C.M.
K., let me lead with the fact I am a Peds nurse who has a child, (actually all three have allergies) who is 12 who is probably a carbon copy of your child. I too, wasnt terribly receptive of all kinds of meds. But, after my child suffered MANY asthma attacks and oral steroids and pneumonia three times in K in three months, i had to make a choice. Here are the facts and my opinions. First, how allergic is he to eggs and soy? Is it soybean oil or proteins- they are different. Soy proteins aren't terribly hard to avoid, eggs, well, Alex was allergic to eggs to back then, but not nearly as allergic to nuts. Eggs in small amounts are fine with him, check your child's reaction out and see if he can have it in certain amounts. If it's just an atopic thing (skin rash) you have less to worry about than if his throat closes. The most reliable meds for asthma are those used in the lung. It also means that those items are much less likely to be distributed into his entire body. If you give someting by mouth, it goes all over the body, if you give it in the lung, it pretty much stays all in the lung. One dose of oral steroids, just one single dose = hundreds of doses of steroids in an inhaler. So, the inhaled steroids are much safer and work so much better in the lung. The oral stuff is given when the inhaled kind fails. I wasnt giving Alex anything but SIngulair and he paid dearly for it. Our best bets were Singulair daily (very few side effects, it's used in 1 year olds now with little problems, none that i can think of). We used a peak flow meter daily- it has no medicine but helps you determine when you need to use a neb treatment or an inhaler. It helps establish when a problem day has come up. We used albuterol as our rescue medicine (Xopenex is used more now probably and we use that now), we used Flovent (also an inhaler, but an inhaler with a steroid), and then that was about it. Even being a nurse, i don't like giving my kids meds. BUT, i had to be realistic that some meds, chosen carefully, keep them from major problems and ER visits. The worst thing with the asthma was he would get scared and that makes it worse. I had to drive him once to the MD's office when he couldnt breathe. He had the asthma attack in the car on the way to walmart. He was SCARED. He could not get enough air, it was awful. He was four and a half. Some meds are just to get things under control, then you taper off. A typical morning meant using the peak flow meter, two puffs of flovent, and sometimes albuterol if the peak flow was low enough. At school when his morning peak flow was low, more albuterol. After school, check the peak flow again (again albuterol if necessary), at bedtime singulair chewables or granules, and Flovent two puffs. It may seem daunting, but the alternative can be much worse, harder on his body and harder on you. OH, something we loved as we were learning to use an inhaler, something called an Inspirease. It is a type of spacer that a little person can use. You can use it with any inhaler. It's actually got a chamber you can view as it goes flat, so you know they got it all. And, many times his meds were seasonal with the singulair being all year. Please feel free to send me any messages if you want. I will help if i can. The ideas about cleaning his room, etc..are rock on, but you can't clean up the outdoors, and that also makes his immune system work better. Please dont be fooled into thinking you can do this without any meds, many, many times parents find out the really HARD way that they can't. Try to find some middle ground that makes you feel okay about it and him not to suffer..Good luck..I have been there before..
C