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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Had Ear Infection, Fever, Sinus Congestion. Having Tiredness, Weakness, Ear Pain, Stomachache, Vomitting. What Could It Be?

Hi, my daughter is almost 5 years old. She had an ear infection for which she finished amoxicillin on March 13. On March 17, she spiked a fever for 2 days and started sinus congestion. she has been congested with no fever since. The last 2 days she has been exhausted, no energy, screaming of an ear ache and now screaming her belly hurts. She is throwing up every couple of hours, but hasn t eaten or drink anything so its only mucus coming out. It can t be gastro as she has been home with me for a long time and when i took her to the doctor yesterday, she said there was no ear infection. What can it be?
Sat, 13 Apr 2013
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ENT Specialist,  's  Response
hello
you must get an Xray soft tissue neck lateral view of nasopharynx for adenoids.
MOst probably she is having enlarged adenoids and because of that she is having recurrent ear and nose infections and fever.
see adenoids are present behind the nose upto age of 7 yrs.
if enlarged they block the drainage of mucus from nose and so she develops nasal infections and is not able to breath.she must be a mouth breather and a snorer ,you can tell this.
there is a tube connecting the middle part of ear and behind the nose where the adenoids are present and if the adenoid are enlarged they block this tube so negative pressure generates behind the ear drum and fluid accumulation in ear and causes ear infection.
So consult an ENT specialist and get the x ray done.
till then you can give her -
decongestant syp.
and anti reflux medicines as gastroesophgeal reflux in children causes these adenoids to enlarge.
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Child Had Ear Infection, Fever, Sinus Congestion. Having Tiredness, Weakness, Ear Pain, Stomachache, Vomitting. What Could It Be?

hello you must get an Xray soft tissue neck lateral view of nasopharynx for adenoids. MOst probably she is having enlarged adenoids and because of that she is having recurrent ear and nose infections and fever. see adenoids are present behind the nose upto age of 7 yrs. if enlarged they block the drainage of mucus from nose and so she develops nasal infections and is not able to breath.she must be a mouth breather and a snorer ,you can tell this. there is a tube connecting the middle part of ear and behind the nose where the adenoids are present and if the adenoid are enlarged they block this tube so negative pressure generates behind the ear drum and fluid accumulation in ear and causes ear infection. So consult an ENT specialist and get the x ray done. till then you can give her - decongestant syp. and anti reflux medicines as gastroesophgeal reflux in children causes these adenoids to enlarge.