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From 21 1st Feb My Child Again Suffering From Fever.Her

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Posted on Sun, 22 Mar 2020
Question: From 21 1st Feb my child again suffering from fever.Her noses are getting blocked
during sleeping although during wake-up position no such snoring/blockage observed. Also breathing getting checked through nostril passage, mouth breathing starting from at about 1:00 am until wake -up. left ear slightly blocked.
Given amoxicillin 600 twice for 5 days. Now giving azithral 375 once and cepodem 150 twice with servil junior from today. She has enlarged adenoid trouble by birth. Also giving free air nasal spray 27.5mcg once.
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
From 21 1st Feb my child again suffering from fever.Her noses are getting blocked
during sleeping although during wake-up position no such snoring/blockage observed. Also breathing getting checked through nostril passage, mouth breathing starting from at about 1:00 am until wake -up. left ear slightly blocked.
Given amoxicillin 600 twice for 5 days. Now giving azithral 375 once and cepodem 150 twice with servil junior from today. She has enlarged adenoid trouble by birth. Also giving free air nasal spray 27.5mcg once.
doctor
Answered by Dr. Dr. Rajat Basak (5 hours later)
Brief Answer:
Hii. Welcome to the healthcare services.Your child is having allergic infla

Detailed Answer:
Hii. Welcome to the healthcare services.Your child is having allergic inflammation of the adenoid glands or adenoiditis. The intermittent nose blockage, mouth breathing, fever is due to this allergic inflammation. Enlarged adenoids also compress over the eustachian tube orifice and results in abnormal function of the eustachian tube. Eustachian tube maintains pressure between ear and outside ear. So eustachian tube dysfunction lead to ear pain. So take a x ray soft tissue neck lateral view to see the adenoid enlargement. Start mometasone or fluticasone nasal spray. Take steam inhalation. You can take antiallergic tablet levicetrizine for short duration. Continue the antibiotic for 1 week preferably amoxycilllin. Do a audiogram to know the hearing status of ear pure tone audiogram and impedance audiogram. Depending on the hearing status it can determined that your child need removal of adenoids or medical management will continue alone. Please review with x ray and audiogram and if you have any queries.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Rajat Basak (0 minute later)
Brief Answer:
Hii. Welcome to the healthcare services.Your child is having allergic infla

Detailed Answer:
Hii. Welcome to the healthcare services.Your child is having allergic inflammation of the adenoid glands or adenoiditis. The intermittent nose blockage, mouth breathing, fever is due to this allergic inflammation. Enlarged adenoids also compress over the eustachian tube orifice and results in abnormal function of the eustachian tube. Eustachian tube maintains pressure between ear and outside ear. So eustachian tube dysfunction lead to ear pain. So take a x ray soft tissue neck lateral view to see the adenoid enlargement. Start mometasone or fluticasone nasal spray. Take steam inhalation. You can take antiallergic tablet levicetrizine for short duration. Continue the antibiotic for 1 week preferably amoxycilllin. Do a audiogram to know the hearing status of ear pure tone audiogram and impedance audiogram. Depending on the hearing status it can determined that your child need removal of adenoids or medical management will continue alone. Please review with x ray and audiogram and if you have any queries.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Rajat Basak (35 hours later)
She was given Jala- neti. Water through nose and out through mouth. Her nose bit clear. Chokage of breathing at night almost diminished. But her left ear does not getting opened. It is partially blocked. We tried home remedy like holding the air breathing and breathing out after some time with force throgh nose does not working - did that harms her ear. Do not know. What to do.
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
She was given Jala- neti. Water through nose and out through mouth. Her nose bit clear. Chokage of breathing at night almost diminished. But her left ear does not getting opened. It is partially blocked. We tried home remedy like holding the air breathing and breathing out after some time with force throgh nose does not working - did that harms her ear. Do not know. What to do.
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Follow up: Dr. Dr. Rajat Basak (9 hours later)
did the air blowing through nose harmed her ear. He complained about blocked ear after complaining slight pain 5 days ago.
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
did the air blowing through nose harmed her ear. He complained about blocked ear after complaining slight pain 5 days ago.
doctor
Answered by Dr. Dr. Rajat Basak (24 hours later)
Brief Answer:
Hii. The advice given by them is absolutely correct. Continue the fluticaso

