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Respiratory Therapist/Side effect from pulmicort or albuterol

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Question
My three year old daughter has has a red spot on her hard palate for about a month. It has increased in size moving across the roof of her mouth. It doesn't seem to bother her at all. She has had asthma since an infant and she has had a runny nose for the past three months. I have taken her back and forth to her doctor and her dentist and they don't seem to have a clue what this spot is. She does take albuterol and pulmicort for the asthma. We have also tried Flonase and prednisone which seemed like it helped a little. My doctor just dismisses it that its nothing serious but it bothers me. I woul like to know what's causing this? Her dentist has no clue.

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Answer
Good morning Kim,

So very sorry for the delayed response, the Holiday season got the best of me and I haven't been checking email as frequently as usual.  Pulmicort is an excellent drug for the right patients, but one down side with a nebulized steroidal med is that it can potentially cause thrush-like breakouts in patients' mouths if the mouth isn't rinsed out thoroughly after each treatment. While I can't say for sure this is what is going on, it is my best guess at this point. Thrush isn't necessarily painful per se, but does leave patches of whitish patches or a raw tongue... so she may not be all that fussy if she has/had it.  I hope this helps!

God bless!

Larry, RRT

Respiratory Therapist

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Larry W. Wical, BA-RRT

Expertise

I CAN answer: ALL questions and queries related to the following topics... - Oxygen - Asthma - COPD - Bronchitis - Emphysema - Pneumonia (Viral/Bacterial) - Tuberculosis (TB) - SARS - Influenza (Flu) - Vaccines - Pulmonary Embolism - Pleural Effusion - Atelectasis - Inhalation injuries (burns, chemicals, etc.) - PFTs - Cardiovascular health - Sleep Apnea - BiPap/CPAP - Ventilators (Respirators) - Aspiration injuries - Thoracic injuries - Lung contusions - Tracheal injuries - Artificial Tracheostomy - Secretions - Prolotherapy/Regenerative Injection Therapy (RIT): A patient's experience/perspective - General health and fitness - Prolotherapy (from a patient's perspective) I CANNOT answer: Questions that vary too far from my primary scope of pulmonary and cardiovascular care and fitness. I promise to be open and honest about my knowledge of submitted topics, and will always openly provide my personal as well as professional feedback as it relates.

Experience

Registered Respiratory Therapist (RRT, RCP) since 2005. I have worked primarily in the acute care, critical care, burn care and home care settings.

Organizations
NBRC - National Board of Respiratory Care AARC - American Association of Respiratory Care

Publications
-All About Kids Magazine -The Clermont Sun -Cincy Sports & Fitness Magazine -Many online Fitness and Health blogs and "webazines"

Education/Credentials
- B.A. in Communication (1997) - A.A.S. in Respiratory Science (2005) - RRT license (state of OH, KY and IN) - Basic Life Saving (BLS) - Advanced Cardiovascular Life Support (ACLS) - Advanced Burn Life Support (ABLS)

Awards and Honors
N/A

Past/Present Clients
Currently work in the city's largest academic/research hospital.

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