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Suggest Treatment For Nasal Bleeding, Cough And Cold In A Child

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Posted on Fri, 24 Jun 2016
Question: Hi doctor, Good day,
my son is 8 years old and he occasionally get blood from his nose. And sometimes just after waking up.
my son also catch cough and cold very easily.
please suggest me for my son.
doctor
Answered by Dr. Sumanth Amperayani (24 minutes later)
Brief Answer:
Need more information - please get back with answers

Detailed Answer:
Hi...I need more information before I suggest you what is the best for your son... please answer my 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 and cold always associated with fever?
7. Is there any habit of nose picking or putting fingers into the nose?
8. Is the nose bleed always from a single nostril or is it from both nostrils?
9. How frequently does he get this nosebleeds - every week or every month or some months once?

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (1 hour later)
Questions:
1. How many days per month does he cough or feel breathless?
Ans. 5 days in a month he is having cough. And in case of acute cough and cold (once in 5-6 months) he experience breathless. Mostly we have observed due to change in season. Also my son likes to have unaerated cold drinks (like cold water/milk, ice cream, squashes...) and likes to sit in A/C room only.

2. How many nights per month does his sleep get disturbed due to above symptoms?
Ans. once in 5-6 months.

3. Does he feel breathless when he runs around or plays with other kids?
Ans. No. But sometimes, when he is having cough and cold. Sometimes he gets tired early while playing with other kids.

4. Are the symptoms when there are seasonal changes?
Ans. Yes.

5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
Ans. My mother is also allergic to seasonal changes. And I'm allergic to dust, I sneeze when I'm exposed to dust suddenly.

6. Is the cough and cold always associated with fever?
Ans. No.

7. Is there any habit of nose picking or putting fingers into the nose?
Ans. NO.

8. Is the nose bleed always from a single nostril or is it from both nostrils?
Ans. I'm sorry, we have not observed this.

9. How frequently does he get this nosebleeds - every week or every month or some months once?
Ans. Sometimes once in some months or sometimes when he gets accidently hit on nose.
doctor
Answered by Dr. Sumanth Amperayani (11 minutes later)
Brief Answer:
Looks like ccassional wheezing - don't worry about nose bleeds

Detailed Answer:
Hi..... you need not worry about this occasional nosebleeds. But from the information that I have gathered from you I feel that he is having occasional Wheezing which you are quoting as cough and cold.

I am going to tell you how to deal with this cough which is Wheezing. He might need to be started on inhalers which need some training also. These are my suggestions for your child

Suggestions:

1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and now asthma/ Wheezing is 100% controllable.

2. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Foracort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever the kid is having severe cough in spite of regular usage of Foracort. The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your paediatrician for this.

3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (1 hour later)
Hi Doctor,
Thanks for your reply.
My son is just 8 years old, should we use inhalers for the treatment.

I'm concerned for the long term side-effects and dependency on same.
doctor
Answered by Dr. Sumanth Amperayani (4 minutes later)
Brief Answer:
Please do not be concerned

Detailed Answer:
Hi.... this is the appropriate dose and please do not be concerned about the side effects.

Steroid Side Effects are more pronounced when given as oral medication in milligrams.... this is only metered dose inhaler in micrograms so this is my suggestion for your child. Please discuss this with your local pediatrician and go ahead with the metered dose inhaler.

Appropriate doses will not cause any side effects in any major way please do not worry about those as such.

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
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Suggest Treatment For Nasal Bleeding, Cough And Cold In A Child

Brief Answer: Need more information - please get back with answers Detailed Answer: Hi...I need more information before I suggest you what is the best for your son... please answer my 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 and cold always associated with fever? 7. Is there any habit of nose picking or putting fingers into the nose? 8. Is the nose bleed always from a single nostril or is it from both nostrils? 9. How frequently does he get this nosebleeds - every week or every month or some months once? Regards - Dr. Sumanth