HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Adenoid And Allergy Problem In Kid


Hello Doctor,
My Daughter aged 3.9 is having Adenoid and allergy problem- ( both tests are done). She was hospitalized at the age of 2.5 yrs for RTI and intravenous was given for5 days. there after, I tried homeopathy- it failed and since March 2010, she is under regular medication of Seroflo/ Budecort puff . When ever, the intensity of cold is high , she takes asthaline puff and steroid syrup. With that she improves- but again the problem reoccurs within a month and almost in every two months I need to give her steroid syrup. The ENT is saying to go for adenoid operation while, the pediatrician is saying not to do it before 6 years. Snoring is relatively much less compared to her earlier ages, sleep at night is normal, though she gets spell of coughs 3-4times in sleep, weight is good and activity is normal except when she gets the acute attack of cold- that time she is very irritated, aggressive--. Please suggest
Mon, 11 Aug 2014
Report Abuse
Allergist and Immunologist,  's  Response
Hello.

Thank you for asking at HCM.

I went through your daughter's history and understand your concern.

I would like to make following suggestions for her:

1. As long as her current treatment, I would agree with most of it.

2. Regarding need for removal of adenoids, I would agree with your pediatrician that efforts should be made to preserve adenoids upto age of 6 years as they important for a child's immunity.

3. I would like to emphasize the importance of device and technique of using inhalers (Seroflow/Budecort). If they are not perfect, the drugs may not be reaching the lungs in adequate amounts and hence not be as effective as they should be.

In my opinion, for a 3.9 year child, metered dose inhaler with spacer with mask is the best inhaler equipment. Please make sure her technique of using the inhalers is perfect by reviewing it in presence of your pediatrician. Also, regular cleaning and changing the spacer every 6 months is advisable.

4. Were I treating her, I would add regular montelukast in above treatment, which may improve her symptoms and reduce need for repeated steroid requirements.

5. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc), avoidance of the allergens (to which she is allergic) and avoidance of dusts & smokes are also important measures for her.

Hope above suggestions will be helpful to your daughter.

Wish her the best of the health and a bright future ahead.

Should you have any further query, please feel free to ask at HCM.

Thank you & Regards.
I find this answer helpful
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Sleep disorder


Loading Online Doctors....
Suggest Treatment For Adenoid And Allergy Problem In Kid

Hello. Thank you for asking at HCM. I went through your daughter s history and understand your concern. I would like to make following suggestions for her: 1. As long as her current treatment, I would agree with most of it. 2. Regarding need for removal of adenoids, I would agree with your pediatrician that efforts should be made to preserve adenoids upto age of 6 years as they important for a child s immunity. 3. I would like to emphasize the importance of device and technique of using inhalers (Seroflow/Budecort). If they are not perfect, the drugs may not be reaching the lungs in adequate amounts and hence not be as effective as they should be. In my opinion, for a 3.9 year child, metered dose inhaler with spacer with mask is the best inhaler equipment. Please make sure her technique of using the inhalers is perfect by reviewing it in presence of your pediatrician. Also, regular cleaning and changing the spacer every 6 months is advisable. 4. Were I treating her, I would add regular montelukast in above treatment, which may improve her symptoms and reduce need for repeated steroid requirements. 5. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc), avoidance of the allergens (to which she is allergic) and avoidance of dusts & smokes are also important measures for her. Hope above suggestions will be helpful to your daughter. Wish her the best of the health and a bright future ahead. Should you have any further query, please feel free to ask at HCM. Thank you & Regards.