Repeated Respiratory Symptoms Dr Kondekars rule to understand the reason for need for bronchodilator

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Repeated Respiratory Symptoms

Dr Kondekars rule to understand the reason for need for bronchodilator

1. Rapid breathing with closed mouth, noisy sounds. The problem is likely with airways.

2. Rapid breathing with open mouth and above sounds disappear with this,  the problem is likely to be above throat. Nasal suction or nasal spray cleaning recommended.

3.if the child  starts coughing during test 2,  its likely that child has airway narrowing.

4. Those kids who can do rapid counting, child takes a breath break before 20 count [single breath count]  or cannot count more than hundred over one minute [one minute count] is likely to have airway spasm

3 and 4 are likely to have bonchospasm and so will benefit with bronchodilator syrup or nebulisation.

All other cases,  other strategies like nasal suction/spray,  antihistaminic,  decongestants or suppressant and may need bronchodilators when 3, 4 is positive which may follow at times if nose ia not taken care off.

#DrSK

For children <3 < 3 yr old or who cannot follow above instructions; the child being small will need a detailed examination to look for life threatning issues like pneumonia,  reflux,  growth failure, anemia,   chronic adenoditis or chronic hidden renal or cardiac issue  or immunity compromise including malnutrition.

Download latest breathing diary pdf form hindi english

Daily five second symptom recall diary,  to help classify and manage chronic respiratory issues including asthma. Click here to download diary.

BREATHING EXERCISES TO KEEP AIRWAY HEALTHY

GINA ASTHMA 2016 GUIDELINES mention about the Introduction of Breathing Exercises and not techniques to maintain good respiratory health in children and adults with repeated respiratory issues including asthma.
These exercises are:
1. Rapid breathing with tongue out in standing posture
2 Rapid breathing with mouth shut both nostrils and with one nostril at a time
3.Rapid number counting in one breath
4.Rapid number counting over one minute
5. Voice modulation exercises like soft singing

At our set up, we have introduced these exercises.... Effectively.

posted from Bloggeroid

WORLD ASTHMA WEEK 03/05/2016 TO 10/05/2016

International bodies like GINA asthma; are changing the look out towards managing asthma in young children.
Here are some updates which will seriously affect managment:
1. Ipratropium based inhalation regime are equally effective as salbutamol.
2.Montelucast is a good controller drug.
3. Asthma therapy in children can now be tapered and stopped; and more easily in seasonal asthma; in few months.
4. Possibility of non asthma diagnosis is higher in a. kids with early age of onset b. continuous whheezers c.children with growth failure d. cough dominant symptoms 6. Children who donot show satisfactory response to steroid and salbutamol based inhaler regimen.
5. Symptom charting, 'parent education & training' to understand rescue medicine concept and treatment policies is key for perfect control of asthma.
6. Asthma is controllable; if diagnosed and treated early and correctly.
Dr Kondekar

Flu or allergy?

If your symptoms are sneeze or wheeze dominant... Its unlikely to be an infection like flu.

Asthmatics cough n sneeze ...adenoids get colds n mouth breathings

Adenoids sneeze less compared to sinusitis and asthmatics.
 Allergic rhinitis is sneeze dominant.
 Asthma is wheeze dominant.
If you get frequent mouth breathing without sneezing... U have adenoids enlarged.
 If u get stuffy nose without running.. U may be allergic or may have sinusitis or allergic rhinitis or deviated septum.
Cough and no breathlessness in toddlers.. Unlikely to be an asthmatic...
May be UACS that is upper airway cough syndrome or laryngitis or bronchitis at times.

Sputum dominant cough is bronchitis.
Sputum dominant breathless ness is COPD. And some adult asthmatics.

posted from Bloggeroid

Wheezers are on rise in Mumbai this weather. Time for asthmatics to step up doses if breathometer reading down or symptoms crop up.

Wheezers are on rise in Mumbai this weather. Time for asthmatics to step up doses if breathometer reading down or symptoms crop up.

posted from Bloggeroid