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[QUOTE=mommyov3]Well, we had a sweat chloride test today and it was negative!

That is definitely news to celebrate! I am very confused, though, about her condition. I was off work for 2 weeks with her and she seemed to be doing a lot better. She was still coughing every day, but her chest wasn't nearly as congested as usual. Since being back at daycare for a week, she has gotten really bad...bronchitis for sure with a constant runny nose...and it usually turns into pneumonia before long. She is having her "productive" coughing fits with at the most a few minutes between. She is also making this grunting sound at the begining and end of her fits. The albuterol does not seem to make a fact sometimes I almost think it makes her more rattlely in the chest. (I think I just made that word up, but hopefully you get the idea!) Should I contact her doctor about this? I'm afraid they will just put her on more antibiotics...she's been on 6 rounds already. Is there any way to control her coughing?

Thanks again for being here for me...I don't know who else to ask!

Oh! I have spoken with the allergist and am waiting on a referral to go back to see him.[/QUOTE]

So glad to hear that the sweat test was negative. :)

If she's an allergic asthmatic, it's possible that the daycare has allergens - mold, plants, and animals are all possibilities. We'll just wait for the results of her allergy testing though. I've heard before that it's normal for a baby to get sick a lot at daycare because their immune systems aren't quite developed yet. Is it at all possible for her to stay with a relative while you're at work?

The grunting noise at the end of her coughing fits means she's having trouble breathing. When you hear that grunting, prepare the albuterol. The albuterol should help, but yes, it will make her more "rattly" because it opens up the airways, thins out the mucus a little, and allows her to cough more effectively. You should still get the doctor's opinion on it though. I'm wondering if small children can be put on oral steroids for a short time to get the inflammation under control.

When she's a little bit older, if she's still having bad asthma attacks, ask the pulmonologist about starting her on some low dose Pulmicort - it's an inhaled, nebulized steroid and is by far the safest one for kids.

There's not really a way to control her coughing, because you really don't want to supress an asthmatic cough unless it's dry and disruptive, but even then, you have to be careful. Supressing a productive cough is just going to clog her up more and possibly cause pneumonia.

This must be terrible for both of you, with your child being so sick, and you watching her be sick. Good luck with everything, I hope it all goes well. Take care. :)

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