Hi N.!
My son is now 7 years old but I have been going through the same thing since he was about your child's age. At first I followed all of the doctor's instructions because he was my first child and it was scary how he would wheez. I could not sleep at night worrying that he would stop breathing. I followed the dr's instructions but I never liked my son being pumped up with albuterol and steroids at such a young age. Anyway, he only gets like that after he has had a head cold. He would start out with a runny nose and than it would go down to his chest, triggering the asthma/wheezing. After several years of going through this, I have come to the conclusion that he has seasonal asthma. I mentioned it to his pediatrician and he agreed. He only gets like that during the winter months when head colds are more prevalent. Here is what I do, as soon as he gets the stuffy/runny nose, I give him over the counter Dimetapp or Walmart brand nasal decongestant/antihistamine medication as needed so that it does not travel down to his chest. I never liked my son being pumped with steroids and albuterol but if he is wheezing badly, than I will give him the nebulizer treatments as directed. Every case is different, every child is different so before giving him any over the counter medication, make sure it is ok with your pediatrician and make sure your child is not allergic to the ingredients in the over the counter meds. My son has gotten so bad that his skin was extremely pale and his lips almost blue, so I know how scary it can be. But like I said, through my own personal experience, I have found that giving him the nasal medication at the first sign of a stuffy/runny nose helps act as a deterrent to his asthma. If he is already wheezing, than give him his nebulizer treatment as directed. I found it very helpful to have a stethoscope at hand so that you can listen to his lungs. I did that everytime I suspected he was wheezing. You do not want to administer steroids and albuterol to your child if he is not wheezing. I also have given my son Robitussin, the chest decongestant one when his symptons were not as severe. It helped break up the mucus and made it easier for him to excrete the phleghm. Anyway, if he is really bad, than give him the nebulizer treatments as directed and the steroids if it is an oral steroid should not be used for more than 3 days straight. Also, give the nebulizer treatments time to take effect. There were times when I was ready to rush him to the hospital because I felt it wasn't working fast enough for him, so I would call the doctor and tell them that he is still wheezing and the doc would tell me to give it about an hour and make sure he is sitting up or have pillows propped up because lying down exacerbates the asthma. Sorry for the long email there are so many little things that I have learned since I have been going through this for 7 years. Well, feel free to contact me if you wish. You can email me at ____@____.com