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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Headache, Tiredness, Fever. What Is Wrong? No Tests Done. Diagnosed With Athletic Induced Asthma

my 9 year old daughter has been on and off sick since november. she complains of headaches every day, is very tired, will not eat anything, has black cirlces under her eyes. i have been in and out of her doctors at least 9 times since november. I finally got frustrated and took her to a childrens express room where she was diagnosed with athletic induced astma. She was put on an inhaler which seems to help the cough (choking) and the headache for the time, it also clears up her eyes and the look normal but it soon wheres off and we go right back to the way she is. Non of the doctors she has seen wanted to do blood work, no chest xray , no allergy test. She is now at the limit of days she is permitted to miss at school she is a straight A student and i am still scared that there is something wrong that is not being checked. As fo a fever it is low and comes one day and is gone the next and then comes the next day and is gone again. It seems like every time i get her to the doctors she no longer has a fever and they send me home every time saying its just a viral infection but as her mother i know there is something wrong and feel like no one wants to help and i am scared that something is being overlooked. Its seems as though something is wrong with her immune system .
Tue, 26 Mar 2013
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Pediatrician 's  Response
Hi,

Thank you for your query.

I can understand your concern and should be able to guide you to the best of my ability. I suggest you keep a temperature record 4 hourly so that the doctors can review the chart.

If your daughter is suffering from exercise induced asthma then I suggest that you chart her peakflowmetry record by an inexpensive equipment which you can get at the local drug store. If the records confirm then you can impress upon the treating doctors to make your daughter undergo pulmonary function test to confirm the diagnosis and treat her appropriately.

As you have not mentioned the details of the inhaler being given I can suggest that you give her the inhaler before her work outs and observe her performance thereafter. In exercise induced asthma one need not take the inhaler constantly but has to take before going out for the work outs.

I hope I have answered your query to your satisfaction.

Wishing your daughter an early recovery.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Child Has Headache, Tiredness, Fever. What Is Wrong? No Tests Done. Diagnosed With Athletic Induced Asthma

Hi, Thank you for your query. I can understand your concern and should be able to guide you to the best of my ability. I suggest you keep a temperature record 4 hourly so that the doctors can review the chart. If your daughter is suffering from exercise induced asthma then I suggest that you chart her peakflowmetry record by an inexpensive equipment which you can get at the local drug store. If the records confirm then you can impress upon the treating doctors to make your daughter undergo pulmonary function test to confirm the diagnosis and treat her appropriately. As you have not mentioned the details of the inhaler being given I can suggest that you give her the inhaler before her work outs and observe her performance thereafter. In exercise induced asthma one need not take the inhaler constantly but has to take before going out for the work outs. I hope I have answered your query to your satisfaction. Wishing your daughter an early recovery. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl