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Suggest Treatment For Cold, Running Nose And Fever In Infants

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Posted on Sat, 18 Apr 2015
Question: My seventeen month baby is suffering with cold ,running nose and fever for the past 15 days. Fever gets reduced after giving t98but again the temperature raises. another doctor has given coldwok250 how to get rid
doctor
Answered by Dr. Sumanth Amperayani (39 minutes later)
Brief Answer:
Looks like seasonal allergy

Detailed Answer:
Hi....by what you quote I feel that your kid might be having a seasonal allergy.

If I were your treating dr I would have prescribed Oral Monteleukast along with a small course of antiallergics.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sumanth Amperayani (1 hour later)
Than u Dr...
Is it necessary to h have a blood test... Can u please suggest medicine's
doctor
Answered by Dr. Sumanth Amperayani (6 hours later)
Brief Answer:
Before suggesting I need some information

Detailed Answer:
Hi....Before suggesting I need some information, kindly answer the question below.

1. Have you recorded daily temperature above 100F for the past 15 days?
2. How is the activity of the kid when the temperature touches normal?
3. Apart from cough and cold is the kid breathless at any point of time?
4. How many days per month does the cough or feel breathless?
5. How many nights per month does the kid's sleep get disturbed due to above symptoms?
6. Does the feel breathless when she plays?
7. 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?

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Sumanth Amperayani (6 hours later)
Dear Doctor,
Thanks again for your prompt reply. Here is the details you require.
1. Have you recorded daily temperature above 100F for the past 15 days?
Yes for more than 9 days

2. How is the activity of the kid when the temperature touches normal?

The child is normal and plays well, active

3. Apart from cough and cold is the kid breathless at any point of time?
No, but at sometimes it seems he is feeling difficulty
4. How many days per month does the cough or feel breathless?
This is the second time and the running nose was for the past 4 to 5 monts
5. How many nights per month does the kid's sleep get disturbed due to above symptoms?
No

6. Does the feel breathless when she plays?
No
7. Are the symptoms when there are seasonal changes?
May be
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
No asthma but I have askin allergy in my right palm ... like rashes

6. Is the cough always associated with fever?
No, this is the first time

Kindly give your suggestions
doctor
Answered by Dr. Sumanth Amperayani (13 minutes later)
Brief Answer:
Viral illness and mild allergy

Detailed Answer:
Hi...I have gone through the history points you have provided.

I feel that you kid is having a recurrent viral illness and a mild allergy.

Regarding viral illness - 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 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Regarding mild seasonal allergy - I suggest you use Monteleukast 4mg tablet mixed in water once a day for 2 weeks. Apart from this I suggest you use daily 2.5mg once Levocetrizine syrup too. Both these are prescription drugs, so I suggest you meet your pediatrician for this.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Follow up: Dr. Sumanth Amperayani (29 hours later)
Dr i have attached my sons blood and urine test report. Kindly provide me the details about the fever cold and cough
doctor
Answered by Dr. Sumanth Amperayani (11 hours later)
Brief Answer:
May be viral still....possibly typhoid

Detailed Answer:
Hi....Greetings from XXXXXXX I have gone through your reports.

I need to tell you some facts about Widal test. There are 2 methods of doing it. Slide method is easier, less reliable and results are available immediately. Tube method is more reliable, takes 36 hours to report.

If this widal has taken 2 days to report trust it.

Regarding cold and cough, as I have already mentioned it looks like seasonal allergy.

I suggest you use oral Monteleukast and Levocetrizine for 2 weeks and review again. Both are prescription drugs. You need to see your pediatrician for this.

I practice in XXXXXXX in week days and Kanchipuram on Sundays. If needed you can approach me on weekdays in XXXXXXX or Sundays at Kanchipuram.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (2 hours later)
Thank u Dr....
Can u suggest what kind of food can be given during these days...
Also is it correct to give cow milk
doctor
Answered by Dr. Sumanth Amperayani (3 minutes later)
Brief Answer:
Avoid spicy food, you can give cow's milk

Detailed Answer:
Hi....coming to your queries -

1. Avoid spicy food and food which contain too much of sugar.

2. You can give cow's milk.... No problem.

Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

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 : 8339 Questions

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Suggest Treatment For Cold, Running Nose And Fever In Infants

Brief Answer: Looks like seasonal allergy Detailed Answer: Hi....by what you quote I feel that your kid might be having a seasonal allergy. If I were your treating dr I would have prescribed Oral Monteleukast along with a small course of antiallergics. Regards - Dr. Sumanth