A person should
contact a pulmonologist, allergy specialist or immunologist if
any of the following problems are present:
be consulted if the asthma symptoms are not controlled even after 3-
6 months of therapy; i.e. more than one rescue inhaler use
per month, oral steroids used more than 2 times per year, step
4 therapy required ( step 2 or higher if patient aged less
than 3 years)
–threatening asthma exacerbations.
Poor quality of
pain or atypical features.
shortness of breath.
PEFs don't fit the clinical picture.
social, psychological, or family problem is present additional
referral to the psychologist or family counselor may be needed.
Last edited 12-6-2010