Asthma on oral steroids but still coughing up phlegm and not well

Asthma on oral steroids but still coughing up phlegm and not well

At least 90% of acute bronchitis cases are viral,21 and yet antibiotics are routinely prescribed, suggesting a need for further investigation into effective diagnostic and treatment options. The NICE Clinical Knowledge Summary on croup (updated in 2017) recommends that all children with mild, moderate, or severe croup should receive a single dose of oral dexamethasone (0.15 mg per kg body weight). If the child is too unwell to receive medication, inhaled budesonide (2 mg nebulised as a single dose) or intramuscular dexamethasone (0.6 mg/kg as a single dose) are alternatives.

  • Husband cannot take time off work, though he is here from tomorrow night until Sunday.
  • Eligible children were those seen at one of three hospitals between March 2005 and August 2007 who had a wheeze attack after showing signs (according to a physician) of a viral infection of the upper respiratory tract.
  • These drugs are either very short acting or can have other side effects that we want to avoid.
  • It can be caused by any one of several different viruses—the most common one is called the parainfluenza virus.
  • These will need to be treated/managed effectively to minimise their impact.
  • The Broncho Dilators will dilate the lower airways so the walls are further apart, so again the cough receptors are not stimulated.

This type of cough may be due to prolonged recovery phase after an infection, or due to other conditions such as whooping cough or tuberculosis(TB). If you think about when you go to the doctors thinking you have a chest infection, and the conversation that goes is about viral versus an actual chest infection and whether antibiotics are actually needed. We can often feel really rough with a horrible cough, but we don’t actually have an infection and don’t need antibiotics to treat that.

How should I give Prednisolone?

If you were in any doubt – corticosteroids are helpful in croup. The benefit at two hours identified in this review helps put to bed the four hour lag suggested by some for an initial steroid response. Find out more about taking steroid tablets in the long term and how to manage side effects.

I have siblings but they can’t take time off work to look after my child unless it’s really necessary. I could get someone if it was life or death but really not otherwise. I am thinking who I could call out of her school friends parents if it was a real emergency. I think I do have someone who might help if they had to.

How do I keep my chest clear?

This means very little is absorbed into the rest of the body. You may need a short course of steroid tablets to help you recover from an asthma attack. This is most likely to be a steroid medicine called prednisolone.

Carry a steroid card

If we have a significant bacterial growth in the sample we probably would include antibiotics, but in many cases that is not going to solve it, that’s a small consequence of a bigger problem. Broncho Dilator drugs are things like Ventipulmin or Dilatorol. We also use Equisalone which is the systemic steroid powder. The tracheal wash is less invasive, much better tolerated by horses and easier for us to perform out on a yard with an owner, where as the BAL is less pleasant for them, so is done under sedation.

Therefore, studies on the use of steroids alone must be conducted. Whilst there are no known cures, some home remedies and lifestyle intervention strategies have successfully alleviated bronchitis symptoms and overall severity. There’s some evidence that steroid inhalers used by people with chronic obstructive pulmonary disease (COPD) can increase the risk of chest infections like pneumonia.


The authors go on to discuss the possible reasons for this conflict, including the study’s use of PRAM scores, which the researchers say are a valid measure of symptoms. The coughing you experience is not a known side-effect of steroid medication. But, as you mention, steroids can cause an increase in stomach acid, which might have triggered the coughing. Q – I was diagnosed with polymyalgia rheumatica in 2016.

Hull University Teaching Hospitals NHS Trust

This will really depend on the cause of your particular chronic cough. You can talk to your GP or asthma nurse about the best inhaler device for you. I just feel so alone and it’s steroids price really helpful to hear everyone’s tips and know that I am not actually totally alone with my crappy lungs. I will use the spacer for every dose from now on until I am better.