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How to prevent recurrance of chest infections in 2 year old who is lactose intolerant?

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General & Family Physician
Practicing since : 2003
Answered : 336 Questions
My 2yold son is hypermobile (which is getting more noticable). 3 weeks ago he fnished iron (sytron) for XXXXXXX He has started going pale, tired, irritable and unsteady on his feet again. He eats well (all home made, lots of fish & red meat (he is lactose intolorent) although he does not always digest food well. He has had 2 chest infections (anti biotics given) already this year. his chest still rattles, shortness of breath when active, raised heart rate and lymph nodes are raised in right side of neck.
Sat, 5 May 2012 in Vaccinations
Answered by Dr. Deepak Anvekar 4 hours later

From the symptoms of chest rattling and shortness of breath when active, it seems that probably your son might be having bronchiolitis or childhood asthma.

With childhood asthma, the lungs and airways become easily inflamed when exposed to certain triggers, such as airborne pollen. In other cases, childhood asthma flares up with a cold or other respiratory infection. Childhood asthma can cause bothersome daily symptoms that interfere with play, sports, school and sleep. In some children, unmanaged asthma can cause XXXXXXX asthma attacks

In younger children, diagnosis can be difficult because lung function tests aren't accurate before 6 years of age. Some children simply outgrow asthma-like symptoms over time.

Some conditions that can cause asthma-like symptoms include: Rhinitis , sinusitus, Acid reflux or gastroesophageal reflux disease (GERD), Airway abnormalities, Respiratory tract infections such as bronchiolitis and respiratory syncytial virus (RSV).

Treating asthma involves both preventing symptoms and treating an asthma attack in progress. Medications that your doctor can prescribe could include Inhaled corticosteroids (for long term control), Bronchodilators (for acute symptom control) and antibiotics ( for treatment of any associated infections).

You might consult a pediatrician for a complete evaluation of your son, who might get a definitive diagnosis and start the necessary treatment.

In addition to the current problems, he might get blood tests to check for resolution of the anemia and the need for continued treatment as well.

In the mean time, you can give him advil for kids that will reduce the inflammation (including the swollen nodes in the neck).

Hope I have answered your query.

If you have any more queries, I will be available to answer them as well.
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