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Congestion and running nose in children with persistent fever - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
Doctor :   Hi
User :   My kid 11 months old, male, has done Haemotology
Doctor :   how can i help you?
User :   Total Count reads as 16,000
Doctor :   ok, please proceed
User :   Ref Reads as 4000-0000
User :   Haemoglobin 12.3
User :   ESR 15
User :   PCV 37.5
User :   RBC Count 5.07
Doctor :   May i know the reason for which these tests were done?
User :   platelet count 6,83,000
User :   He has congestion
Doctor :   most of the tests are normal
User :   Runing nse fever, cough phelgm
Doctor :   congestion in the sense he has cough , cold, and fever , is this right ?
Doctor :   ok
Doctor :   Is he on any meds?
User :   yes
User :   HAs been advised Sinurest, Expect PD, Meftol and aughemen
User :   We has repeated fevers, forehead will be always hot
Doctor :   ok
User :   Fever is repeating
Doctor :   has his ears been examined
User :   That's when Doctor suggested for Typhoid Dengue testes'
Doctor :   presence of ear infection, causes persistant infection, and then, recurrent nasal infection leading to colds
User :   Phelgm was coming
User :   earlier
Doctor :   at age of one, I dont htink, dengue is a factor
User :   Now not much
Doctor :   i would rule out presence of ear infection first
Doctor :   and treat it accordingly
User :   after we started antibiotic, for couple of days, it was coming out
User :   but doctor is asking for hospitalization
Doctor :   where are you based in ?
User :   do we need to really go for hospitalization?
Doctor :   Is YOUR KID ABLE To eat, drink and play well ?
User :   he is taking in take and sometimes playful as well
Doctor :   Is he irritable, refusing feeds, and always lethargic?
User :   not much
User :   He likes to have Lactogen
Doctor :   I dont think he needs hospitalisation, right away
Doctor :   he needs to be observed,
User :   ok
User :   but fever is repeating for last 5 days
User :   and doctor says that kids will have high temprature on forehead and stomoch
User :   Did I really mistake that as fever?
Doctor :   give him, D cold total syp
User :   Ok
Doctor :   this will reduce the temeraure
Doctor :   *temperature
Doctor :   it is given 1 tsp 3 times a day
User :   it will control fever as well right?
Doctor :   yes
User :   Ok, Thanks u Doctoer
Doctor :   do u have any febrex syp at home
Doctor :   ?
User :   No
Doctor :   if so, that one will also help
User :   That is for what?
Doctor :   use febrex 5 ml thrice daily ( for fever) instead of D cold, as this one is much better
User :   For now shall I start with D Cold and then Febrex?
Doctor :   give him steam inhalation with vicks in it , so that breathing is made easy
Doctor :   no start with febrex itself
User :   We are trying nebulazitaion
User :   But he is not co-oprating much
Doctor :   ok that is good as well
Doctor :   i understand
User :   Doctor has advised Asthalin
Doctor :   kids dont like what is good for them
User :   I think that's Salbumatomol, which I found in Respira as well
Doctor :   does he cough much , or has breathing problems (wheeze) at night ?
User :   no much
User :   no
Doctor :   i dont think asthalin will help him
User :   he sleeps very well but only nose blocks
User :   thats when be becomes irritatble
Doctor :   try ambroxol or ambrodil, instead, which will break the mucus, and make breathing easy
User :   dose?
Doctor :   5 ml thrice daily
User :   ok, I will go with Ambroxol/Ambrodil along with febrex
Doctor :   also he needs antibiotics,
User :   which is better for him?
Doctor :   ask for antibiotics from your doc, as it needs a prescription
User :   ok
User :   ESR and Total Count is much higher
User :   Is it a concern?
Doctor :   nothing to worry
Doctor :   those are usually more in kids, due to high blood counts
User :   oh ok
Doctor :   and presence of infection can make it more
User :   oh ok
User :   When do you advise for hospitalization?
Doctor :   if he is irritable, and not having feeds, and fever is very high persisting, inspite of meds, dev of seevere symptoms, then is the time to take him to a hospital
Doctor :   as long as daily activities are well within normal, he can be nursed at home
User :   ok
User :   Thanks u Doctoer
User :   Thanks for the advise
Doctor :   you are welcome
User :   one last thing
User :   What do we do ear infection?
Doctor :   IS there anything i can help you with?
User :   Phlegm is ozing out
Doctor :   ok
User :   but now stopped
User :   its a while liquid with no smells
User :   white
Doctor :   its just mucus
Doctor :   ambrodil & steam will help with that
User :   ok thanks a lot doctoer
User :   Bye for now
Doctor :   you ar e welcome
Doctor :   bye
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