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child having frequent bouts of cold and cough. Was diagnosed with Grade II GERD. Suggest? - Online Doctor Chats

Date : 05-Jun-2013
User rating for this question
Very Good Posted in: Skin Cancer
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1716 Questions
Doctor:How can I help you?
User:have questions related to my kid's health
Doctor:Proceed with your questions.
User:he is currently 3yrs 3 month...
User:and has frequent bouts of cold and cough..
User:in dec 2011 he was diagnosed with Grade II GERD
User:its been 10 months that he has been on medication...
User:though the vomitings have subsided..he not putting on weight..
User:he is just 10.5kgs
User:any suggestions to improve his weight and improve his resistance to cold/cough?
Doctor:May I know his birth weight?
User:2 kgs
User:overall he is very active
Doctor:And is he active and playful?
Doctor:Has he lost weight recently?
User:he tends to loose wight when he has cold/coughs...during which time he does not eat properly
User:he came down from 10.4 to approx 10 during the last bout..
Doctor:Let me brief you.
Doctor:You have 2 concerns - frequent cold and cough and the second about weight. I shall address them independently.
Doctor:Generally children under 5 years of age have immature body resistance.
User:also wrt GERD.. what is the typical duration it takes for curing GERD?
Doctor:The body immunity is still growing in them and repeated infections is one way of developing immunity against most viruses and bacteria.
Doctor:Therefore most children under 5 years of age suffer from repeated bouts of cough and cold.
Doctor:On an average if he has about 6-7 episodes of cough and cold per year, it can be considered fine.
User:any ways to improve the resistance?
User:i can say it is more..
Doctor:If the symptoms are more than 10 episodes, he needs to be evaluated for other causes such as ear and throat issues, tonsils, adenoids, anemia and poor nutrition, etc.
Doctor:Less than these episodes your son will out grow it.
Doctor:2. About weight; weight of a child depend on birth weight.
Doctor:At 2 kgs, he was underweight at birth,
Doctor:considering that he was underweight, weight of 10.5 kg is acceptable.
Doctor:Average weight at this age is about 12 to 14 kgs though.
User:are the frequent bouts of cough/cold aslo attributable to GERD?
Doctor:In such cases, if he is developing well, is active and playful with his friends and other children, I am not concerned with his weight.
Doctor:Yes, GERD could be contributing to the bouts of cough and cold.
Doctor:And as GERD is usually rectified with low spicy diet and certain modification such as encouraging him to sleep after 2 hours following dinner;
Doctor:avoiding feeding him to full stomach
Doctor:and the medications.
User:we were advised the same...
Doctor:Please follow the instruction of his doctor strictly.
User:multiple small meals
Doctor:If symptoms persists, some times we need to take help of surgical corrections.
User:but he takes a lot of time to complete the small bowl of food
Doctor:Consulting a pediatric gastroenterologist if possible can be helpful.
Doctor:*pediatric gastroenterologist are not many;
User:any recommendations?
Doctor:but you could take help of your treating doctor, your friends and XXXXXXX to find one closes to your locality.
Doctor:You will need to discuss if he needs surgical correction or can it be treated with medications alone.
Doctor:The bottom line is, I am not very concerned with your child's symptoms yet.
User:typically how long does it take for the symptoms to be cured?
Doctor:1. Follow the dietary and medical advice given by your doctor.
Doctor:2. GERD is a chronic condition related to diet and lifestyle. Rarely structural abnormalities of the lower end of esophagus are related.
Doctor:Correcting the diet, following medications can easily rectify the problem in 2-3 months.
Doctor:Discuss with a gastroenterologist to know how good is his lower end of esophagus.
Doctor:3. His weight seems fine. Continue feeding him with high protein diet - milk, cereals, egg, meat and others.
Doctor:4. Recurring cough and cold is most likely due to immature immunity and GERD and should improve with time.
Doctor:If symptoms are worse, other causes as explained earlier (ear, nose, sinuses, tonsils and adenoids along with anemia) need to be ruled out.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:thanks a lot Dr. XXXXXXX
User:with you!it was great interacting
Doctor:you are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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