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Upper respiratory tract infection in a ten year old - 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 : 2408 Questions
User :   started with a sore throat on Sunday eve, by Monday blocked nose and stomach ache. This morning runny nose but still stomach ache and says she had that through the night too, but seemed to sleep peacefully. Was ill before christmas with a horrid viral cough which the dr thought was early sign of pneumonia - had an x-ray it wasn't but had antibiotics anyway. two weeks later had a mild sinus infection - antibiotics again and has been really well until this weekend
Doctor :   Hi
User :   hi
Doctor :   May I know the age of the patient?
User :   she has just turned 10 last weekend
Doctor :   Ok
Doctor :   Is she running fever along with these symptoms?
User :   no not at all
Doctor :   Does she have other associated symptoms such as breathing difficulty, vomiting, loose stools?
Doctor :   Does she have history of bronchial asthma?
Doctor :   May I know her recent weight?
Doctor :   Does she have history of allergies?
User :   I think she said she had quite loose stools doesn't have a history of bronchial asthma and her recent weight - afraid not sure. She does seem to have an intolerance of dairy and maybe wheat as she has dreadful wind and I am assuming it's because of that?
User :   by the way she is not at all over weight - quite tall for her age and very slim
Doctor :   Ok
Doctor :   Does she have history of similar symptoms occuring frequently?
User :   the loose stools - yes, frequently occurring wind - yes, mild tummy aches - yes. As for the sore throat, colds etc, normally a bad attack at least once a year but always with a bad cough though never needing antibiotics until recent spell as I explained in the beginnning.
Doctor :   Ok
Doctor :   Is she known to have any other medical illness such as anemia, heart problems?
User :   No none of these
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Is the person in reference your daughter?
User :   yes
Doctor :   Ok
Doctor :   The symptoms described by you are consistent with the features of upper respiratory tract inflammation.
Doctor :   This is one of the commonest conditions faced by growing children.
Doctor :   Since you do not report of fever, the probable cause of inflammation is a viral infection or allergy.
User :   do you think she should have a blood test to clarify that that is all it is or should I not worry?
Doctor :   As long as your daughter is feeding well, and as long as she doesn't develop fever or cough or breathlessness, this is a self limiting illness and doesn't need any specific antibiotics.
Doctor :   Blood tests and evaluation are absolutely necessary if your daughter develops any of the features mentioned above or
Doctor :   if your daughter has very recurrent episodes of similar symptoms ( one or 2 episodes a year is considered normal)
Doctor :   or if she is loosing weight and her weight is low when compared to the ideal guidelines.
Doctor :   Ideal weight for a girl at 10 years is around 25 - 30 kgs or 55 to 66pounds.
User :   no still eating incredibly well
Doctor :   So as long as she doesn't develop those symptoms and if she is active and eating well, you need not worry.
Doctor :   The present symptoms will be a self limiting one,
Doctor :   you can use the following measures to help her .
Doctor :   1. Steam inhalation twice or thrice a day till she nasal congestion reduces
Doctor :   2. You can use Benadryl allergy syrup a teaspoon once or twice a day.
Doctor :   3. Avoid use of cold and refrigerated food/water
Doctor :   With these symptoms, her symptoms should improve in a 2-3 days.
User :   thank you what's the Benadryl allergy syrup actually do?
Doctor :   These syrup contain antihistamines which will help in reducing the nasal congestion,
Doctor :   alternatively, you can use nasoclear nasal drops
Doctor :   Benadryl syrup can induce drowsiness, hence I suggest you to try nasoclear nasal drops(saline nasal drops) first before trying the syrup.
Doctor :   Watch out for the symptoms that I mentioned earlier.
User :   I think I was more concerned about the stomach ache - the congested nose I know pretty much what to do for that
Doctor :   If such symptoms occur or if her symptoms continue to persist after a day or two, you will need to see a doctor.
User :   ok thank you for your advice
Doctor :   A viral infection can affect the guts leading to stomach ache and loosestools.
Doctor :   As long as she doesn't vomit, or becomes dehydrated, you need not concern.
Doctor :   Continue with proper diet and hydration,
Doctor :   Use the above measures and watch out for the concerning symptoms.
Doctor :   Lastly before concluding, I would like to state that a viral infection is common due to aerosol infections ( exposure to an infected individual) and due to water contamination.
Doctor :   Hence apart watch out for what you give her.
Doctor :   use properly boiled and sterilized water as much as possible.
Doctor :   Hope I have answered your query.
Doctor :   Do you have any other query?
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Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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