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Ear infection followed by throat infection - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3557 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   Hello doctor
User :   I had a query
Doctor :  
hello
Doctor :  
proceed with your Q
User :   hello
Doctor :   Are you there?

User :   sorry I got disconnected
Doctor :  
ok
User :   ok...my son is 1 year and 7 months
Doctor :   ok
User :   on Sep 10th, he had fever and I took him to the doctor the next day
Doctor :  
ok
User :   he did not have cough but had slight cold
Doctor :   ok

User :   the doctor told that his ears were inflammed
Doctor :   ok

User :   she gave Augmentin, Ibugeci plus and Phenegran
Doctor :  
ok
User :   but since yesterday he has developed cough and cold
User :   again I took him to the doctor
Doctor :   ok

User :   she gave him Relent and Arcocil
Doctor :  
ok
User :   he does not have fever but during the nights his cough and cold is becoming a bit more and he develops fever and during the day he does not have fever
Doctor :   ok

User :   so what could be the problem?
User :   Do i need to take him for flu testing?
Doctor :  
there is a connection between ear and throat
Doctor :  
that is called eustation tube
Doctor :  
in child the tube is small and open
User :   ok
Doctor :  
so the infection in the throat will go to ear and the ear infection trickle down to throat
Doctor :   no need to go for flu testing
User :   ok
Doctor :  
you can continue the same medications and it will resolve with in 10 to14 days
User :   ok
User :   the first time the doctor gave for 7 days but today she gave Relent and Arcocil for another 5 days
User :   So the course of Augmentin duo is still not over
Doctor :   7 + 5 so it is near to 14 days
Doctor :   augmentin is a very good drug
User :   yes I understand
Doctor :  
it has a wonderful success rate, continue the drug
User :   ok
User :   what about fever...why is it continuing?
Doctor :   because he infection is still there so only

User :   ok
Doctor :  
the infection from ear has cleared and it got down to throat
Doctor :  
it is still there
Doctor :  
so when ever there is infection fever will be there
User :   so Augmentin will clear even the throat infection
Doctor :  
yes
User :   ok
User :   so you mean cold and cough are secondary symtoms?
Doctor :   cold, cough, fever are the symptoms of upper respiratory tract infection and not secondary symptoms

User :   ok
User :   When should I suspect flu?
User :   How can I tell the difference between a normal cold and flu?
Doctor :   you mean swine flu or seasonal flu?

User :   both
User :   especially swine flu because that has become a fashion now
Doctor :  
what you have got now is cold otherwise called seasonal flu
Doctor :   swine flu will again have fever, cold cough as symptoms

Doctor :   it also responds well to augmentin and ibugesic plus and phenergan
User :   swine flu?
Doctor :   yes swine flu only
Doctor :   it is also flu only
User :   I thought Tamiflu is the only medicine available for swine flu
Doctor :  
but in some where augmentin does not respond tamiflu is given
Doctor :   so tamiflu is second line of management
User :   ok
User :   but people go on saying that tamiflu is the best
Doctor :  
people are saying not the World health organisation or doctors
User :   ok I did suspect about this
Doctor :   tamiflu has more side effects
User :   let me tell you something...I work in a organisation which also does a extensive research on healthcare
Doctor :  
ok
User :   over the course of my team's workig, a very detailed and an extensive project was assigned to us...that was to understand H1N1 and its pathogenic formulation, genetic make up and its sensitiveness
Doctor :  
ok
User :   a team in my company visisted a facility in US under CDC to study an individual strain of H1N1 and its nueraminidase activities
Doctor :   ok

User :   they also studies about the human cell receptors and how H1N1 attacks the receptors and escapes from the cell
Doctor :  
ok
User :   they had this opportunity by studying a single isolated strain in electron miscroscope with the help of biotechnologists and doctors
Doctor :  
ok
User :   One of the conclusion that they had was tamiflu should not be given always
Doctor :  
yes
User :   sometimes the receptors in the cell itself acts an antibody to the invading virus
Doctor :   ok
User :   so in the course of their project and studies, they changed the composition of a single human cell by altering the amino acids and then attacked the cell with the virus
Doctor :  
ok
User :   as soon as the virus attacked the receptors with the altered amino acids immediately killed the virus by expelling it out of the cell
Doctor :   ok

