B.R. asks from Fort Riley, KS on April 09, 2008
Help with Taking Asthma Meds..
Hello my 3 year old son was just diagnosed with Asthma. I am suppose to give him albuterol through a chamber when needed. My problem is he will not put the chamber to his face. I usually have to hold him down kicking and screaming. I have tried bribes and rewards if he did it with out any fuss but nothing has worked. Can you give me advise on how to make him cofortable with the chamber and albuterol so I don't have to force him to take it.
I also wanted to ask if you could advise on potty training. My son will do a no.1 but will not do no.2. I can put him on the potty for 10-15 minutes around the time I know he usually does his business but he will just sit there. As soon as I let him down he will go in his underware. I have tried the rewards and stickers but that dosen't help.
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L.J. answers from Wichita on April 10, 2008
I so understand what you are going through. My 6 year old was diagnosed with asthma when he was 1 and I went throug the same thing. Try this, it worked with Alex, it is not the most effective thing, but it does work. Do a blow by. I did it with Alex all the time. You can use the mask or the tube that they use for older kids that understand to suck on it. Just hold the mask/tube close to his face and let the albuterol blow past his nose/mouth. I used to do this with Alex while we read a book or watched his favorite movie or even while he was sleeping. Anything that distracted him from the actual treatment. I know the docs prefer that you hold the mask tightly against thier face, but the way my doc explained it to me was if he is fighting and screaming, it could make the attack worse. It was a huge struggle to begin with, but now when Alex needs one, he fusses a little bit, but does what he needs to. by the time he was 3 or 4 I could set the machine up and walk away and he would do the treatment through the tube without me having to worry if he was really doing it. It will get better, I promise. Good luck.
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E.W. answers from St. Louis on April 10, 2008
I have a friend whose daughter needs the albuterol mask once a day and she painted it to look like an elephant. It's pretty cute and we all pretend to be elephants when it's on.
Don't know about the potty issue yet, my son is only 5m.
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P.B. answers from St. Louis on April 10, 2008
I have sat and sung songs or played games to help make it more fun. Both children have enjoyed the one on one time with mom or dad.
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A.H. answers from St. Louis on April 10, 2008
First, the asthma meds...my now 8 year old had to take the same thingwhen he was under 2 and HATED it. The doctor told me that the goal is to get him the medicine...not make him happy. If he screams while the chamber is over his mouth he'll get the medicine. I had to lay my son down with his head between my legs as I sat on the floor and pin his hands under my knees with his feet straight out with mine. This kept his head still and his hands out of the way. I know it sounds like torture but it did make the unpleasant task go much smoother and quicker.
Second, the potty training...I have found an excellent way to get kids to go poop on the potty. It's awesome! Do what you're doing by sitting him on the potty when he usually goes but give him a blow toy. A balloon to try to blow up, a party horn(with or without the squeaker)...something that he has to blow with some force. The muscles he will use to blow the toy will force him to use the same muscles he would use to poop and in the same exact way and he won't even realize it. I am a preschool teacher and have had to deal with some pretty serious pooping issues(did you know they actually have a Psychiatrist just for this issue...I swear!) and this worked with the worst of them. Good luck!
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H.H. answers from Kansas City on April 10, 2008
Most of these responses are talking about the nebulizer which I don't think you are using. I too had to start out with that chamber thing and it is difficult. Inhalers taste nasty and that is one reason they don't want to use them at a young age. I don't know why your doctor isn't prescribing a nebulizer to begin with as it works a lot better in smaller kids and doesn't taste nasty to use.
