This blog is in reply to Anjali Gupta’s query
” nebulisation pros and cons if baby is wheezing. Some doctors prescribe preventive budecort nebulization for a month if baby gets wheezing issues even after the cough/cold has subsided. Is that correct?”
When a baby wheezes during or after an attack of virus infection, it is what we usually call ‘virus induced wheezing’. Occasionally it may be due to asthma in which case the attacks occur without the virus infection.
Inhalation medicines, given either through the nebulizer or MDI (meter dose inhalers), are certainly better than giving oral medicines, as I have explained in the chapter on asthma in my book ‘Easy Baby Care’. Inhaler medicines have very little side effects as compared to oral medicines and are not habit forming.
As far as the treatment of virus induced wheezing is concerned, several treatment regimens are used. Although many studies have been conducted regarding this problem, none have yielded conclusive results. So, most paediatricians have their own way of treating this problem.
In my practise, for the babies who get virus induced wheezing often, I tell the parents to keep the inhaler medicine always at hand. When the baby starts with a cold and cough, I recommend that they should start giving corticosteroid (budecort or other corticosteroid treatment) 2 or 3 times a day with nebulizer or MDI (used for very young babies involving a small volume spacer and mask). If the baby starts wheezing, then salbutamol via an inhaler (through the nebulizer or MDI) should also be started. Usually, the wheezing is controlled with this. If the wheezing does not get in control, then oral steroids need to be given for 4 to 5 days. When the child is better, I tell the parents to continue the corticosteroid inhaler for another 3 to 4 days and then to stop. I do not recommend usage for one month.