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Chest congestion,sore throat,runny nose - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hi
Doctor :   Hi
Doctor :   Iam.Dr...
User :   hi
Doctor :   Please post your query
User :   my son is 14 months old, in last 5-6 months very month he is down with chest congestion, sore throat, running nose
User :   and fever
User :   its been a trend in last 5 months
Doctor :   Was he delivered normally?
User :   no
User :   breach baby
User :   born 4 months pre mature
Doctor :   Is he sweating his forehead while suckling?
User :   sorry 4 weeks
Doctor :   4 months?
Doctor :   ok
User :   yes a lot
Doctor :   Is he going blue at times?
User :   no not that i have noticed
Doctor :   Is he having blue color in his finger etc?
User :   no
Doctor :   Some times children with congenital heart problems
Doctor :   will have recurrent chest infections,cough
Doctor :   excessive sweating while feeding etc
Doctor :   Congenital (kon-JEN-i-tal) heart defects are problems with the heart's structure that are present at birth. These defects can involve the interior walls of the heart, valves inside the heart, or the arteries and veins that carry blood to the heart or out to the body.
Doctor :   The most common cause ofcourse
Doctor :   is simple VIRAL INFECTION
Doctor :   That is self limited
Doctor :   with supportive care
Doctor :   not even antibiotics
Doctor :   Congenital heart defects change the normal flow of blood through the heart because some part of the heart didn't develop properly before birth.
User :   so how do i validate if this is infact the problem
User :   and if this is the problem
User :   than what is the solution
Doctor :   Many congenital heart defects have few or no symptoms. A doctor may not even detect signs of a heart defect during a physical exam.
Doctor :   Serious congenital heart defects are generally identified during pregnancy or soon after birth.
Doctor :   Less severe defects aren't diagnosed until children are older
Doctor :   During a physical exam,
Doctor :   Listens to your child's heart and lungs with a stethoscope
Doctor :   Looks for other signs of a heart defect, such as cyanosis (a bluish tint to the skin, lips, or fingernails), shortness of breath, rapid breathing, delayed growth, or signs of heart failure
Doctor :   Echocardiogram
Doctor :   This test, which is harmless and painless, uses sound waves to create a moving picture of your child's heart.
Doctor :   A chest x ray takes a picture of the heart and lungs. It can show whether the heart is enlarged or whether the lungs have extra blood or fluid, which can be a sign of heart failure.
Doctor :   Pulse oximetry shows how much oxygen is in the blood. A sensor is placed on the child's fingertip or toe (like an adhesive bandage).
Doctor :   The sensor is attached to a small computer unit, which displays a number that indicates how much oxygen is in the blood
Doctor :   recurrent chest infections can come from other diseases like
Doctor :   bronchiectasis
Doctor :   cystic fibrosis, a range of immunodeficiency syndromes, and congenital abnormalities of the respiratory tract
Doctor :   The child with recurrent chest infections presents the clinician with a difficult diagnostic challenge.
Doctor :   The assessment of these children is demanding: it requires close attention to the history and examination, and in selected cases, extensive investigations.
Doctor :   REMEMBER-Many of these children are simply having the repeated viral upper respiratory tract infections that are a normal part of growing up
Doctor :   Most respiratory infections are mild, self-limiting and caused by viruses. The commonest viral pathogens are rhinoviruses, coronaviruses, the respiratory syncytial virus (RSV), influenza and parainfluenza, and adenoviruses.
Doctor :   Parental smoking increases the risk of all respiratory illnesses and symptoms, and particularly lower respiratory tract infection, in children1
User :   it sounds very complicated
Doctor :   Children with congenital defects of the respiratory tract, such as tracheo-oesophageal fistula or sequestration, and children with congenital heart disease, are at increased risk of recurrent respiratory infection
User :   there is no history of smoking in the family
Doctor :   OK
Doctor :   Most children referred with recurrent respiratory infections have normal immune and other respiratory defences.
Doctor :   The plain chest X-ray is valuable in assessing the severity and distribution of lung involvement.
Doctor :   All children with persistent cough should have their sweat electrolytes measured.
Doctor :   The sweat test remains the standard diagnostic test for Cystic fibrosis
Doctor :   Flexible fibre-optic bronchoscopy is now established as a key investigation in the assessment of children with chronic lung sepsis or suspected immunodeficiency
Doctor :   The assessment and management of children with chronic suppurative lung disease or recurrent severe infection is complex.
Doctor :   It requires the involvement of several disciplines, including respiratory paediatricians, paediatric radiologists, immunologists, physiotherapists and microbiologists.
User :   is congential defects curable
User :   over a period of time
Doctor :   yes some
Doctor :   some may not
Doctor :   As i said the most common cause will be simple viral
Doctor :   infection
User :   so what are the remedial actions
Doctor :   due to milk aspiration during feeds etc
Doctor :   it depends on finding out the cause
Doctor :   till the supportive care of antibiotics
Doctor :   bronchodilators
Doctor :   nebulisation etc
Doctor :   And anyway detailed examination is necessary
Doctor :   WWW.WWWW.WW [push]
Doctor :   You may ask his expert opinion if you want
User :   can you recommend some doctor in ...
Doctor :   ok
Doctor :   wait a minute
Doctor :   WWW.WWWW.WW Doctor :   use this link
Doctor :   you will get drs from ...
User :   ok thnx a lot
User :   will bother u again if i have any more questions
Doctor :   Is there anything else i can help you with now?
Doctor :   ok sure
Doctor :   THANKS FOR CONSULTING.................
Doctor :   BYE FOR NOW.......................
Doctor :   TAKE CARE....
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