Patient's question:
The rhinitis didn't last long before it recurred, with the maximum duration of improvement being only 7 days.This time, since the house hasn't been occupied for a while, we came back to live there and have developed asthma. There is phlegm in my lungs, especially more at night. 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 within the respiratory system, along with asthma. They mutually influence each other, and allergic rhinitis can cause asthma. Based on the medical history, the child has already been under systematic treatment. The inhaled corticosteroid treatment has been ongoing 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 triggers are particularly important. I don't know if allergen testing has been conducted; it should be monitored.Now that it's spring, it's the season for allergic rhinitis to flare up. If asthma recurs now, and symptoms are severe, the treatment can be switched to a nebulizer (inhaled budesonide and ipratropium bromide) for 2 weeks as an alternative to Symbicort. Once the condition stabilizes, the original dose of Symbicort can be inhaled (Symbicort is generally used for children over 5 years old).