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Suggest remedy for frequent infections in children

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Posted on Fri, 13 May 2016
Question: My son is 5 years old. He always gets ill very easily.
When he was 10 months old he had accute respiratory infection and got hospitalized for 5 days .and treated with iv antibiotics.
When he was 2 years old he had loosemotion and vomiting and again he got admitted in hospital for 5 days.
In last December he got pneumonia and hospitalised for 3 days.
In last month he had high fever(105°c) and got hospitalized for 5 days.blood tests were all normal.only ESR value was high(55).Dr prescribed cefdopoxime. When he was OK we left hospital.
He is having allergic problems (sneezing and nasal congestion in the morning). He is taking montair 4 for the last 5 months.6 months back had cough and breathless XXXXXXX That time Dr prescribed montair 4 and cetrizine.He is always have slight temperature on his body especially palm and foot. In the day time his temperature is 99.2(usually less than 100).it is normal in the morning.we are looking temperature in ears.is it normal? Or anything to worry? Need to meet any specialist? He have any serious problem? Have to meet any immunologist to improve his resistance? Please help me Dr?
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Answered by Dr. Sumanth Amperayani (44 minutes later)
Brief Answer:
Looks like viral illness.. Don't worry please

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.

If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 101F. I suggest not using combination medicines for fever, especially with Paracetamol.

Regarding his allergies I have a few questions.

Questions:
1. How many days per month does he cough or feel breathless?
2. How many nights per month does his sleep get disturbed due to above symptoms?
3. Does he feel breathless when he runs around or plays with other kids?
4. Are the symptoms when there are seasonal changes?
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
6. Is the cough always associated with fever?

Please get back with answers.
Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sumanth Amperayani (37 minutes later)
He had viral fever in Feb first week. At that time he was in hospital .after 1 week he became better and left hospital. But nowadays he have slight temperature. I am talking about that.
After taking montair 4 he haven't any cough or breathlessness.
My brother is an asthma patient.
I had eczema when I was young.
doctor
Answered by Dr. Sumanth Amperayani (35 minutes later)
Brief Answer:
You need not worry about that temperature

Detailed Answer:
Hi....you need not worry about that temperature.

Coming to your queries -

1. This is normal temperature in a growing child. It is due to basal metabolic rate. You need not consider it as fever unless is more than 101 degrees Fahrenheit.

2. Checking temperature in wars is the best method.

3. No need to meet any specialist.

4. No need for immunologist consultation.

5. It is normal in mornings. Differential temperature us normal in various body parts.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8280 Questions

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Suggest remedy for frequent infections in children

Brief Answer: Looks like viral illness.. Don't worry please Detailed Answer: Hi...Thank you for consulting in Health Care magic. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 101F. I suggest not using combination medicines for fever, especially with Paracetamol. Regarding his allergies I have a few questions. Questions: 1. How many days per month does he cough or feel breathless? 2. How many nights per month does his sleep get disturbed due to above symptoms? 3. Does he feel breathless when he runs around or plays with other kids? 4. Are the symptoms when there are seasonal changes? 5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? 6. Is the cough always associated with fever? Please get back with answers. Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,