
I'm Writing For My Son. He Was Born At 36

Previous medical issues: recurrent upper respiratory infections (ear infections, strep, bronchitis, pneumonia), fall/spring/dust mite allergies, recurrent cough and wheezing (possible asthma but not diagnosed), recurrent bouts of itching/hives that can be managed through Benadryl.
Appears to be allergic disorder, High RBC can be secondary to Recurrent RTI
Detailed Answer:
Hi
Thanks for asking on this platform
I have gone through the details and do understand your concern.
Coming to your queries one by one
Weight of 65 pounds at 9 years is within normal limit as per growth chart.
Raised RBC count in such cases in secondary to low level of oxygen due to repeated respiratory problems. High RBC count is commonly seen in patients of asthma. And I won't get worried if other physical findings (apart from respiratory one) and blood counts are normal.
I am not sure but may be he is getting over treated if we think about antibiotics. It's quite common for practioner to prescribe antibiotics for any kind of respiratory illness be it viral, bacterial or allergic.
Proper workup for bacterial infection should be done and antibiotics should be given only if results are positive or there is high clinical suspicion.
Its good to know that immune profile for IgA, IgM and IgG is normal as this rules out various immunodeficiency condition which can lead to bacterial infections. Here I would like to know if IgE level has been done or not. As serum IgE level gives a clue towards allergic origin of respiratory illnesses.
The immune system and response of body to allergens depends on individual. Although it runs in family but not always. So if other three siblings are normal then it's good that they are not sensitive to allergens.
I won't get overly worried as I think the treatment is on right track. Continue the antiallergic medication with inhaler and try to avoid the allergens. It has been seen in various studies that as the child grows the frequency of illness decreases if properly treated.
I hope this helps.
Please let me know if you have any more questions.
Wishing for good health of your family.
Thanks and regards

Thanks for appreciation
Detailed Answer:
Hi
Thanks for appreciation. Please feel free to ask if you have any more doubts. I shall be glad to help you out.
Thanks and Regards


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