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Chronic cold, cough and fever in 2 year old - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
Doctor :   Hi
Doctor :   How can I helpyou
User :   hi XXXXXXXX here
Doctor :   Tell me
User :   my son is bout 2yrs old and has been sufferring from chronic cold cough and fever
User :   he has alreAdy had augmentin and clarithomycin for past 15 days
Doctor :   Since what age has he been having it and have
User :   but still not through
User :   for past one month only
Doctor :   Have you got the Blood and Urine evaluations done
User :   his immunity is very low..
User :   ya everything is ok
Doctor :   For Administrative and health purposes, Please provide these details -Age: Occupation: Location: Dependents: Yes/ No.
User :   nothing shows any abnormality
Doctor :   Have you got the HIV Tested.
Doctor :   Has he been Evaluated for HIV
Doctor :   And Blood parameters like Peripheral Smear
Doctor :   For the Cell Morphology]
User :   Iam 26yrs old, a dentist by profession, in rajajinagar, my son is my only dependent
User :   ya everything is normal
User :   xray shows upper resp tract infection
User :   can you help
Doctor :   Has the fever reduced since the start or has it been as it was earlier
Doctor :   from the start of the illness
User :   it has reduced but cough persists
Doctor :   The nature of Fever if you can Elaborate.
User :   more in the evenings and night
User :   now fever has gone
Doctor :   What time of the day does he cough more, on Lying down does the cough Increase.
User :   but bad cough
User :   upto 101.7
Doctor :   Has he been Evaluated for Tuberculosis.
User :   when he eats he gets the stoimulation and coughs still he vomits
User :   ya
User :   a montaux test had been done
User :   it is negative
Doctor :   ENT Examination have they Ruled out Laryngeal Web or other Conditions.
User :   ya
User :   there is nothing wrong and ir surprises me much more for the condition to get so chronic
Doctor :   Bronchoscopy to get the Sputum Evaluated.
User :   he has a red sore throat
User :   Ithink that wud be too much for him
Doctor :   What is the ESR.
Doctor :   Is it raised or normal
User :   12 mm
Doctor :   I would still suspect it to be Tuberculosis Since the Montaux Tes would not be reliable
Doctor :   hence would recommend you to get the Bronchoscopy done for the Sputum Sample and get that tested for Tuberculosis..
User :   does a BCG not work then why do we vaccinate children for
Doctor :   Raised ESR and X-ray findings of URTI
Doctor :   BCG efficacy you would Know that is in the Range of 30-80% only so.
Doctor :   since it has not Resolved to Augmenting and Clarithromycin
User :   It seems scary...n I am more scared after this chat
User :   anyways
Doctor :   That would be the Next step that i would think of.
Doctor :   There is nothing to be worried of since it just Meeds Medications As you would Know
User :   any pediatrician you would recommenr
Doctor :   And timely Management
Doctor :   Please confirm these.
Doctor :   YYYY@YYYY
Mobile : 0000
User :   ya
Doctor :   Please fill the feedback form say done when done while I type the information you needed.
Doctor :   One of our doctors will get back to you soon with all the relevant details.
Doctor :   Are you there
Doctor :   Have you filled the feedback form which I have sent?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
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