Night and Asthma!

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What is it with night that makes Asthma worse? My son has been coughing at night and NOTHING IS WORKING! His preventive, his albuterol...nothing! What is the next step?
 
Laying down makes it harder to breathe if you asthma isn't under control. SounRAB like his isn't. Do you have a written plan for when he has a flare up? If so, you should be doing whatever that is. In my case, it's to add a puff of my daily med and up to 3 extras a day (I"m on one puff of Flovent daily normally) until it comes under control or the conditions causing the flare subside (liek when we had 2 weeks of 100 degree weather in August, 2007). I also add a puff of albuterol before bedtime.

If you don't have a written plan for him, go see his pulmonologist and get one.
 
I agree with Titchou. What she responded is very typical.

In addition, there are a couple other things you might want to look for. If he has allergies that trigger his asthma, there may be allergens in the bedroom and bedding that make things worse. Also, acid reflux can be worse at night and it can also trigger asthma.
 
Allergic reactions can be a lot worse at night, due, in part to normal, night-time, metabolic changes. To avoid Asthma worsening at night, your son must avoid as many allergens or irritants as possible during the evening. Things that don't really bother him during the day can certainly bother him at night. For instance, let's say that your son is mildly allergic to the gums in toothpaste. In the morning when he brushes his teeth, there could be absolutely no reaction at all to the toothpaste. But, at night, the tooth paste could set off a worse reaction.

So..... at night, it is much more important for him to stay away from chemicals, odors, pets, etc., even though those things did not bother him during the day.

However and unfortunately the bed is the worst place for allergens and irritants. It's kinda difficult to avoid the bed at night.

Does you son get worse before he goes to bed, or after he lies down in bed?
 
Be sure he takes a shower before bed and washes his hair. Allergens cling to your hair during the day. When you lie down at night your hair transfers the allergens to you pillow and into you face and nose. Be sure to wash bedclothes once or twice a week.
Also have you tried a air purifier? Cleaner air makes life much easier for asthmatics. I've had asthma for my lifetime and have discovered many little tricks that really help.
Also check the type of water your child drinks and increase the amount he drinks. I had serious problems vanish when I changed the purity of my water. :wave:
 
Be careful of Pertusis (whopping cough) My SIL was just diagnosed with it. Doctor told her there have been several cases here in our small town GA with it.
 
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