I would definately talk to your doctor about this thing with the medicine. Ask if you can get a nebulizer. Our doctors wouldn't give us one and my son has had breathing problems since he was 3 months old. Instead I had to take him to the doctor twice a week for a 15 min nebulizer treatment. When we moved to another state and his asthma was worse I finally got a nebulizer and it is wonderful. My son never had a problem using his inhaler though and we had this mask attachment thing for the inhaler. you would press the inhaler into the chamber and he would breath it in whenever he put it up to his mouth and as he inhaled to breath the medicine would go in his mouth. It took a while to teach him to hold his breath to hold it in for 10 seconds but at least he was getting the medicine. If you get a nebulizer it is so much easier and most kids don't mind it. I don't make my kids use the mask as that is intimidating. We have the attachment that just has a plastic tube sticking out and the doctor encouraged us to just let the baby chew on that tube and as he was chewing on the tube he was breathing in the medicine. Now that they are older they just hold the tube in front of their face and breathe it in. It is easier to clean as I just put it in the dishwasher and since my 3 kids share the nebulizer I didn't want them using the mask as it seemed harder to clean. The nebulizer works a lot better than inhalers and is just a mist that has albuterol in it that they breathe as they are normally breathing. I still use it when my kids start their seasonal coughing in the fall and spring which those 2 seasons seem to trigger their asthma more. After a week on the nebulizer they are usually back to normal and won't need to use it again for awhile. The inhalers are good to have when you need a fast treatment or are out somewhere. If he isn't inhaling the inhaler then he isn't getting much to help him out with his breathing. They can watch tv while they are using the nebulizer and I know a lot of kids that use the nebulizer and don't seem to have problems with getting them to use it. My niece started using a nebulizer when she was 4 and she got the mask but it looks like a fish and she loves it but other kids don't like the masks so see about using the tube attachment and as your child gets older and used to the machine then he may want to get a fun looking mask to use. You may have to pay something for the nebulizer and don't do the rental thing as our doctor wrote out our prescription wrong and ended up with a rental and didn't realize it until we got the bill after 5 months and was over 100.00 for the rental and our kids only needed it for 3 weeks. We didn't know it was being rented or we would have returned it when they were over the coughing and got it again later. When we got through with all the insurance and doctor they did have to pay the rental fees and we got the doctor to write out the prescription to purchase one and our insurance company paid all but 30.00 of it. I think the machine cost over 300.00 but most insurance companies pay most of it. It is worth the money and you may even find a used one on ebay or craigs list and buy new tubes for it if your insurance doesn't cover the cost but you would still have to get the doctor to prescribe the meds for it to use it.
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J.M. answers from St. Louis on April 10, 2008
I had to give my son an albuterol inhaler at that age. He was also afraid. Begging, threats, rationalizing only made him more fearful.
What worked for me was playing "space air." We would prepare ourselves as astronauts, sit on the sofa and pretend to go into outer space (blasting off "5...4...3...2...1", landing, etc.) but he couldn't get off the sofa to explore the planet we landed on until he prepared himself with the special air of that planet (because otherwise he couldn't breathe "out there"!) You might even hide a little surprise on the planet for him to find the first couple of times, if he needs an additional incentive.
Once my son accomplished this, I had him breathe space air (use his inhaler) for the grandparents, dad, etc. to show off his new talent. Of course, everyone told him how cool he was :-)
Regarding potty training, after months of trying different methods, the only thing that worked for me was giving up! I said, "Here are your pull ups. Here are the wipes. Here's the toilet. It is your choice." He quickly tired of cleaning himself up and was potty trained for good within a week.
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T.L. answers from Denver on April 10, 2008
Dear B.,
My response is for your little boy with asthma. My sister has a boy who has had asthma basically all of his life. He had to have nebulizer (spelling?) treatments where she had to hold a mask over his face. I remember when he was little and had to have a treatment, she would lay him on a blanket with his hands to his side and his face off of the blanket and roll him up. Yes, he hated it and protested with kicking and crying, but once he was rolled up, she could give him the treatment. She always rocked him and sang to him during the treatment and it did not take long for him to calm down. If your son does continue to cry, that is okay, too. He really has to open his lungs to cry and the medicine will go deeper. It is important for him to know that the medicine will help his lungs feel better and that you love him enough to give it to him. It is also important for him to know that you do have have the choice to not give him the medicine and he does not have the choice to not take it. My nephew was younger than three when he started his treatments and I'm not sure how long my sister had to roll him up, but later getting treatments became a part of the day that he enjoyed because he got good cuddle time with his mom.
Also, I noticed that you said the doctor said to give the albuterol to him as needed. Are you noticing that there is a pattern as to when he needs it? If so, it would be helpful if you gave him the medicine at the same time every day so that it becomes routine. This will help him come to see it as just a normal part of his day instead of some mean thing mommy does at unpredictable times. Talk to your doctor and see if regularly scheduled treatments would be okay.
