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Child with dust allergy, sneezing, no fever. Cure?

DOCTOR OF THE MONTH - Feb 2013
Feb 2013
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Pediatrician
Practicing since : 2002
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Question
my 4 years old daughter is allergetic from dust and some other things as well,she always having sneezing ,she dont have problem in night nor she have fever.
she also have cough problems always.
Posted Mon, 17 Jun 2013 in Child Health
 
 
Answered by Dr. E Venkata Ramana 1 hour later
Hi,

Thank you for contacting me on Healthcare Magic.

I need some details before going into the problem.

Is any history of allergic problems like allergic cold, asthma, food allergy, or atopic dermatitis in family members?

Your child seems having allergic rhinitis most probably which is aggravated by dust.

Sneezing always is a sign of allergic involvement of nose as an hypersensitivity reaction to allergens such as dust in your child.

Symptomatic treatment with an oral antihistamines like cetrizine is enough during the episodes.

If she is symptomatic with sneezing for longer or recurrent periods, she can be given Allegra or medication like montelukast sodium in prescribed dose.

The main preventive measure is to avoid the exposure of the child to dust, smoke, fumes, sprays, pet animals, and pollution which usually initiate symptoms.

At the same time she needs physical examination to look for any associated local problems in nose like polyps, deviated nasal septum, and hypertrophied adenoids and tonsils which may present with similar symptoms.

Her lungs to be auscultated to look for any abnormal signs of allergy such as wheezing.

Some investigations to be done like complete blood picture, absolute eosinophil count, and serum IgE levels to look for any underlying allergic prone conditions like eosinophilia.

Therefore I advise you to consult the pediatrician for the physical examination of the child and related investigations and for symptomatic treatment.

Hope I have answered your query, if you have any clarification please let me know.

Regards.
Above answer was peer-reviewed by
 
Follow-up: Child with dust allergy, sneezing, no fever. Cure? 50 minutes later
Dear Doctor

Thanks for ur reply

1)Yes i have got sinus problem but no other allergetic problems.

2)What and which spray /inhalation we should use to prevent her from this disease or any home remedies if u can suggest.

3)Which specialist should we go and see as we are based in china.

4)Pls suggest and advice me and help me and advice solution we are very tense for her.
XXXXXXX
 
 
Answered by Dr. E Venkata Ramana 35 minutes later
Hi XXXXXXX

Thank you for getting back.

Your sinus problem is not related to her present allergic condition.

There are some steroid nasal sprays which will relieve the nasal congestion from allergy. But these are prescribed medication.

The mainstay in prevention is to avoid the exposure of the child to dust and known allergens.

I advise you to consult a pediatrician there first for the examination of the child and if needed referral to an ENT specialist.

Nothing to worry as this is a common allergic problem and it can be treated with medication and preventive measures.

Hope I have answered your query, if you have any clarification please let me know.

Regards.
Above answer was peer-reviewed by
 
Follow-up: Child with dust allergy, sneezing, no fever. Cure? 12 minutes later
Dear doctor

My daughter is 4 now and she still drink the powdered milk is it ok or we need give her fresh milk?

Also is it related with her immune power and can we give her some vitamin syrup like zincovit?and some spirulana powder.

WILL U SUGGEST THIS PLEASE.
XXXXXXX

 
 
Answered by Dr. E Venkata Ramana 17 minutes later
Hi XXXXXXX

As she is 4 years you can give her fresh milk.

It is not related to her immune system.

But some individuals are more prone to allergies because of their hypersensitivity reaction to allergens.

As a general supplementation, you can give vitamin syrup like zincovit, but it is not going to help in treating her sneezing problem.

The safety and effective dose of spirulina is not demonstrated in children below the age of 18 years.

Give fresh, nutritious, and balanced diet including fresh fruits, vegetables, and leafy vegetables.

Hope I have answered your query, if you have any clarification please let me know.

Regards.
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