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Query about tonsillitis and cough - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 676 Questions
User :   my son is 4 years old, we have seen doctor every month since september, he has been treated for cough, tonsilites, yesterday he finished amoxicil, today he woke up with cough again and has a fever 102.
Doctor :   Hi,
User :   hi
Doctor :   Is the fever since Sept continuous
Doctor :   Are there any afebrile periods ?
User :   yes, comes on and off, when on we go to doctor, says its virus and puts him on antibiotics. also had tonsolitis in December and in January had swollen lymph nodes
Doctor :   ok, so recurrent tonsillitis is the condition here
Doctor :   i think the antibiotic he was put on didnt work as the infection would be resistant to it
Doctor :   I suggest you to get a culture sensitivity test of a throat swab and put him on right antibiotics for the which the infection is sensitive
Doctor :   I do not think the virus being the cause here for so long illness
User :   the only thing recurring is coughing and fever. tonsolitis was just in December and swollen lymph nodes were now in January. he's been on several antibiotics over past 3 months.
Doctor :   ok, were the antibiotics put on him after culture and antibiotic sensitivity test
User :   didn't have sensitivity test. had swab for strep throat which was negative.
Doctor :   I also suggest him t prevent secondary bacterial infection by gargling either warm salt solution or antiseptic solutions like Chlorhexidine twice a day after food
Doctor :   ok, i would ask to get a general bacterial culture test with antibiotic sensitivity
User :   ok, also he drinks a lot milk. so you suggest we go to doctor and get new antibiotics or do we need blood tests and more stuff.
Doctor :   Viral fevers are self limiting and do not last more than 1 or 2 weeks and most of them are not recurrent
User :   and this has been on and off over past 3 months.
User :   with a lot of coughing
Doctor :   I would consider the culture tests as prime and if blood tests can be afforded then a complete blood count would be of help
Doctor :   3 months is a lot of time for a virus to reside in
User :   blood count what does that mean
User :   yes it was on and off for 3 months, actually since September
Doctor :   it shows the count of various blood cells like RBc and Wbc and subtypes of Wbc which will give a good insight into the causative organism ( whether viral or bacterial )
User :   should we go to emergency room today or can we wait till monday to see his regular doctor??
Doctor :   you can wait til monday
Doctor :   til then you can give him symptomatic treatment and salt water or chlorhexidine gargling
User :   one last thing, he always coughs just in the morning and not through the day.
Doctor :   yes, that happens due to the decayed food irritants
Doctor :   nothing serious about it
User :   can you please explain that. can he be allergic to something.
Doctor :   due the infection the throat mucosa gets sensitive to any kind of irritants , specially the food stuck in the tooth decayed over night or even the cold weather in the morning, the pollen etc
Doctor :   and do present as an allergy
User :   would humid air help or is dry air better?
Doctor :   i do not think it being a allergic disorder , as in them the fever would not be a symptom at al
Doctor :   humid air is good , the dry air will dry the mucosa and make it more sensitive and open to irritants
User :   ok thank you, we will go to doctor monday and get these tests done. appreciate your time.
Doctor :   humid air maintains the fluid coat on the mucosa preventing the irritants to act on
Doctor :   steam inhalation with eucalyptus will help
Doctor :   you are welcome
Doctor :   Thanks for consulting me , kindly provide your feedback
User :   ok thank you
Doctor :   Bye for now
Doctor :   Take care
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