User :   an action performed by tamiflu but this time the cell itself
User :   as a neuraminidase inhibitor
Doctor :  
ok
User :   so there are various other conclusions which are very technical in nature and the people just showed them to various doctors but its still in progress
Doctor :   ok

User :   we stll dont know the outcome but it is very interesting
User :   As you said Augmenin also fights swine flu, probably they must have also observed this
Doctor :   swine flu is caused by virus H1N1
User :   yes
Doctor :  
as you are deep into the research i think i can use technical terms
User :   well, its not my team, an department of my company...so Iam not that good with technical terms
User :   so you can use normal layman terms
Doctor :  
ok
Doctor :  
did the team study about how the swine flu cause death in humans?
User :   they must have yes...but I heard that the death is caused when the virus attacks the bronchitis in the lungs and rapidly multiplies
User :   their study was too technical and what we knew was just information here and there as was given to us from time to time
Doctor :   we assume the virus invasion causes a breach in the lung natural defense mechanism and the secondary bacterial invasion is the cause for mortalities

User :   ok...I think I have read about this in papers where pneumonia was the cause of death
Doctor :   yes

Doctor :  
it is how people die and doctors try to treat this secondary bacterial infection
User :   ok... I remember some few months back, the team gave a generic presentation on their research to common people
Doctor :   ok

User :   one slide showed a lot of pathogen information in the form of diagrams and suddenly one slide showed a bottom of the pathogen saying this is how deaths are caused
User :   so probably as you said, that diagram showed secondary bacterial infection
User :   We did not understand anything to be honest
Doctor :   the virus as such will impair the immunity and the bacteria specially pneumococci is the major killer

User :   so you are saying the virus itself is not the killer?
Doctor :   that is what we believe
User :   ok...the team would have anyway researched on this as well as others...hopefully we get something concrete in the near future..something like a vaccine
User :   we discussed a lot...sorry about that..but coming back to my son, there is nothing I should worry about right?
Doctor :   nothing as such to be woried
Doctor :  
the treatment is optimum
Doctor :  
he should be fine in a few days
Doctor :  
the post fever cough might be there for a week or more after the treatment is completed
User :   ok
Doctor :   Is there any thing else I can help you with?
User :   I wanted to ask you something about myself
Doctor :   ok
User :   I suffer from Blood Pressure...at one time my BP was around 150/100 and 140/90
Doctor :   ok

User :   A cardiologist gave me Nebicard and Losar...now my BP has become stable like 120/70 or sometimes 130/80
Doctor :  
ok
User :   I take Nebicard 5mg and Losar 50 mg
User :   is there a chance to reduce the dosage?
User :   Iam not fat or obese, and have been exercising for the past 15 years
User :   I dont smoke nor take alcohol
Doctor :   the blood pressure which you are maintaining will be at the present level(120/70 or 130/80) only if you take the drug

Doctor :  
if you reduce dose or stop taking the drug than bp will shoot up
Doctor :   so the present dosage is responsible for the maintainence of the bp
User :   ok
Doctor :   the chance of reducing the dose is not possible i believe
User :   ok but why did I get bp when I have been exercising the past 15 years, no smoking, no drinking and Iam not fat or obese also
User :   so exercise is waste for me?
Doctor :   did ever any body said exercise will cure or prevent the hypertension

Doctor :  
no it helps in maintining the bp under control
User :   ok
User :   so I should continue with it?
Doctor :   yes
Doctor :   you should
User :   ok
User :   thanks a lot doctor...thats all I had
Doctor :  
Please fill the feedback form say done
User :   sorry that we deviated a bit from my problem
User :   yes..sure will do
Doctor :   no issues
User :   May I know your name please and where you are placed?
Doctor :  
infact iam happy that i discussed some research things with you
Doctor :  
Dr shekar
Doctor :  
and we are located in bangalore
User :   thanks for your comment...If I hear more from the team then I will contact you
Doctor :   sure

User :   maybe I can ask one of their documents for your reading
Doctor :   will be waiting..
Doctor :  
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