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I'm Writing For My Son. He Was Born At 36

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Posted on Wed, 15 Jan 2020
Question: I'm writing for my son. He was born at 36 weeks, with no complications at birth. Despite some initial low APGAR scores, he was fine. He was a sickly baby/toddler/kid with recurring infections that required antibiotics. When he was 1, he had bronchitis twice, then pneumonia back to back to back. He has had two ear tube surgeries and another to remove his adenoids. That seemed to "cure" him for awhile but his health has gone worse again this year. He has had two ear infections, strep and an upper respiratory infection with wheezing that doctors think might have been pneumonia but never sent him for an XRAY. We have been referred to an allergist, where we discovered that he had all the allergies listed and he has started allergy shots. He had his immune system tested (IgG, IgA, IgM) and all came back normal. The only thing that was out of range was his red blood cell count which was too high. Is this a normal thing that doctors wouldn't be concerned about or is it something that requires more testing possibly. While I am overjoyed that his immune system does work, I'm not satisfied to believe that a kid who has been on antibiotics 5 times in a year is a normal thing. He has 3 other siblings who share the same house, space, food and toys and the other siblings haven't been sick in 2 years. Please let me know if I need a second opinion or more testing for himMy son is 9 years old. Weighs 65 pounds. Takes Zyrtec and Flonase. Just began allergy shots. Takes Benadryl at night as needed. No smoking, not a smoking house.
Previous medical issues: recurrent upper respiratory infections (ear infections, strep, bronchitis, pneumonia), fall/spring/dust mite allergies, recurrent cough and wheezing (possible asthma but not diagnosed), recurrent bouts of itching/hives that can be managed through Benadryl.
doctor
Answered by Dr. Drkaushal85 (43 minutes later)
Brief Answer:
Get done chest x ray.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the detailed history you have given.
In my opinion, he should definitely get done chest x ray and PFT (Pulmonary Function Test).
Chest x ray is needed to rule pneumonia.
PFT is needed for asthma diagnosis and severity.
So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT.
He may need inhaled bronchodilators and inhaled corticosteroid (ICS). For recurrent respiratory tract infection, better to give annual flu vaccine.
Please let me know
1. Are you giving him annual flu shot?
2. Has he ever undergone PFT?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your son. Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Drkaushal85 (51 minutes later)
Hi. Thank you for this. He has never had a PFT before. And although he never got a chest X-ray for his pneumonia, he also had an ear infection at that time, so the doctor gave him an antibiotic. His breathing seems ok now but I worry that he may get sick again once he is off meds. He has been sick a lot.
Yes, he is also getting the flu shot every year.
I guess my main concern was about how frequently he gets sick. I just didn't know if the high red blood cell count on the report was something I should worry about or not. It seems crazy that he gets sick all the time and now he has high red blood cell count. But if its normal, then I won't worry about it. Thanks for your help.
doctor
Answered by Dr. Drkaushal85 (9 hours later)
Brief Answer:
No need to worry for high RBC count.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
No need to worry for high RBC count.
It is not causing frequent illness.
It is strange that chest x ray has not done yet.
Try to get done chest x ray and PFT.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wishing good health to your son. Thanks.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15006 Questions

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I'm Writing For My Son. He Was Born At 36

Brief Answer: Get done chest x ray. Detailed Answer: Thanks for your question on Ask a doctor forum. I can understand your concern. I have gone through the detailed history you have given. In my opinion, he should definitely get done chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule pneumonia. PFT is needed for asthma diagnosis and severity. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT. He may need inhaled bronchodilators and inhaled corticosteroid (ICS). For recurrent respiratory tract infection, better to give annual flu vaccine. Please let me know 1. Are you giving him annual flu shot? 2. Has he ever undergone PFT? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your son. Thanks