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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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5 Year Old With Sever Chest Congestion Despite Taking Antibiotics. Need Further Treatment?

hi - my son is 5 1/2 year old. he had fever yesterday night and day before that as well. I went to the doc he said throat is fine but during the breathing he can hear some congestion so he has given Antibitoics which is a 5 day course, 2 days are over and additional DM syrup as a cough supressant and said it will losen the mucus as well but i can still hear his chest heavily congested esp when he coughs (it is deep cough) what else can i do to help him ?
Mon, 25 Mar 2013
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General & Family Physician 's  Response
Hi,

Based on the information provided it seems like "PNEUMONIA" ,

The throat infection mostly weakens the immunity for a while leading to the superinfection of other micro-organisms

Very important history information are missing, so I will just list some possibilities but can't pinpoint the cause

1) If the cough is dry ? - If dry then its mostly a viral infection of lung and will be cleared by its own.
2) If the cough is producing sputum of different color it has some different possibilities
a) sputum/spit yellow/ greenish/brownish - its bacterial infection
b) Rusty / foul smelling - it can be an anaerobic bacterial infection may lead to abscess formation too.
c) whitish - may be parasitic
3) If fever with chill / only fever present?

These are important history points that will help to narrow diagnosis.

ADVICE :
CONSULT A PHYSICIAN AND LET HIM KNOW whats going on
here is what they will do.
1) physical exam and try to listen on lungs for changes in breath sounds
2) will do sputum culture test
3) some blood tests.
4) x-ray chest will be needed

5) TREATMENT- they will prescribe antibiotic what work on many types on bacterias first till the result of sputum test comes in and then will change to the specific antibiotics to cure the causative organisms,

Hope it helps.


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5 Year Old With Sever Chest Congestion Despite Taking Antibiotics. Need Further Treatment?

Hi, Based on the information provided it seems like PNEUMONIA , The throat infection mostly weakens the immunity for a while leading to the superinfection of other micro-organisms Very important history information are missing, so I will just list some possibilities but can t pinpoint the cause 1) If the cough is dry ? - If dry then its mostly a viral infection of lung and will be cleared by its own. 2) If the cough is producing sputum of different color it has some different possibilities a) sputum/spit yellow/ greenish/brownish - its bacterial infection b) Rusty / foul smelling - it can be an anaerobic bacterial infection may lead to abscess formation too. c) whitish - may be parasitic 3) If fever with chill / only fever present? These are important history points that will help to narrow diagnosis. ADVICE : CONSULT A PHYSICIAN AND LET HIM KNOW whats going on here is what they will do. 1) physical exam and try to listen on lungs for changes in breath sounds 2) will do sputum culture test 3) some blood tests. 4) x-ray chest will be needed 5) TREATMENT- they will prescribe antibiotic what work on many types on bacterias first till the result of sputum test comes in and then will change to the specific antibiotics to cure the causative organisms, Hope it helps.