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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Cough With Sputum And Sneezing?

sir, my baby aged about 15 ye 5 m 21 days was chronic cough with sputum and blood. She was admitted in the hospital and at the first instance, the test for cystic fibrosis, deta 508 and sweet chloride was conducted which come in nagative and normal 32. Latter on her echo of heart was taken and dignosed as pulmonary hypertension as such, she was admitted in cardio hospital, where cultural test was conducted and cholestic sulphate injunction was given and after 6 hours she passed away. NOw my son sindh yar aged about 10 years having morning cough with small sputum , sneezing,irritation, poor health, i do not want to loose him. please tell me what kind of test should be taken so that the disease can be dignosed
Sat, 12 Jul 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

Morning cough with small sputum, sneezing, nasal itching and irritation, etc are common signs of allergic respiratory disease. It can be an allergic rhinitis, sinusitis or sometimes childhood asthma.

I understand your concern about pulmonary hypertension as his sister had it. But it is not a very common disease in children.

So first of all I would suggest you to consult an Allergist who will examine your son in detail and suggest you tests like CBC, AEC, total IgE and allergy testing. If he has more of morning symptoms, personally I would like to test him for allergy to house dust mite, indoor molds, cockroach allergens and pet dander allergens (if you have a pet).

If these tests suggest allergic disease, I would suggest him to take regular montelukast and an antihistamine like levocetirizine. Also, the allergist will also suggest him some allergen control measures depending on allergy testing result, and if possible, allergen immunotherapy.

If he has other long term health issues (as you have mentioned "poor health"), I would suggest you to consult a pediatrician first who can examine him in detail and suggest investigations to come to a diagnosis.

Hope this will be helpful to you.

Wish your son the best of health.

Regards.
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How To Treat Cough With Sputum And Sneezing?

Hello. Thank you for asking at HCM. Morning cough with small sputum, sneezing, nasal itching and irritation, etc are common signs of allergic respiratory disease. It can be an allergic rhinitis, sinusitis or sometimes childhood asthma. I understand your concern about pulmonary hypertension as his sister had it. But it is not a very common disease in children. So first of all I would suggest you to consult an Allergist who will examine your son in detail and suggest you tests like CBC, AEC, total IgE and allergy testing. If he has more of morning symptoms, personally I would like to test him for allergy to house dust mite, indoor molds, cockroach allergens and pet dander allergens (if you have a pet). If these tests suggest allergic disease, I would suggest him to take regular montelukast and an antihistamine like levocetirizine. Also, the allergist will also suggest him some allergen control measures depending on allergy testing result, and if possible, allergen immunotherapy. If he has other long term health issues (as you have mentioned poor health ), I would suggest you to consult a pediatrician first who can examine him in detail and suggest investigations to come to a diagnosis. Hope this will be helpful to you. Wish your son the best of health. Regards.