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Suggest treatment for ear infection, fever and runny nose

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Posted on Mon, 25 Jul 2016
Question: My one year old girl got two colds that led to ear infections, during her forst year of life now at her one year old well check up on 7/2/16 the md said that she has fuid on both ears and that maybe the reason why shes not speaking yet, eventhough shes was not sick, today shes started a runny nose and her temp is 100.6 is this because of the vaccines or is this a common cold ?Can this complicate her ears even more? How can i prevent the fluid from getting stuck ? Thanks!
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Answered by Dr. Sumanth Amperayani (54 minutes later)
Brief Answer:
I need more information before guiding you further

Detailed Answer:
Hi.... I need more information about the kids before guiding you further what to do. Please answer my questions -

1. Did she receive any vaccination in the past 48 hours?

2. During her first year of life you told there were two ear infections. I would like to know what are the ages at the ear infections and how long the antibiotics were given in each episode?

3. How many words is she speaking now? I mean is she uttering bi-syllables like mama, Da Da, Ta Ta?

4. Does she turn to the point of origin of sound when called or when there is sudden noise?

5. Is there any family history of deafness or Kidney related problems?

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sumanth Amperayani (4 hours later)
Hi! To answer your questions,
1.the mmr, varicella and hep a vaccines were given to her 6 days ago
2. The two ear infections were as a consequence from a viral upper respiratory infection and she received amocicillin for ten days i cant recall how much was given but i remember asking the pharmacist to re calculate the dosage based on my daughters weigt at the time
3. Shes not speaking sometimes she says mamamamama but i dont think shes calling me. She also says "auhh"-and points at whst she wants or signs a few words such as again, and more
4. Sometimes she does turn but lately even when i call her shes not really responding ( ie when i want to call her attention to take a picture of her)
5. My dad who is 84 yo, was prescribed hearing aids and there is no history of kidney problems with either dad or myself
The pediatric md, said that in august she will prescribe a hearing test to see if theres blockage if there is then she will forward it to an ent for ear tubes surgery, which iam extremly worry about. Any thoughts or suggestions on what to do will be greatly appreciated!
Thanks!
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
This fever could be related to vaccination - suggestions on hearing problem

Detailed Answer:
Hi... I understand your concern. My suggestions -

1. This fever could be related to vaccination.

2. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 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.

3. For recurrent otitis media or middle ear infection the only surest way of preventing fluid accumulation will be to insert grommet or tubes. This is not a major issue. Please do not worry about it.

4. By what you quote I feel that there could be a mild hearing impairment for your child. I suggest you do a BERA test for your kid.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sumanth Amperayani (9 hours later)
Thank you! will wait and see what the results says about the hearing. And make a desicion then.
Best regards,
XXXX
doctor
Answered by Dr. Sumanth Amperayani (3 minutes later)
Brief Answer:
Happy to help anytime, please get back if you have any further query

Detailed Answer:
Hi.... I am happy that my suggestions have been helpful to you. I am happy to help any time. Please get back if you have any further query.

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 : 8348 Questions

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Suggest treatment for ear infection, fever and runny nose

Brief Answer: I need more information before guiding you further Detailed Answer: Hi.... I need more information about the kids before guiding you further what to do. Please answer my questions - 1. Did she receive any vaccination in the past 48 hours? 2. During her first year of life you told there were two ear infections. I would like to know what are the ages at the ear infections and how long the antibiotics were given in each episode? 3. How many words is she speaking now? I mean is she uttering bi-syllables like mama, Da Da, Ta Ta? 4. Does she turn to the point of origin of sound when called or when there is sudden noise? 5. Is there any family history of deafness or Kidney related problems? Regards - Dr. Sumanth