Patient: My daughter is 3 years old, when she was one and a half years old, there was a fever, cough, with antipyretics, only a day of fever, no fever, and did not pay too much attention to the use of antibiotics on their own, the cough symptoms did not improve, more than ten days later appeared wheezing (directly you can hear), and then take medication hanging water, many days later to get better. After every week or ten days, there will be wheezing, with the use of Jian’er Qingliang, gold buckwheat tablets, and sometimes some antibiotics generally lasted a day or two after the good. Then sprayed Pulmicort for three months, after the feeling that the duration of each wheezing seems to have shortened, a nap or every other night on their own. Sometimes when I exercise, I can hear the wheezing, but after I stop exercising, I don’t wheeze anymore. Is it asthma? I heard that there is an allergen test, so if there are several allergies measured, can I be diagnosed with asthma? Cao Hong, Department of Pediatrics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine
Cao Hong, Department of Pediatrics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine: Diagnostic criteria for asthma in infants and children.
Where the age <3 years old, wheezing recurrently, can be diagnosed according to the integral method.
3 points for “wheezing” 3 times.
croup in both lungs on auscultation, 2 points.
A family history of asthma, 1 point.
history of allergy and eczema in children, 1 point
1 point for sudden onset of wheezing symptoms.
If the total score is 5, the diagnosis of asthma in infants and children can be made.
Is the wheezing you describe a whirring sound of phlegm in the throat or a squeaking sound like a whistle? If it is the latter, together with the fact that wheezing can be reduced with Pramipex, it should be diagnosed as asthma. Determination of allergens is not relevant to the diagnosis and you can pay attention to these factors in your daily life to prevent wheezing attacks. Children like yours should be treated in the hospital as soon as possible when they have a cold, so that the doctor can listen to the diagnosis clearly and intercept the progression of the disease in advance.