I just read over your question again and I'm wondering if your son is on a nebulizer like my nephew was on, which takes several minutes to administer, or if he is taking an inhaler with a spacing chamber. At three years old, an inhaler with a spacing chamber would be difficult for him to take effectively even if he was not upset. If an inhaler is what he has, go back to the doctor and get a nebulizer. I would not advise switching to liquid albuterol, which is easier to administer, but harder on his little body.
A little about me: I have had asthma all of my life and have been treated by the best asthma doctors at National Jewish Hospital in Denver. I have a boy, age five, who is also showing signs of having asthma. It runs in my family.
I hope this helps. I will be praying for you and your boys.
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L.W. answers from Kansas City on April 10, 2008
B., I, too, have a 3 year old just diagnosed with Asthma. You need to pursue the nebulizer unless, of course, there is a medical reason that your son can't use the treatment in that procedure. Our doctor "prescribed" (we keep it) a nebulizer that we have to use nightly. we also have a training chamber with no medication that whistles when the suck action is done correctly. My 3 year old who, trust me, has PERFECT lung abiility and blows and sucks the paint off of his brother's recorder, CANNOT activate the chamber whistle. This causes me concern for your son because when he needs the albutoral he NEEDS to get it effectively.
Using the nebulizer was a struggle at first because it's intimidating. Ours came with fish stickers he could apply to create ownership. We constantly told him (still do) that he is the best nebulizer EVER and now he is proud to use it and "get to" turn it on and off.
Feel free to contact me and we can exchange numbers if you want, since I can also relate to the pooping issue and am proud to say that we finally overcame that challenge as well!
I'm new here, but I'm sure there's a way to contact members? If not, e-mail me if you'd like at ____@____.com
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D.V. answers from St. Louis on April 10, 2008
I can't address the asthma situation, but as far as the potty training, my 3 year old did the same thing. She would hold her poop, then get constipated, and start a viscious cycle. She used to cry, scream and kick when we tried to sit her on the potty to poop. We also tried the candy rewards, but still had a big struggle, and eventually she didn't care if she got candy.
Our Pediatrician suggested something that has been working like a charm. We put her in a warm bath about 20-30 minutes after dinner (which is also a good time to put them on the potty because the body's GI tract is activated about that long after each meal and is a natural time for a bowel movement). We tell her during the day that she has to go poo-poo after her bath, and it has worked every time. By doing it this way, she goes and only fusses if it hurts when her stool is larger than normal. The MD told us that the warm bath helps her to relax all the muscles, and gets a little water up inside to make it easier to go, and doing it after a meal utilizes the body's natural cycle's to help her go.
Good luck!
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S.M. answers from St. Louis on April 10, 2008
B.,
When my son was 14 months old.. (just 4 months ago) he got really sick and had to stay in the hosptial for 3 days! He was on regular breathing treatments of Albuteral every 3 to 4 hours. and then continued at home 2 times a day. He would scream and scream and kick the only way to give him the meds was to hold him and have someone else hold the tube in front of his face. (It think he was scared of the whole thing) Once he got used to it he would hold it for him self. We forced him to put the face mask on with the little purple dinosaur (when he was in the hospital)finally we realized that would never work, untill one day I put it on my face.. and he wanted to be like mommy!
I hope this helps in some way!Good luck!
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L.J. answers from Wichita on April 10, 2008
I so understand what you are going through. My 6 year old was diagnosed with asthma when he was 1 and I went throug the same thing. Try this, it worked with Alex, it is not the most effective thing, but it does work. Do a blow by. I did it with Alex all the time. You can use the mask or the tube that they use for older kids that understand to suck on it. Just hold the mask/tube close to his face and let the albuterol blow past his nose/mouth. I used to do this with Alex while we read a book or watched his favorite movie or even while he was sleeping. Anything that distracted him from the actual treatment. I know the docs prefer that you hold the mask tightly against thier face, but the way my doc explained it to me was if he is fighting and screaming, it could make the attack worse. It was a huge struggle to begin with, but now when Alex needs one, he fusses a little bit, but does what he needs to. by the time he was 3 or 4 I could set the machine up and walk away and he would do the treatment through the tube without me having to worry if he was really doing it. It will get better, I promise. Good luck.
1 mom found this helpful
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