Asthma

sdavis227 · Feb 27, 2008

People at the CF clinic have talked to us since Parker first started his albuterol that if it stops him from coughing, he has some sort of asthma component along with his CF.
I've also hear that this is NOT true. . . does anyone know which is correct and why they would be saying that?

Parker has another cold and after doing his albuterol, he still coughs quite a bit this time. So doc has put him on predisolone (sp?) and says if he doesn't get better in 3 days that he'll need antibiotics and if not better in 10 days, call doc again.

So when I get the predisolone it says stuff about asthma and such. If the albuterol is supposed to help if there is asthma and it's not, then why the predisolone? I have told them in the past that I thought the albuterol helped a bit, but it's been harder to tell in the past because he never really had a persistent cough.

Any help understanding this would be great!

sdavis227 · Feb 27, 2008

People at the CF clinic have talked to us since Parker first started his albuterol that if it stops him from coughing, he has some sort of asthma component along with his CF.
I've also hear that this is NOT true. . . does anyone know which is correct and why they would be saying that?

Parker has another cold and after doing his albuterol, he still coughs quite a bit this time. So doc has put him on predisolone (sp?) and says if he doesn't get better in 3 days that he'll need antibiotics and if not better in 10 days, call doc again.

So when I get the predisolone it says stuff about asthma and such. If the albuterol is supposed to help if there is asthma and it's not, then why the predisolone? I have told them in the past that I thought the albuterol helped a bit, but it's been harder to tell in the past because he never really had a persistent cough.

Any help understanding this would be great!

sdavis227 · Feb 27, 2008

People at the CF clinic have talked to us since Parker first started his albuterol that if it stops him from coughing, he has some sort of asthma component along with his CF.
I've also hear that this is NOT true. . . does anyone know which is correct and why they would be saying that?

Parker has another cold and after doing his albuterol, he still coughs quite a bit this time. So doc has put him on predisolone (sp?) and says if he doesn't get better in 3 days that he'll need antibiotics and if not better in 10 days, call doc again.

So when I get the predisolone it says stuff about asthma and such. If the albuterol is supposed to help if there is asthma and it's not, then why the predisolone? I have told them in the past that I thought the albuterol helped a bit, but it's been harder to tell in the past because he never really had a persistent cough.

Any help understanding this would be great!

sdavis227 · Feb 27, 2008

People at the CF clinic have talked to us since Parker first started his albuterol that if it stops him from coughing, he has some sort of asthma component along with his CF.
I've also hear that this is NOT true. . . does anyone know which is correct and why they would be saying that?

Parker has another cold and after doing his albuterol, he still coughs quite a bit this time. So doc has put him on predisolone (sp?) and says if he doesn't get better in 3 days that he'll need antibiotics and if not better in 10 days, call doc again.

So when I get the predisolone it says stuff about asthma and such. If the albuterol is supposed to help if there is asthma and it's not, then why the predisolone? I have told them in the past that I thought the albuterol helped a bit, but it's been harder to tell in the past because he never really had a persistent cough.

Any help understanding this would be great!

sdavis227 · Feb 27, 2008

People at the CF clinic have talked to us since Parker first started his albuterol that if it stops him from coughing, he has some sort of asthma component along with his CF.
 I've also hear that this is NOT true. . . does anyone know which is correct and why they would be saying that?
 
 Parker has another cold and after doing his albuterol, he still coughs quite a bit this time. So doc has put him on predisolone (sp?) and says if he doesn't get better in 3 days that he'll need antibiotics and if not better in 10 days, call doc again.
 
 So when I get the predisolone it says stuff about asthma and such. If the albuterol is supposed to help if there is asthma and it's not, then why the predisolone? I have told them in the past that I thought the albuterol helped a bit, but it's been harder to tell in the past because he never really had a persistent cough.
 
 Any help understanding this would be great!

folione · Feb 27, 2008

I'm pretty sure that the way it was explained to me by my son's CF doctor is that the Prednisolone has pretty strong anti-inflammatory effects; the albuterol is just a short-term bronchodialator. Both will open up the lung passages but the steroid is stronger and lasts longer...so if the albuterol is not doing the trick to clear things out, the prednisolone might be the boost that does it.

My 4 year old w/CF has been through this; he's been taking orapred (a tablet form of the prednisolone) in small doses lately because it seems to hold back the inflammation that was causing him to have an enduring cough last Fall...It does make him a bit aggressive at times and also interferes with the immune response so it's kindof a trade off when there are lots of viruses going around like at his school right now....

folione · Feb 27, 2008

I'm pretty sure that the way it was explained to me by my son's CF doctor is that the Prednisolone has pretty strong anti-inflammatory effects; the albuterol is just a short-term bronchodialator. Both will open up the lung passages but the steroid is stronger and lasts longer...so if the albuterol is not doing the trick to clear things out, the prednisolone might be the boost that does it.

