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Is An Enlarged Spleen Normal With Bronchiolitis?

Posted on Mon, 20 Jul 2015

Question: hi, my almost 6 month old has bronchiolitis for the 3rd time. At her check up they noticed her spleen is enlarged and palpable. She is only sleeping for 10 minuted at a time and her chest is extremely congested. Is an enlarged spleen normal with bronchiolitis?

Answered by Dr. Diptanshu Das (1 hour later)

Brief Answer:
Splenic enlargement can occur due to bronchiolitis

Detailed Answer:
Thanks for asking on HealthcareMagic.

Broncholitis is a viral infection. Some children between the age of 6 months and 3 years have a propensity of getting such infections from time to time. Splenic enlargement is often found in certain viral infections. I would consider it to be regularly found in such a case. You need not worry about it. Treating the bronchiolitis would be the primary concern.

I would suggest you to get a home nebulizer. Give nebulizations with 2ml of 3% NaCl solution (hypertonic saline) at 4 hourly intervals. If she has wheezing, you can add half respule of asthalin solution.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Diptanshu Das (32 hours later)

Hello again and thank you for your answer. Upon a chest xray she has been diagnosed with pneumonia in the left lung. Antibiotics have been started but my question is she is 6.2kgs and has 5mls twice a day for 7 days... is this the correct dose? the most ive ever given previously is 2.5mls...

Answered by Dr. Diptanshu Das (2 hours later)

Brief Answer:
You need to specify the name of the antibiotic that is being given.

Detailed Answer:
Thanks for writing back.

You have not mentioned which antibiotic has been advised and whether it is being given in oral or intravenous form. If you could tell me the name of the antibiotic, I would be able to mention the right dose to be given to your child.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Diptanshu Das (49 minutes later)

oh sorry it is 125mg augmentum amoxycillin suspension

Answered by Dr. Diptanshu Das (18 minutes later)

Brief Answer:
Dose is slightly less

Detailed Answer:
7.5 ml thrice daily is the right dose for your child. (Dose is 20-40 mg/kg/dose)

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar