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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Child, Nasal Congestion, Wheezing. Tried Nebulizers, Allergy Medication. Treatment For Symptoms?

My son has constantly had nasal congestion and wheezing since he was born. He is 13 months old now. He had RSV at 4 months and again a month ago. We have done the nebulizer treatments and have given him every over the counter allergy med there is and nothing works. It is really tiring not knowing what is going on with him and nothing giving relief. What might it be?
Fri, 1 Feb 2013
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Pediatrician 's  Response
Hi,
Thank you for your query on Healthcare Magic,
As your child is having constant nasal congestion and wheezing and requiring frequent nebulizations, it is better to rule out allergic rhinitis and asthma with atopy by regular clinical follow up visits.
If child is having asthma treatment for short term and long term can be planned on depending on his symptoms profile.
So be in regular follow up with your Pediatrician for proper evaluation and for appropriate medical management.
Hope i have answered your query.
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Pediatrician Dr. Sudha Shree Venkataraman's  Response
Hi

Repeated episodes of bronchiolitis (RSV) can predispose to asthma in kids.

If every episode of cold ends up with a wheeze, its better to start him on preventor medications like Monteleukast to be given for some time atleast. This will help in reduction in frequency of such episodes.

So please discuss with your Pediatrician regarding this.

Also try to keep your kid away from common allergens like dust, smoke, perfumes, cigar smoke, pollen etc that can trigger allergies. Also do not forget to give your flu shot every year along with other needed vaccines.

Hope my answer helps you.
Wish your son good health.
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Small Child, Nasal Congestion, Wheezing. Tried Nebulizers, Allergy Medication. Treatment For Symptoms?

Hi, Thank you for your query on Healthcare Magic, As your child is having constant nasal congestion and wheezing and requiring frequent nebulizations, it is better to rule out allergic rhinitis and asthma with atopy by regular clinical follow up visits. If child is having asthma treatment for short term and long term can be planned on depending on his symptoms profile. So be in regular follow up with your Pediatrician for proper evaluation and for appropriate medical management. Hope i have answered your query.