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Suggest Treatment For Frequent Running And Clogged Nose
Question: Hello Doctor, my daughter is 4 years old and has been having wheezing problem from quite some time. The issue started mainly after she turned 2 and has been constantly reoccuring till date. This generally starts with blocked nose, sneezing, stuffy and runny nose followed with severe cough and wheezing.
Her treatment started with medicines like Tminic cold syrup, Darolac XXXXXXX Cefuroxime 125 mg/5 ml initially then Montair LC, Kofarest syrup, Otrivin nasal spray, Augmentin DDS, Crocin. Later the medicines included Alerid, Bricarex A and nebulization with Asthalin along with Augmentin DDS.
Since yesterday the same issue started again and her treatment now is :
Flutiflow Nasal Spray - once daily for 2 months
T. montair LC - once daily for 10 days
Syp. Bricarex A - twice daily for 6 days
Nebulize with : Budecort 1 mg + Duolin - twice daily for 2 days then move to 1/2 Duolin - twice daily for 3 days.
The issue of clogged/blocked nose is very frequent with her and use of Nasivion nasal drops/ Otrivin nasal spray is every now and then.
As far my family medical history is concerned, no one has asthametic conditions.
With my daughter being only 4 now and is being on such medicines so frequently i am a little affraid about her growth and permanent cure of her chest/wheezing/nose block issues.
Please suggest a way forward.
Kind Regards,
XXXX
Brief Answer:
Do not use otrivin repeatedly
Detailed Answer:
Hi
Thanks for writing to health care magic.
1) Nose.
Frequent running and clogged nose for the past 2 years makes the diagnosis of allergic rhinitis more likely. Flutiflo is an appropriate medicine for that which you can use as nasal spray daily. Make sure this is given every day. It takes 6 to 24 months, depending on severity and regularity of use.
Do not use otrivin nasal spray repeatedly. this medicine by itself causes more clogging -
Instead use steam inhalation and saline drops for nose when it is clogged.
2) Lungs .
Your kid seems to have allergic bronchitis .
I usually start with monteleukast but if no improvement , I usually start with inhalers like budesonide which is a steroid , twice daily 100mcg per puff.
Do not worry. There are no side effects and it is the only type ie Steroid INHALER which will cure her.
Whenever she coughs or has wheezing give her salbutamaol or duolin .
Try getting allergy test done to identify the cause of allergy , so that you can avoid those triggers.
Wishing your kid good health.
Regards
Dr Arun
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thanks a lot for your response.
Can you please suggest/specify which tests can i get done for her to determine allergic reasons. Also, as i mentioned about te current medicine that she is put on is that okay to continue or do you recommend any change in the prescription?h
Brief Answer:
Allergy skin test
Detailed Answer:
Allergy skin test is done by trained allergy asthma specialists. It is a.prick test.
If you donot want pricks, you can get Specific IgE Elisa Allergy panel. This is simple blood test.
This will be done in major labs in your city
Your current prescription does not have budesonide inhaler. Add that , dose mentioned already.
Regards
Dr Arun
Above answer was peer-reviewed by :
Dr. Shanthi.E
Hi Doctor, now that my daughter is on the above medicines, is it okay to get the test done now or should it be done after sometime or after the medicines are over. Please suggest.
Regards,
XXXX
Brief Answer:
Wait for medicines to get over
Detailed Answer:
Hi,
Wait for Medicines to get over.
Do the test after 48 hours of stopping medicines.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Raju A.T
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