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Hi Sir My Son Is 3 Years He Is Suffering
Question: Hi sir my son is 3 years he is suffering from every month. 2 years back he got patchy pneumonitis in right lower lung. Again today we did chest x ray. Same impression showed in chest x ray. Presntly he is having fever cough cold. Active but not interested in eating.. After one day we did x ray in another hospital xray report is normal. What is the reason for it. My thought is it could be hypersensitivity pneumonitis.
Brief Answer:
Can you send me both x rays?
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Hypersensitivity pneumonitis is unlikely in children.
I want to know few more things to guide you better.
Please let me know
1. Can you send me picture of both the x rays?
2. Is he talking any treatment currently? If yes then is he taking steroid?
3. Is he having any known allergies?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your son. Thanks.
Can you send me both x rays?
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Hypersensitivity pneumonitis is unlikely in children.
I want to know few more things to guide you better.
Please let me know
1. Can you send me picture of both the x rays?
2. Is he talking any treatment currently? If yes then is he taking steroid?
3. Is he having any known allergies?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your son. Thanks.
Above answer was peer-reviewed by :
Dr. Yogesh D
Yes sir he is taking treatment right now sir. Azithromycin 200. Nuebilization duloin nd budecort. Tuscold for for every 6 hours. Predsionole 1ml. Once daily. Presntly he is having fever for 6 hours temp around 100f.cough nd running nose.
Brief Answer:
X ray film would be better.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
I have gone through the x ray report you have attached.
If you can send me picture of x ray film then it would be more beneficial.
I am asking this because there is possibility of false reporting many times.
Some radiologist report this as patchy pneumonitis while some report it as prominent bronchovascular markings.
I am telling you real time scenario.
So please send me picture of his both x ray films so that I can guide you better.
I will be happy to help you further. Wishing good health to your son. Thanks.
X ray film would be better.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
I have gone through the x ray report you have attached.
If you can send me picture of x ray film then it would be more beneficial.
I am asking this because there is possibility of false reporting many times.
Some radiologist report this as patchy pneumonitis while some report it as prominent bronchovascular markings.
I am telling you real time scenario.
So please send me picture of his both x ray films so that I can guide you better.
I will be happy to help you further. Wishing good health to your son. Thanks.
Above answer was peer-reviewed by :
Dr. Yogesh D
This is done in private hospital. Which is normal. Other one done in govt hospital. They didn't give me the film. They provided only report. Cbc normal. Hb 13.lymphocytes. 27 eosinophils 7.nuetrophils 64 tc 8800.platelet 264000.malaria negative. Dengue negative. Typhoid negative. Crp negative. Doctor ordered absolute eosinophil count.. Monocytes normal.
Which is done in private hospital. As i am working in govt hospital. They didn't give me film they provided only report. Plz clarify my doubts.
Brief Answer:
Possibility of asthma is more likely.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Sorry for late reply as I was busy.
In my opinion, he is either having asthma or allergic bronchitis.
Honestly speaking, there is no clear cut diagnostic test for these diseases.
They are more or less clinical diagnosis.
But I don't think it is hypersensitivity pneumonitis.
What is AEC (Absolute eosinophil count)?
What was clinical finding of pediatrician? Was there any rhonchi or wheezing on auscultation by stethoscope?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your son. Thanks.
Possibility of asthma is more likely.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Sorry for late reply as I was busy.
In my opinion, he is either having asthma or allergic bronchitis.
Honestly speaking, there is no clear cut diagnostic test for these diseases.
They are more or less clinical diagnosis.
But I don't think it is hypersensitivity pneumonitis.
What is AEC (Absolute eosinophil count)?
What was clinical finding of pediatrician? Was there any rhonchi or wheezing on auscultation by stethoscope?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your son. Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Sir told lightely sound are there but he told that due to its cold. What are the causes of repeated cough attacks. What about the x ray. I posted to you sir. Is the present treatment is ok. What is the treatment for asthma. Still is fever is coming regularly 7 to 8 hours. In mean time he is active nd playing. He eats lot of chocolates. Nd lays. Sir said its viral fever it will be there 4 to 7 days. Plz elobrate it tell the how to maintain goid health for kid. Tell the course sir. Age is 3 years weight is 13.7 sir
Brief Answer:
Asthma and allergic bronchitis are common causes for repeated cough.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
The x ray your have attached is normal.
