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Suggest Treatment For Cough ,cold And Wheezing In A Child
Hello Doctor, My name is Srikanth.We have a 16 months old son and he was very healthy till his 11months.After that very frequently he is suffering with cough,cold and wheezing but no fever.One Doctor daignoised n said that he is suffering with bronchiolitis n gave him lc kid for 1 month n few other drugs for 5 days..And now finally we came to know that he is allergetic to all kinds of cold things..If the cold,cough n wheezing starts sometime we r doing nebulizing n syrup for cold n cough n he is coming back to normal within 2 days.I have read so many blogs n so many docs were saying that this is normal condition untill 6yrs..But i am scared that my son might have any other chronic disease like T.B or any other lung diseases.Please suggest me do we need take him for any tests?? Thanks and Regards..
Tue, 24 Mar 2015
Hello,
Thank you for asking at HCM.
I went through your son's history and would like to know more about him as follows:
a. What is the frequency of his wheezing? Any seasonal variations?
b. What are his nose symptoms - running nose, congested nose, sneezing, etc?
c. Does he cough more during day or night?
d. Does he vomit or nauseate often?
e. Does he have gastric disturbances like constipation, frequent stomach pain, frequent diarrhea, etc?
f. Did he have any skin problems/allergies since birth?
g. Does any of his family member have allergies?
Above details would help me to know more about his health and therefore to make suggestions more specifically for him.
At present, from your provided details, I would like to make suggestions for him as follows:
1. As long as Tb and other chronic lung diseases are concerned, I would think about them only if he is almost always sick, he does not respond to nebulization and other medications, he has serious weight loss, etc. If he does not have above features, I would not think of any serious cause.
2. Wheezing is very common in this age and there are many causes like allergies, viral infections (including bronchiolitis), gastroesophageal reflux disease (GERD), childhood asthma (non-allergic), etc. So detailed history is important before suspecting a particular diagnosis and suggesting any investigations.
3. I usually prescribe my such patients regular montelukast + levocetirizine which helps for most symptoms. If he develops wheezing, I suggest them nebulization with salbutamol or levosalbutamol on as-and-when-needed basis.
4. Cold air, cold drinks and cold foods should be avoided in general, especially if they are aggravating his symptoms.
5. Also, please avoid exposure to dusts, smokes and air pollution as much as possible.
6. It is usually true that around 70-80% of the children improve by the age of 6-7 years.
Hope above suggestions and information will be helpful to you.
To summarize, if your son does not have any of serious symptoms mentioned in point 1, I would suggest you not to worry. Of course, precautions related to diet and environment are important for maintaining health and improving immunity.
Wish your son the best of the health ahead.
Thank you & Regards.
Thank you for asking at HCM.
I went through your son's history and would like to know more about him as follows:
a. What is the frequency of his wheezing? Any seasonal variations?
b. What are his nose symptoms - running nose, congested nose, sneezing, etc?
c. Does he cough more during day or night?
d. Does he vomit or nauseate often?
e. Does he have gastric disturbances like constipation, frequent stomach pain, frequent diarrhea, etc?
f. Did he have any skin problems/allergies since birth?
g. Does any of his family member have allergies?
Above details would help me to know more about his health and therefore to make suggestions more specifically for him.
At present, from your provided details, I would like to make suggestions for him as follows:
1. As long as Tb and other chronic lung diseases are concerned, I would think about them only if he is almost always sick, he does not respond to nebulization and other medications, he has serious weight loss, etc. If he does not have above features, I would not think of any serious cause.
2. Wheezing is very common in this age and there are many causes like allergies, viral infections (including bronchiolitis), gastroesophageal reflux disease (GERD), childhood asthma (non-allergic), etc. So detailed history is important before suspecting a particular diagnosis and suggesting any investigations.
3. I usually prescribe my such patients regular montelukast + levocetirizine which helps for most symptoms. If he develops wheezing, I suggest them nebulization with salbutamol or levosalbutamol on as-and-when-needed basis.
4. Cold air, cold drinks and cold foods should be avoided in general, especially if they are aggravating his symptoms.
5. Also, please avoid exposure to dusts, smokes and air pollution as much as possible.
6. It is usually true that around 70-80% of the children improve by the age of 6-7 years.
Hope above suggestions and information will be helpful to you.
To summarize, if your son does not have any of serious symptoms mentioned in point 1, I would suggest you not to worry. Of course, precautions related to diet and environment are important for maintaining health and improving immunity.
Wish your son the best of the health ahead.
Thank you & Regards.
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