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Frequent respiratory infections in children - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3394 Questions
Doctor :   Hi
Doctor :   Hi
User :   I have twins who r 3 years 6 months old
Doctor :   How can I help you ?
User :   very often they get cold and cough
Doctor :   Ok.
User :   may be their immunity is very low
User :   can you advice any medicines
Doctor :   May I know how often do they get cold and cough ?
User :   every 15 days
User :   to 1 month
Doctor :   Ok.
Doctor :   And may I know how long does it last ?
User :   for a week atleast
Doctor :   Ok.
User :   sometimes i have to give them neubilizer also for the cough
User :   because of regular cold and cough their food intake is also very less
Doctor :   Ok, May i know their weight now and how are their mile stones ?
User :   Girl is around 10.5 kgs
User :   and boy is around 9.8 kgs..
Doctor :   Ok.
User :   both of them r very active
Doctor :   Ok.
User :   mile stones are also good.
Doctor :   Ok.
User :   last year i had given homeopathy medicines to them
Doctor :   Ok.
User :   but of no use..
Doctor :   May I know if you had a pediatric cardiologist's evaluation after 6 months or 1 yr after birth?
User :   they also get fever because of cold
User :   no
Doctor :   Ok.
Doctor :   Because as per the history that you have mentioned, if children get very frequent respiratory infections , the first thing we suspect is a Cardiac component in the problem.
User :   can you explain in detail and how can overcome this problem
User :   I have seen many children nowadays getting cold and cough very frequently..
User :   may be because of weather changes
User :   or viral
Doctor :   Ok. Let me explain you in detail.
Doctor :   1. Uusally if the child suffers from very frequent URT Infections and unrelenting problems every month or fortnight and lasts for more than a week and again shows up. The first thing we see is a Congenital heart problem like an Atrial septal defect which is more so common in twins
User :   our family pediatrician said
User :   oh ok
Doctor :   It can surely be a viral cause , if your pediatrician has not noticed any auscultatory findings on chest examination or other symptoms .
User :   How can i get them cured
Doctor :   1.Auscultation : Hearing a murmur on a physical exam is the most common reason an atrial septal defect is suspected. 2.Echocardiography is the primary method used to confirm the presence of an atrial septal defect.
User :   ok
User :   Also they even get cold very fast if they eat icecreams and cold juice
Doctor :   Ok.
Doctor :   Do they get tired very often and do they get bluish at any point of time ?
User :   no
User :   never
User :   in fact they r always on their toes
Doctor :   Ok . That is very encouraging.
User :   as i said they r very active
User :   they never sit at one place
Doctor :   Ok.
User :   doctor said till 5 years you might face this problem..
Doctor :   Have you discussed this with your Paed?
User :   yes
Doctor :   What has he got to say ?
User :   its been a year i have visited him
User :   but last time he said u will see these problem till the age of 5
User :   he gave some medicines for immunity
Doctor :   10 kgs for 3 yrs , I would say is a bit less on the growth curve.
User :   ya
User :   thats the reason i am worried
Doctor :   Usually we see this weight in 1 yr old babies these days
User :   ok
User :   actually by the time they start gaining weight..
User :   they again get some or the other problems
Doctor :   I would suggest you some alternative food stuff for protein build up but I would also suggest you to see a Pediatric cardiologist once.
Doctor :   That is the reason I am suggesting you with this consultation.
Doctor :   1. Please start on Threptin biscuits at least 3 every day for each child.
User :   ok
User :   can we get these biscuits in any common stores
Doctor :   Any good medical stores
User :   ok
Doctor :   2.TLC Stoneground 7 Grain Crackers
Doctor :   3.Guiltless Gourmet brand corn chips (lots of flavors)
User :   ok
Doctor :   And finally all dry fruits , especially anjur, walnut, almonds, dates.
Doctor :   Do you have anything else to ask ?
User :   no thanks a lot
Doctor :   4.Enfamil Poly-Vi-Sol Drops with iron (a multivitamin plus iron) is one more important one , please do give them.
Doctor :   Thank yuo for consulting me
Doctor :   Take care, Bye for now.
User :   Thanks
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