My 4 year old w/CF has been through this; he's been taking orapred (a tablet form of the prednisolone) in small doses lately because it seems to hold back the inflammation that was causing him to have an enduring cough last Fall...It does make him a bit aggressive at times and also interferes with the immune response so it's kindof a trade off when there are lots of viruses going around like at his school right now....

folione · Feb 27, 2008

I'm pretty sure that the way it was explained to me by my son's CF doctor is that the Prednisolone has pretty strong anti-inflammatory effects; the albuterol is just a short-term bronchodialator. Both will open up the lung passages but the steroid is stronger and lasts longer...so if the albuterol is not doing the trick to clear things out, the prednisolone might be the boost that does it.

My 4 year old w/CF has been through this; he's been taking orapred (a tablet form of the prednisolone) in small doses lately because it seems to hold back the inflammation that was causing him to have an enduring cough last Fall...It does make him a bit aggressive at times and also interferes with the immune response so it's kindof a trade off when there are lots of viruses going around like at his school right now....

folione · Feb 27, 2008

I'm pretty sure that the way it was explained to me by my son's CF doctor is that the Prednisolone has pretty strong anti-inflammatory effects; the albuterol is just a short-term bronchodialator. Both will open up the lung passages but the steroid is stronger and lasts longer...so if the albuterol is not doing the trick to clear things out, the prednisolone might be the boost that does it.

My 4 year old w/CF has been through this; he's been taking orapred (a tablet form of the prednisolone) in small doses lately because it seems to hold back the inflammation that was causing him to have an enduring cough last Fall...It does make him a bit aggressive at times and also interferes with the immune response so it's kindof a trade off when there are lots of viruses going around like at his school right now....

folione · Feb 27, 2008

I'm pretty sure that the way it was explained to me by my son's CF doctor is that the Prednisolone has pretty strong anti-inflammatory effects; the albuterol is just a short-term bronchodialator. Both will open up the lung passages but the steroid is stronger and lasts longer...so if the albuterol is not doing the trick to clear things out, the prednisolone might be the boost that does it.
 
 My 4 year old w/CF has been through this; he's been taking orapred (a tablet form of the prednisolone) in small doses lately because it seems to hold back the inflammation that was causing him to have an enduring cough last Fall...It does make him a bit aggressive at times and also interferes with the immune response so it's kindof a trade off when there are lots of viruses going around like at his school right now....

Rebjane · Feb 27, 2008

CF has an inflammatory component to it similar to asthma. For example, my daughter does not have asthma but has had alot of inflammatory issues from CF. She has had to be on prednisone a few times, maybe 3 with respiratory viruses. When she was 2 1/2 she had a bronch and the doc said she had alot of inflammation in her airway for her age. Her put her on pulmicort nebs 2 times a day and it seems to help. I remember seeing a model about CF how it causes, infection , inflammation, bacteria, and mucus. It was helpful in understanding the CF process.

Rebjane · Feb 27, 2008

CF has an inflammatory component to it similar to asthma. For example, my daughter does not have asthma but has had alot of inflammatory issues from CF. She has had to be on prednisone a few times, maybe 3 with respiratory viruses. When she was 2 1/2 she had a bronch and the doc said she had alot of inflammation in her airway for her age. Her put her on pulmicort nebs 2 times a day and it seems to help. I remember seeing a model about CF how it causes, infection , inflammation, bacteria, and mucus. It was helpful in understanding the CF process.

Rebjane · Feb 27, 2008

CF has an inflammatory component to it similar to asthma. For example, my daughter does not have asthma but has had alot of inflammatory issues from CF. She has had to be on prednisone a few times, maybe 3 with respiratory viruses. When she was 2 1/2 she had a bronch and the doc said she had alot of inflammation in her airway for her age. Her put her on pulmicort nebs 2 times a day and it seems to help. I remember seeing a model about CF how it causes, infection , inflammation, bacteria, and mucus. It was helpful in understanding the CF process.

Rebjane · Feb 27, 2008

CF has an inflammatory component to it similar to asthma. For example, my daughter does not have asthma but has had alot of inflammatory issues from CF. She has had to be on prednisone a few times, maybe 3 with respiratory viruses. When she was 2 1/2 she had a bronch and the doc said she had alot of inflammation in her airway for her age. Her put her on pulmicort nebs 2 times a day and it seems to help. I remember seeing a model about CF how it causes, infection , inflammation, bacteria, and mucus. It was helpful in understanding the CF process.

Rebjane · Feb 27, 2008

CF has an inflammatory component to it similar to asthma. For example, my daughter does not have asthma but has had alot of inflammatory issues from CF. She has had to be on prednisone a few times, maybe 3 with respiratory viruses. When she was 2 1/2 she had a bronch and the doc said she had alot of inflammation in her airway for her age. Her put her on pulmicort nebs 2 times a day and it seems to help. I remember seeing a model about CF how it causes, infection , inflammation, bacteria, and mucus. It was helpful in understanding the CF process.

JORDYSMOM · Feb 27, 2008

Shannon, my son has an asthma component to his CF. Albuterol is, as I'm sure you know, a bronchodialator. In addition to opening up the bronchial tubes, it can also relax the bronchial muscles, so that they don't spasm, and cause coughing. Now, I've never heard that if alb stops the coughing, it automatically means the patient has asthma. Since alb is used for other conditions besides asthma, I don't see how that can be a definite indicator. Does your son wheeze? That is usually a good indicator of asthma.

