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What Causes Lightheadedness, Cold, Cough, Fever And Nasal Itchiness In A Child?

Posted on Tue, 13 Sep 2016

Question: Hello Doctor,

My son is 4 years old, getting attacked with regular cold, cough, fever & Nasal itchiness & itchy in eye from the past 5 months. The frequency is 2 times in a month. We arranged for my son's blood / D3 test & here is the summary:

Could you please advise if there is any problem from the reports & due to which my son is being attacked with regular fever?

Thanks
XXXXX

Answered by Dr. Pradeep Kumar Jain (55 minutes later)

Brief Answer:
Most likely allergic in origin

Detailed Answer:
Hello

Thanks for choosing this platform

I have seen the reports and also gone through the detail history.Repeated attack of cough and cold which is associated with itchiness in nose and eyes are more suggestive of allergic origin.
The vitamin D3 level is insufficient (not deficient)and it needs to be supplemented.
The hemogram report is normal.
Here I would like to get serum IgE level done (a sensitive test to detect allergic origin of cough and cold).Long term treatment with anti allergic (like montelukast and cetrizine)with nasal and ear drops will help.
I request you to consult a pediatrician for clinical evaluation, discuss for the need of these test and treatment accordingly.

I hope this helps.
I shall be glad to help you out if you have any query.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Pradeep Kumar Jain (51 minutes later)

Dear Sir

Thanks. However I have noticed lymphocyte count & Neutrophil count is not in a normal rage.

What is your suggestion for this.

Thanks
XXXXX

Answered by Dr. Pradeep Kumar Jain (5 hours later)

Brief Answer:
Reference range varies according to age

Detailed Answer:
Thanks for follow up

Reference ranges of neutrophils and lymphocytes vary according to age,while most of the labs use standard reference range(those of adults).
For four years old the lymphocyte and neutrophil range from 40-60% is considered to be normal.
Mild increase in Lymphocytes count can be seen in any viral infection.
I won't get overly worried as lymphocyte count in your child is just borderline raised.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar