daughter is a moderate asthmatic. She is taking pulmicourt respules (1mg) daily and 4mg singular, Yet see seems to still have alot of breakthrough asthma. Recently she is having flareups (mostly early morning) in which her lips turn blue, sometimes she gets sweaty and pale, and on two separate occasions her eyes roll back in her head and she seems to lose conciousness .......momemtarily. These episodes do not last long, but are frightning. I am having a hard time convincing my Ped that our treatment is not helping because when I take her into the doctor, her symtoms are insignificant. I am frustrated and concerned that there is something going on that I am not attending to. Is it possible that these symptoms are unrelated to asthma. Is there another course of meds that we should be looking at?

by National Jewish Health, Jul 23, 2008 05:19PM
Your daughter may or may not have asthma but what you describe, "...in which her lips turn blue, sometimes she gets sweaty and pale, and on two separate occasions her eyes roll back in her head and she seems to lose conciousness ... momemtarily" would be very atypical for asthma.  There are many diseases/conditions that can mimic or masquerade as asthma, some of which are relatively age specific.  In a 3-year-old these would include the following:  bronchomalacia, flabby, collapsing bronchi; a foreign body; a bronchial "web" or stricture; congenital heart disease causing cyanosis, turning blue; recurrent aspiration of stomach fluid; cystic fibrosis; and abnormality of one or more of the great blood vessels that are compressing her airway(s).  And there are more conditions that can very easily be mistaken for asthma, even by very capable doctors.

As for, "on two separate occasions her eyes roll back in her head and she seems to lose conciousness",  these episodes could be some type of seizure, perhaps due to oxygen deprivation, when her lips turn blue.

Your question, "Is it possible that these symptoms are unrelated to asthma" is most appropriate.  You may want to discuss with her doctor, the possibility that her condition may not be asthma or may be asthma plus another condition, one or both of which may be a cause of her wheezing.

Good luck.

Please give us a follow-up to let us know how your daughter is doing.
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