Patient's question:
Age of onset and symptom description: Recurrent cough, have been treated at Chongqing Children's Hospital.History of previous treatment and effectiveness: The effect is not very ideal.
What kind of help is desired: To be cured of cough and asthma as soon as possible.
Doctor's answer:
During acute exacerbations, the condition is more severe, and high-dose inhaled corticosteroids are administered. Short-term oral prednisone for 1–7 days, at a daily dose of 1–2 mg/kg (total dose not exceeding 40 mg), divided into 2–3 doses. For corticosteroid-dependent asthma, it can be taken once in the morning every other day. However, long-term oral prednisone or dexamethasone may cause adverse reactions, particularly more significant effects on children undergoing growth and development, and should be avoided as much as possible.For children with severe (moderate-to-severe) asthma exacerbations, intravenous administration should be initiated early. Commonly used medications include methylprednisolone at 1–2 mg/kg or hydrocortisone succinate at 5–10 mg/kg, administered 2–3 times daily, usually for a short duration, with discontinuation within 2–5 days. Systemic corticosteroids should not be abruptly discontinued if used for more than 10 consecutive days; instead, the dose should be gradually tapered to prevent recurrence.