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Child having sneezing problem and face starts to bubble. Doesn't eat more. How to improve health?

Feb 2013
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Practicing since : 2002
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Hello Dr. My 7 year daughter having sneezing problem. Sometime midnight, sometime when taking bath she start to sneezing atleast minimum 10 times continually sneezing.
She don't have cold, but some sneezing with little plum.

She is only 7 year child. But now her face start to bubble like pimple...
She is tall,thin, only 19kg.
She is looking most of the time very tired. I don't no why? She don't like to eat more, only 2 idly like..... Vegetarian. She don't like milk also. Pls advise me.... Improve her health. She like fruits, chilled items.....
Posted Sun, 14 Jul 2013 in Child Health
Answered by Dr. E Venkata Ramana 1 hour later

Thank you for your query on Healthcare Magic.

Frequent sneezing may be due to allergic rhinitis.

Sneezing is common due to some irritation in the nose, but recurrent and continuous sneezing is suggestive of hypersensitivity of nasal mucosa to allergens like cold water, cold air, and dust.

For sneezing, you can give her an oral antihistamine like cetirizine in prescribed dose for 3 to 5 days.

But if she is having persistent symptoms, she may require a long acting antihistamine like fexofenadine (Allegra).

Watch carefully for the allergens, which are causing sneezes in her and avoid exposure of the child to them.

She needs examination to look for any nasal polyps, turbinate hypertrophy, and investigations like CBP, absolute eosinophil count, serum IgE levels, and X XXXXXXX of paranasal sinuses and chest.

Coming to her weight, she is in the normal range as per CDC growth charts, but at lower side (10th percentile). Give her nutritious and balanced diet.

You can give boiled eggs (if she likes), items made of groundnut, and you can add ghee or edible oil to her regular diet to make it more calorie dense.

Some children don't like milk, so don't force her to drink. You can ask her to take milk with commercially available milk supplements.

Tiredness is seen in school going children because of their activity and growth needs.

Give a balanced and nutritious diet consisting of fruits, vegetables, and leafy vegetables.

Get her examined for anemia, vitamin deficiencies, and for worm infestation.

Therefore I advise you to consult the pediatrician for complete physical examination of the child and investigations to look for any underlying allergic tendencies and cause for tiredness.

Hope I have answered your query, if you have any clarification please let me know.

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