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Small child, frequent colds, nasal discharge, fever, cough, wheezing. Treatment options?

my 3yr old son gets cold often. which starts with running nose . sometimes followed with fever and/or cough . he doesnt like to use a blanket while sleeping coz of the fear of being trapped in it. but wear sweater and jackets in cold weather. any change of weather starts his running nose. he always has audible breathing , which can be heard easily, as if he was running. closes his mouth on sleeping when he has no cold. but the blocked nose during his cold troubles him at sleep.very active by nature, careless too. eats well.
Asked On : Fri, 8 Feb 2013
Answers:  3 Views:  133
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Pediatrician 's  Response
Thanks for your query.
Recurrent respiratory infections are common in young child up to 6 years of age.
For blocked nose i suggest you to use saline nasal drops 3 to 4 times a day and before sleeping.
During winters there is dryness in air,so you should use steamer for sometime so as to humidify air.
Give him good nutritious diet,plenty of fluids,fruit,salads,green vegetable and balanced diet so as to boost immunity.

Wishing your child good health.
God bless.
Answered: Fri, 8 Feb 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Thank you for your query,
Children below 6 years frequently get cold and cough due to frequent exposures to viruses and bacteria.
Initially viral infections start with cold, followed by cough and fever, some times due to secondary infection with bacteria.
The treatment is symptomatic with nasal drops for block, oral antihistamines, cough syrup , paracetamol and antibiotics for bacterial infections.
Some children are having seasonal allergic rhinitis and they develop cold in winter seasons and pollen spreading seasons.
So exposure to cold air, pollend should be avoided and they will respond to long acting antihistamines and lukotriene inhibitors like montelukast for lont term therapy.
So consult your Pediatrician regularly to assess his symptomatology and for proper plan of therapy.
Hope I have answered your query.
Answered: Fri, 8 Feb 2013
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Pediatrician Dr. Sudha Shree Venkataraman's  Response

If the cold episodes are associated with fever- then it might be due to Upper Respiratory Infection (URI)- mostly viral. Upto 6 to 10 episodes of URI are common in kids.
Frequency will be more if your kid attends a day care or play group.
As kids grow, immunity improves and gradually the frequency will come down.
You have to be sure he gets a nutritious diet with plenty of fresh fruits, veggies, nuts, milk, eggs etc.
Teach him hand hygiene and give him the needed vaccines- including flu shot.

How-ever if its just a cold and no fever is seen- it might due to Allergic Rhinitis.
Most common allergens are dust, pollen, differences in temperature, smoke, animal danders (Hair, shed skin cells, saliva etc)
If possible try to keep him away from these allergens.
There are medications to be used during the episode and to be used to prevent such attacks.
You might speak to your doctor regarding them.

Hope my answer helps you.
Wish your son good health.
Answered: Fri, 8 Feb 2013
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