Patient's question:
The rhinitis didn't last long before it recurred, with the longest improvement lasting only 7 days.This time, since the house hasn't been occupied for a while, we came back to live there and brought along asthma. There's phlegm in my lungs, especially more at night, and I don't know what to do. I have a nebulizer at home and would like to hear a doctor's advice. Thank you very much!
Doctor's answer:
Hello! Is the diagnosis allergic rhinitis? Allergic rhinitis is a type of disease in the respiratory system, along with asthma. They mutually affect each other, and allergic rhinitis can cause asthma. Looking at the medical history, the child has already been under systematic treatment. Inhaled corticosteroid treatment has been used for about 2 years, with regular dosage reduction. During treatment, attention should be paid to triggers such as repeated infections, exposure to allergens, overexertion, emotional changes, and so on. The first two are particularly important. I don't know if allergen testing has been done; it should be monitored. Now that it's spring, it's the season for allergic rhinitis to develop. If asthma recurs now, and symptoms are severe, you can switch to nebulizer treatment (budesonide, ipratropium bromide) for 2 weeks instead of Symbicort. After the condition stabilizes, continue inhaled Symbicort at the original dosage (Symbicort is generally used for children over 5 years old).