When Jordan has a virus, our pulmo tries to beat it by increasing nebs, and he has added a steroid when it's a particularly nasty virus. He usually tries to avoid abx, unless the neb/steroid combo doesn't do the trick. It sounds like that's how your clinic is handling your son's treatment.

I don't know that I've been able to answer your question, really. I think you should ask your clinic to clarify what they told you. Was it just a nurse making a generalization or do they have factual data to back it up? Those are the questions I'd be asking, and I'm curious to know what they tell you.

Stacey

Edited to add: A steriod is usually added to other treatments as a "boost" to help your body fight the virus/infection faster.

JORDYSMOM · Feb 27, 2008

Shannon, my son has an asthma component to his CF. Albuterol is, as I'm sure you know, a bronchodialator. In addition to opening up the bronchial tubes, it can also relax the bronchial muscles, so that they don't spasm, and cause coughing. Now, I've never heard that if alb stops the coughing, it automatically means the patient has asthma. Since alb is used for other conditions besides asthma, I don't see how that can be a definite indicator. Does your son wheeze? That is usually a good indicator of asthma.

When Jordan has a virus, our pulmo tries to beat it by increasing nebs, and he has added a steroid when it's a particularly nasty virus. He usually tries to avoid abx, unless the neb/steroid combo doesn't do the trick. It sounds like that's how your clinic is handling your son's treatment.

I don't know that I've been able to answer your question, really. I think you should ask your clinic to clarify what they told you. Was it just a nurse making a generalization or do they have factual data to back it up? Those are the questions I'd be asking, and I'm curious to know what they tell you.

Stacey

Edited to add: A steriod is usually added to other treatments as a "boost" to help your body fight the virus/infection faster.

JORDYSMOM · Feb 27, 2008

Shannon, my son has an asthma component to his CF. Albuterol is, as I'm sure you know, a bronchodialator. In addition to opening up the bronchial tubes, it can also relax the bronchial muscles, so that they don't spasm, and cause coughing. Now, I've never heard that if alb stops the coughing, it automatically means the patient has asthma. Since alb is used for other conditions besides asthma, I don't see how that can be a definite indicator. Does your son wheeze? That is usually a good indicator of asthma.

When Jordan has a virus, our pulmo tries to beat it by increasing nebs, and he has added a steroid when it's a particularly nasty virus. He usually tries to avoid abx, unless the neb/steroid combo doesn't do the trick. It sounds like that's how your clinic is handling your son's treatment.

I don't know that I've been able to answer your question, really. I think you should ask your clinic to clarify what they told you. Was it just a nurse making a generalization or do they have factual data to back it up? Those are the questions I'd be asking, and I'm curious to know what they tell you.

Stacey

Edited to add: A steriod is usually added to other treatments as a "boost" to help your body fight the virus/infection faster.

JORDYSMOM · Feb 27, 2008

Shannon, my son has an asthma component to his CF. Albuterol is, as I'm sure you know, a bronchodialator. In addition to opening up the bronchial tubes, it can also relax the bronchial muscles, so that they don't spasm, and cause coughing. Now, I've never heard that if alb stops the coughing, it automatically means the patient has asthma. Since alb is used for other conditions besides asthma, I don't see how that can be a definite indicator. Does your son wheeze? That is usually a good indicator of asthma.

When Jordan has a virus, our pulmo tries to beat it by increasing nebs, and he has added a steroid when it's a particularly nasty virus. He usually tries to avoid abx, unless the neb/steroid combo doesn't do the trick. It sounds like that's how your clinic is handling your son's treatment.

I don't know that I've been able to answer your question, really. I think you should ask your clinic to clarify what they told you. Was it just a nurse making a generalization or do they have factual data to back it up? Those are the questions I'd be asking, and I'm curious to know what they tell you.

Stacey

Edited to add: A steriod is usually added to other treatments as a "boost" to help your body fight the virus/infection faster.

JORDYSMOM · Feb 27, 2008

Shannon, my son has an asthma component to his CF. Albuterol is, as I'm sure you know, a bronchodialator. In addition to opening up the bronchial tubes, it can also relax the bronchial muscles, so that they don't spasm, and cause coughing. Now, I've never heard that if alb stops the coughing, it automatically means the patient has asthma. Since alb is used for other conditions besides asthma, I don't see how that can be a definite indicator. Does your son wheeze? That is usually a good indicator of asthma.
 
 When Jordan has a virus, our pulmo tries to beat it by increasing nebs, and he has added a steroid when it's a particularly nasty virus. He usually tries to avoid abx, unless the neb/steroid combo doesn't do the trick. It sounds like that's how your clinic is handling your son's treatment.
 
 I don't know that I've been able to answer your question, really. I think you should ask your clinic to clarify what they told you. Was it just a nurse making a generalization or do they have factual data to back it up? Those are the questions I'd be asking, and I'm curious to know what they tell you.
 
 Stacey
 
 Edited to add: A steriod is usually added to other treatments as a "boost" to help your body fight the virus/infection faster.

Asthma

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