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Hi, My Son Is 5 And Has A History Of

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Posted on Mon, 3 Dec 2018
Question: hi, my son is 5 and has a history of asthma, sinus infections ear infections (has grommets). he has his tonsils out, partial removal of adenoids and is on flixotide x2 daily and ventolin. just recently hes been unwell, started as a runny nose a week ago, developed into an asthma flare up which then turned into vomiting and bringing up yellow/green stuff. first he was put on amoxicillin, which didnt work after 3 days, so he got a stronger amoxicillin a duo. hes had temps, so hes been having panadol here and there as well. he hasnt been eating much, just fruits and custards and sandwiches, mainly drinking im concerned though because the vomiting has been lasting longer than a week, maybe a week and a half, sometimes its food sometimes phlegm. still going to the toilet ok. this is the sickest hes been, we had a new home doctor see him who wouldnt give him antibiotics when he first got sick and he went downhill from there quite rapidly. just wondering what your thoughts are please. thank you.
doctor
Answered by Dr. Michelle Gibson James (3 hours later)
Brief Answer:
may be due to antibiotics, mucus production, coughing

Detailed Answer:
HI, thanks for using healthcare magic

It is understandable to be concerned.
Unfortunately with a history of asthma, infections of any aspects of the respiratory tract can would provoke an asthma attack.

Though it is worrying when the appetite is decreased, drinking and maintaining normal fluid intake, is more important. When he starts to feel better his use of solid food will improve. It would be important to monitor to make sure that he uses enough fluids and does not become dehydrated- monitor his urine output and skin (if it appears dry), pulse rate etc

The vomiting can sometimes occur after a bout of coughing so that controlling the coughing would help with the vomiting. It is also due to the antibiotics,unfortunately stomach upset and vomiting are side effects of antibiotics.Probiotics may help here

The excess mucus may also be making him nauseous as well. A decongestant , both topical and oral, would help to decrease his mucus. Topical decongestants include normal saline drops or otrivine
Both over the counter cough and cold meds have decongestants.

You would need to give him back the fluids that he is losing via the vomiting- both the fluids and electrolytes need to be replaced.

Pedialyte or other rehydration solution should be used and he should be given small sips after each vomiting episode. Careful not to use too much because if his stomach is upset, he would vomit this up as well

Summary: Monitor hydration status
(2)need to replace fluid that he is losing to prevent dehydration-use small amounts at a time
(3)solid food intake will improve as he improves,
(4)decongestant would decrease mucus which maybe upsetting stomach and contributing to vomiting
(5)probiotics

I hope this helps, feel free to ask any other questions
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
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Hi, My Son Is 5 And Has A History Of

Brief Answer: may be due to antibiotics, mucus production, coughing Detailed Answer: HI, thanks for using healthcare magic It is understandable to be concerned. Unfortunately with a history of asthma, infections of any aspects of the respiratory tract can would provoke an asthma attack. Though it is worrying when the appetite is decreased, drinking and maintaining normal fluid intake, is more important. When he starts to feel better his use of solid food will improve. It would be important to monitor to make sure that he uses enough fluids and does not become dehydrated- monitor his urine output and skin (if it appears dry), pulse rate etc The vomiting can sometimes occur after a bout of coughing so that controlling the coughing would help with the vomiting. It is also due to the antibiotics,unfortunately stomach upset and vomiting are side effects of antibiotics.Probiotics may help here The excess mucus may also be making him nauseous as well. A decongestant , both topical and oral, would help to decrease his mucus. Topical decongestants include normal saline drops or otrivine Both over the counter cough and cold meds have decongestants. You would need to give him back the fluids that he is losing via the vomiting- both the fluids and electrolytes need to be replaced. Pedialyte or other rehydration solution should be used and he should be given small sips after each vomiting episode. Careful not to use too much because if his stomach is upset, he would vomit this up as well Summary: Monitor hydration status (2)need to replace fluid that he is losing to prevent dehydration-use small amounts at a time (3)solid food intake will improve as he improves, (4)decongestant would decrease mucus which maybe upsetting stomach and contributing to vomiting (5)probiotics I hope this helps, feel free to ask any other questions