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Child has recurrent cough and fever. Normal blood and urine test. Any other checkup needed?

Hi My son is getting cough and fever consequently once in month for last one year.His age is 3 year and 4 months having 13 kg now one year before blood and urine checked all were normal doctors saying because of less immunity and all are viral fever is there anything to fear any other checkup needed? pls advice Sajitha Das
Asked On : Thu, 31 Jan 2013
Answers:  3 Views:  48
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Pediatrician 's  Response

Kids of this age group can have 6 to 10 episodes of upper respiratory infection per year- with cold, cough, fever etc.
Kids sent to day care/ play schools etc are more prone for frequent infections.

However if cough is associated with wheeze, precipitated by a viral infection, you may approach your doctor for preventor medications.

His weight seems to be okay. Just give him a nutritious diet with plenty of fruits, vegetables, eggs daily.
You may also get micronutrient supplementation after getting advice from your Pediatrician.

Teach him hand washing techniques.
Hope my answer helps you.
Wish your son good health.

Answered: Thu, 31 Jan 2013
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Pediatrician, Cardiology Dr. Pradeep Kumar's  Response

Recurrent cough and fever may be due to viral infection with underlying hyper reactive airway disease.As this is the most common cause of such complaints.

I would like to know if there is any similar family history( suggestive of allergic or immunodeficiency), whether these episodes were associated with radiological changes also( suggestive of pneumonia),Whether he is symptom free in between or cough is persistent, cough is associated with feeding ( suggestive of gastroesophageal reflux),is there any postnasal drip, etc. There are so many causes of recurrent cough and a proper history with clinical examination and lab investigations diagnosis can be made.

I would like to suggest you to get an immune profile (various immunoglobulin level ) done, to rule out any immunodeficiency.Consult a pulmonologist for proper evaluation. If everything is OK then no need to worry as in this age group 6-10 episodes of infection can occur in a normal child.


Answered: Thu, 31 Jan 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Thank you for your query,
Frequent upper respiratory tract infections are common in preschool children till the age of 6 years as they expose to many organisms.
After 6 years children will develop immunity and resistance to many organisms and the infections are less common.
As your child investigations are normal and doctor have examined nothing to worry.
Maintain hygiene, encourage him to wash hands regularly, avoid exposure to crowds and people with cold, cough and vaccination should be up to date.
Hope i have answered your query.
Answered: Fri, 1 Feb 2013
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