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It would appear that asthma is a possibility in this situation
This would be more likely if there is a family history of allergies (hay fever, asthma, eczema etc.) in the family members
Allergy testing is NOT recommended for most kids below 5 years age unless there are specific symptoms related to a clear cut allergen exposure, OR the child is not controlled on the regular treatment
Harsh though it may sound, parental belief plays little role in the diagnosis of asthma, and most parents have difficulty in believing this ...
My duaghter (3.5 year old) has asthma,
since 1.5 year age,
and we are giving her inhalers with good response
I think using albuterol, and a preventive medication (like budesonide etc.) may help relieve her son's symptoms
Alright, that does not preclude the diagnosis of asthma
In any case, asthma or chest allergies at this age are something many kids will grow out of when they get to around 5-6 years age
so in a sense she is right, the symptoms are age related (viral infection associated wheeze - WALRI) and may improve with the passage of time ...
Asthma diagnosis is basically on history and examination at this age
The history of recurrent colds / fever followed by relatively prolonged coughing
and the finding of wheezing on auscultation with a stethoscope are the mainstay of diagnosis & treatment
There are specific tests that can be performed like skin allergy tests & blood tests like RAST, allergy panels etc.
but are generally not helpful at this age for 2 reasons
1) They are unlikely to be positive
2) We are unable to use them to create specific immunotherapy treatment since children less than 5 years are generally not treated by immunotherapy due to chances of reactions
Finally, as mentioned above, many kids will outgrow these symptoms by around 5-6 years
Albuterol certainly, it helps relieve the symptoms and make the child comfortable
and does not lead to any dependance / side effects
It treats, but does not cure ....
cure is generally time bound and happens with increasing age, and proper treatment of symptoms
the better you treat symptoms early on, the better are the chances of curing the disease
You are welcome :) no specific recommendations at present, continue regular lifestyle, lots of fruits salads and healthy diet, avoid too much processed / preserved food and take albuterol as needed