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Upper respiratory inflammation in children - 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 : 2008
Answered : 3622 Questions
User :   my child has a swollen incisive papilla, she has a terrible cold and cough at the moment. dentist said it is caused by her bottom teeth touching it (trauma related) she is 5 years old
Doctor :   Hi
User :   hi can you help
Doctor :   May I know her age?
User :   she is 5 could this be caused by her cold symptoms?
Doctor :   I meant since when has the symptoms occurred?
User :   since she has had this cold so about 3 to 4 days its been painful
Doctor :   Ok
Doctor :   Has the dentist prescribed her any medications?
User :   no he just said trauma related as she has very small top teeth and bottom ones touch the top gum
Doctor :   Is she running fever?
User :   no
Doctor :   is she having nasal congestion, sorethroat, earache?
Doctor :   Is she producing sputum with the cough?
User :   she has nasl congestion but then it comes out in bucket full of mucus, loose cough, typical cold symptoms
Doctor :   Has she had symptoms of bronchial asthma in the past?
User :   no
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Based on your description, your daughter's symptoms are consistent with the features of upper respiratory inflammation.
Doctor :   The condition is most probably caused by viral infection
Doctor :   the second probable cause is an allergy.
Doctor :   Swollen incisive papilla if was caused by trauma is not directly related to the current symptoms that she have.
Doctor :   Let me suggest the measures that you can follow
Doctor :   1. You can use cough syrup such as benadryl pediatric syrup 5ml twice or thrice daily.
Doctor :   The syrup contains antihistamines which will take care of the nasal congestion too.
User :   so this problem should clear up over time as her cold symptoms subside
Doctor :   2. Try giving her steam inhalation thrice daily.
Doctor :   3. Good and adequate rest.
User :   so this should subside over time as she gets better
Doctor :   Yes, these along with proper nutrition and good hydration should take care.
User :   so the swelling in this area will go down??
Doctor :   Most likely, the symptoms should be down in 2-3 days time as the illness is self limiting one.
User :   so the swelling will go down too?
Doctor :   However upper respiratory inflammation has tendency to get secondarily infected by bacteria.
User :   so what do i do then?
Doctor :   Development of high grade fever is an indication of secondary bacterial infection.
Doctor :   Hence if the symptoms do not recover in 2-3 days or if her she develops high grade fever, a course of antibiotics may be necessary
Doctor :   in that case, you will need to see a doctor who will prescribe you the antibiotics.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   so to clarify this swelling in this area could be due to her cold and will hopefully clear up within the next few days, if her cold symptoms do not get better go to gp for something. could still be due to trauma also?
Doctor :   The swelling may be part of the inflammation
Doctor :   or could have been an independant condition as suggested by the dentist.
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