When should a child with asthma be referred to a specialist?

A child with asthma should be referred to a specialist when symptoms remain uncontrolled despite treatment. This is crucial because it indicates that the current management plan is not effectively addressing the child's condition. Uncontrolled asthma can lead to significant health complications, including frequent asthma attacks, hospital visits, and a decreased quality of life. A specialist, such as a pediatric pulmonologist or allergist, can provide a thorough evaluation and consider advanced treatment options or a more refined management strategy tailored to the child's specific needs. This may include adjusting medication, exploring alternative therapies, or addressing potential environmental triggers that may be exacerbating the child's asthma.

The other options do not warrant a specialist referral in the same manner. A cough can be a common symptom in asthma, particularly if it is minor or occasional, and does not necessarily mean the condition is out of control. A fever may indicate an underlying infection but does not directly relate to determining the severity of asthmatic symptoms or treatment efficacy. Additionally, regular use of an inhaler may be a part of asthma management, especially in cases of mild asthma or controlled symptoms, and does not automatically trigger the need for specialist intervention unless accompanied by other concerns like uncontrolled symptoms.