Chris G. Koutures, MD, FAAP Pediatric and sports medicine specialist

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Comprehensive blend of general pediatric and sport medicine care with an individualized approach that enhances the health and knowledge of patients and their families

ACCEPTING NEW PATIENTS- CALL 714-974-2220 FOR AN APPOINTMENT

 

CLICK HERE FOR DR. KOUTURES GENERAL PEDIATRICS INFORMATION
Proud physician:
USA Volleyball Mens/Womens National Teams
CS Fullerton Intercollegiate Athletics
Chapman University Dance Department
Orange Lutheran High School

Co-Author of Acclaimed Textbook

Pediatric Sports Medicine: Essentials for Office Evaluation

Orange County Physician Of Excellence, 2015 and 2016

 

  • Exercise-Induced Asthmatics have underlying airway inflammation
    • Keep good control with prescription inhaled corticosteroids or leukotriene modifiers
    • Increase good anti-inflammatory foods
      • Fish and fish oils
      • Berries and cherries
      • Ginger, curry and spices
      • Reduce wheat products and processed foods
  • Pre-Activity Warm-Up Routine
    • 15 minutes before start of activity
      • Take 2 puffs of short-acting albuterol inhaler, 30 seconds apart
      • Run 6-8 reps of 80 yard sprints at 75% speed
        • This will "fool" the body into starting an asthma attack
        • Once this brief sprint activity is over, any asthma symptoms "retreat" and cannot recur for 2-3 hours
  • During Activity
    • Have free and ready access to short-acting albuterol inhaler in case symptoms occur
      • Inhaler should be carried by athlete or on the playing surface, not stored in locker or office
      • Make sure athletic trainer, coach, teammates, and others know location of inhaler
    • Use of inhaler more than once a month due to symptoms with activity suggests inadequate symptom control and requires visit with medical professional to discuss asthma plan

Proper Metered Dose Inhaler Technique: