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My DD who is 15 mos old got over a cold about 2 weeks ago. However, she is "hacking" (really harsh, dry cough) every night around 4 am and when she wakes up. I am worried now that she may have asthma...Dr. was sort of in a "wait and see" mode. Can anyone tell me if their kid has asthma/how they got diagnosed? Thanks! Karen
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Obviously, if she has much trouble breathing, an accompanying fever, or any other scary symptoms, take her to the ER. If its a dry, barking cough, it's likely croup. This usually occurs at night because the sinuses drain down little one's throats while they sleep or else they're mouth breathers and dry out easily. My pediatrician had me take my son into the bathroom with a steamy shower running or outside in the humid air at night. It literally moistens dry air passages and eases the hacking sort of cough. This is why so many parents get to the ER and the symptoms are gone. The night air clears things up on the way there. Asthma is more of a struggling (sucking in) in the chest and/or wheezing you can hear if you listen closely near the mouth. Look for signs that her cold went into her chest rather than her head. Is her chest rattling? My nieces don't have asthma per se, but they get seasonal allergies twice a year that are bad enough that the doc gives them inhalers. I hope I haven't confused you further. When in doubt, take her for a visit to the doc and tell him exactly what her symptoms are. She's awfully young to try and guess what's going on. Blessings.
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loveajax
My DD who is 15 mos old got over a cold about 2 weeks ago. However, she is "hacking" (really harsh, dry cough) every night around 4 am and when she wakes up. I am worried now that she may have asthma...Dr. was sort of in a "wait and see" mode. Can anyone tell me if their kid has asthma/how they got diagnosed? Thanks! Karen
One of the main identifiable symptoms of asthma is wheezing - check your child when she is quiet of sleeping and see if she sounds like she is weezing - a hacking cough does not in itself sound like asthma. With an infant there is no easily identifiable way to diagnose asthma - my son has asthma and is now 7 appears to have outgrown it. He was diagnosed as an infant because of wheezing usually brought on by colds. Don't be afraid to go to your pediatrician frequently when your child has a cough so they can check her breathing. Better safe than sorry - if you can see if their is any family history of asthma or smoking while pregnant as these 2 factors could be important to an asthma diagnosis. Hope this helps, Mary
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My son's history listed that he had asthmatic broncitis. He was in the States for a year with no symptons. But the last 2 years have brought on 2 episodes after a cold.
And, it's the wheezing that you notice. I thought he needed an antibiotic, the put him on a nebulizer in the office and an inhaler for 2 weeks. I learned after that first episode. It he sounds like his cold moves to his chest, off to the ped.
My ped doesn't want to make a firm diagnosis of asthma just yet, since it's only 2 episodes in 2 years. But he is getting worse, so I'm sure this winter he get a full diagnosis.
Yep, the wheezing is a dead giveaway in an asthmatic child. My daughter doesn't necessarily wheeze loudly though - with her, I can always identify (even a hint) it by placing my hand sort of under her arm but on her ribcage. You can actually feel the vibrations in her little lungs.
And as an above poster stated, you can SEE the distress in a child having an asthma attack - the struggle to pass air through the lungs is really frightening - especially if you've never seen it.
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Our daughter's pediatrician was very reluctant to diagnose her as asthmatic and didn't do so until she was 5. By that point, she'd had fourteen hospitalizations, actually admitted into the hospital for RSV, severe croup, which would lead to an asthma attack, severe allergic reactions which would lead to asthma attack, etc. She uses a nebulizer as needed, as well as inhalers and takes Singulair and Advair daily. She now recognizes when she's having trouble breathing, so we canstart her on the nebulizer before he gets out of control. Her birthmom grew out of her asthmatic condition by the time she was a teen, so we're hoping our daughter follows suit. It really is terrifying to watch your child struggle. And, just our luck, she's most allergic to the change of weather.... Good luck to you.