Detailed Answer:
Hii. The advice given by them is absolutely correct. Continue the fluticasone spray, steam inhalation. Continue XXXXXXX XXXXXXX Do valsalva manouvre which I can think you are doing by forceful expiration with closed mouth and nose. This won't damage ear drum but will help in eustachian tube opening. So continue everything you have been advised. Do a hearing test impedance audiogram and pure tone audiogram tk know the hearing status.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Rajat Basak (0 minute later)
Brief Answer:
Hii. The advice given by them is absolutely correct. Continue the fluticaso

Detailed Answer:
Hii. The advice given by them is absolutely correct. Continue the fluticasone spray, steam inhalation. Continue XXXXXXX XXXXXXX Do valsalva manouvre which I can think you are doing by forceful expiration with closed mouth and nose. This won't damage ear drum but will help in eustachian tube opening. So continue everything you have been advised. Do a hearing test impedance audiogram and pure tone audiogram tk know the hearing status.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Rajat Basak (3 hours later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Dr. Rajat Basak (20 minutes later)
Doc XXXXXXX XXXXXXX prescribed to take Ceftum 250 twice, . He also prescribed to take Otrinoze adult nasal spray and Solvin decongestant (phynilphrine 5 mg/5ml) thrice .He advised to stop Futicasone and start Otrinoze adult for 5 days.
My daughter is 8 years old weight 30.
Now is the dose ok?? Can I continue Futicasone with above combination?
Now
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
Doc XXXXXXX XXXXXXX prescribed to take Ceftum 250 twice, . He also prescribed to take Otrinoze adult nasal spray and Solvin decongestant (phynilphrine 5 mg/5ml) thrice .He advised to stop Futicasone and start Otrinoze adult for 5 days.
My daughter is 8 years old weight 30.
Now is the dose ok?? Can I continue Futicasone with above combination?
Now
doctor
Answered by Dr. Dr. Rajat Basak (19 minutes later)
Brief Answer:
Hii. According to the prescription your child is having acute otitis media.

Detailed Answer:
Hii. According to the prescription your child is having acute otitis media. You can take Tab Augmentin or tab ceftum but better to give some amoxycillin clavulanic acid combination like augmentin. Ceftum is a higher antibiotic and will act in same way. The dose is correct as prescribed by doctor. Take paracetamol tablet only for pain. Take nasoclear nose drop along with fluticasone or mometasone nasal spray at paediatric dose. Take steam inhalation. Do a impedance audiogram after the infection settle and review with the reports. Take levicetrizine tablet.No need for any other drug.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Rajat Basak (0 minute later)
Brief Answer:
Hii. According to the prescription your child is having acute otitis media.

Detailed Answer:
Hii. According to the prescription your child is having acute otitis media. You can take Tab Augmentin or tab ceftum but better to give some amoxycillin clavulanic acid combination like augmentin. Ceftum is a higher antibiotic and will act in same way. The dose is correct as prescribed by doctor. Take paracetamol tablet only for pain. Take nasoclear nose drop along with fluticasone or mometasone nasal spray at paediatric dose. Take steam inhalation. Do a impedance audiogram after the infection settle and review with the reports. Take levicetrizine tablet.No need for any other drug.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Rajat Basak (3 hours later)
Should not she take solvin decongestant?
Nasoclear how many drops/ how muny times a day?
So she should not start Otrinoze adult. Is it?
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
Should not she take solvin decongestant?
Nasoclear how many drops/ how muny times a day?
So she should not start Otrinoze adult. Is it?
doctor
Answered by Dr. Dr. Rajat Basak (5 hours later)
Brief Answer:
Hii You can take either solvin or levicetrizine. If you are taking otrinoz

Detailed Answer:
Hii You can take either solvin or levicetrizine. If you are taking otrinoze spray then you should take for 1-2 week and not more than that. You can continue nasoclear ag any time.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Dr. Rajat Basak (0 minute later)
Brief Answer:
Hii You can take either solvin or levicetrizine. If you are taking otrinoz

Detailed Answer:
Hii You can take either solvin or levicetrizine. If you are taking otrinoze spray then you should take for 1-2 week and not more than that. You can continue nasoclear ag any time.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Dr. Rajat Basak

ENT Specialist

Practicing since :2011

Answered : 802 Questions

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From 21 1st Feb My Child Again Suffering From Fever.Her

From 21 1st Feb my child again suffering from fever.Her noses are getting blocked during sleeping although during wake-up position no such snoring/blockage observed. Also breathing getting checked through nostril passage, mouth breathing starting from at about 1:00 am until wake -up. left ear slightly blocked. Given amoxicillin 600 twice for 5 days. Now giving azithral 375 once and cepodem 150 twice with servil junior from today. She has enlarged adenoid trouble by birth. Also giving free air nasal spray 27.5mcg once.