Asthma and allergic bronchitis are common causes for repeated cough.
And recurrent viral infection is the most common cause for this.
Another important cause if ongoing construction work in surrounding area.
Do you have any such construction site near your home?
Treatment is proper.
You can ask about adding montelukast (anti allergic) and fexofenadine (antihistamine) because this has been shown better results in allergic cough.
Another useful test would be PFT (Pulmonary Function Test).
Have you ever suggested this test by any of the doctor?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your son. Thanks.
Asthma and allergic bronchitis are common causes for repeated cough.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
The x ray your have attached is normal.
Asthma and allergic bronchitis are common causes for repeated cough.
And recurrent viral infection is the most common cause for this.
Another important cause if ongoing construction work in surrounding area.
Do you have any such construction site near your home?
Treatment is proper.
You can ask about adding montelukast (anti allergic) and fexofenadine (antihistamine) because this has been shown better results in allergic cough.
Another useful test would be PFT (Pulmonary Function Test).
Have you ever suggested this test by any of the doctor?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your son. Thanks.
Above answer was peer-reviewed by :
Dr. Remy Koshy
No construction near by house. My house is old building. I got the film govt hospital im sending to you both sir. No doctor still ordered pft test. Today moring paedtric doctor prescribed. Im sending you both reports. Aec count is normal.
Brief Answer:
This chest x ray is not of clear cut pneumonitis.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
I have gone through the x ray image you have attached.
It is showing slight Hazziness in both lower lung fields.
It is common with prominent bronchovascular markings.
And it is commonly seen with bronchitis or asthma or viral infection.
If he is able to do PFT then you should definitely get it done.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
This chest x ray is not of clear cut pneumonitis.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
I have gone through the x ray image you have attached.
It is showing slight Hazziness in both lower lung fields.
It is common with prominent bronchovascular markings.
And it is commonly seen with bronchitis or asthma or viral infection.
If he is able to do PFT then you should definitely get it done.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Sir there is any problems in lungs. I showed both x rays to paextric doctor sir XXXXXXX both are normal. Nothing to worry. Sir advised to get flu shot after 10 days. What s the treatment for bronchitis nd asthma. Sir plz confirm it's Pnuemonitis r not. Im attaching cbc nd remaining reports. How to stop repeated attack s of cough.
Brief Answer:
Yes, both x rays are normal.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Yes, both the x rays are normal.
No need to worry for pneumonitis.
Better not to give flu shot now. Give after 1 month.
And get done annually.
I still insist you to get done PFT if possible.
What was his opinion about PFT?
I will be happy to help you further. Wishing good health to your son. Thanks.
Yes, both x rays are normal.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Yes, both the x rays are normal.
No need to worry for pneumonitis.
Better not to give flu shot now. Give after 1 month.
And get done annually.
I still insist you to get done PFT if possible.
What was his opinion about PFT?
I will be happy to help you further. Wishing good health to your son. Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Budecort is ICS only.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
ICS is inhaled corticosteroid. Commonly used ICS are budesonide and fluticasone.
Budecort is having budesonide. So budecort is ICS.
Was there any rhonchi or wheezing in auscultation through stethoscope by this pediatrician?
Has he prescribed any anti allergy (montelukast)?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Budecort is ICS only.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
ICS is inhaled corticosteroid. Commonly used ICS are budesonide and fluticasone.
Budecort is having budesonide. So budecort is ICS.
Was there any rhonchi or wheezing in auscultation through stethoscope by this pediatrician?
Has he prescribed any anti allergy (montelukast)?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Yogesh D
Paedtric doctor said no need of pft. Sir tell the treatment protocil for bronchitis nd asthma i wl follow it. Today moring he continously cough for one hour. After budercort nd duolin he got better. Im asking lot of times what the med ics should i start. Can u explain in detail. Every day moring he gets l8ght feverish around 99 with in one hour he comes to normal
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