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Is Eosinophil Count Of 640 With Severe Cough A Cause For Concern?

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Posted on Tue, 27 Jun 2017
Question: My child has 13years and suffering from heavy cough due to problem of eosinophilic count 640. Plz suggest right medicine
doctor
Answered by Dr. Dr. Pradeep Kumar Jain (36 minutes later)
Brief Answer:
Anti allergic medicine will help, please provide some details

Detailed Answer:
Hello

Thanks for asking on this platform

Eosinophil count more than 450 is considered to be high. Eosinophilia with cough is mostly due to some allergy, but few condition like tropical pulmonary Eosinophilia can also present with high eosinophil count with cough.
I would like to know that
1)For how long cough is there?
2) Is there any breathing difficulty also?
3)Is there any skin allergy?
4)Any family history of allergy?
5)If chest x-ray has been done and if yes then what was the report?
6)Is there any history of repeated sneezing or nose running?

Most of the cases of allergy responds well with the antiallergic(montelukast and cetrizine combination). Sometimes steroid is also given depending on the condition.
Giving bronchodilator like salbutamol in oral or inhalational form is also need to be given.
In uncommon cause like tropical pulmonary Eosinophilia medicine like diethylcarbamazine is given.
I request you to answer the above mentioned questions and also to provide the detail of any medication if he is getting any currently.
Also let me know about the detail if you have visited any doctor.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Pradeep Kumar Jain (9 minutes later)
1 week cough
Nose running
No breathing problem
Yes, his father has face the same problem.
X ray is not done

Plz suggest the name of medicine and dose immediately
doctor
Answered by Dr. Dr. Pradeep Kumar Jain (10 minutes later)
Brief Answer:
You may give montelukast and cetrizine combination

Detailed Answer:
Hi

In view of short history I would like to give montelukast(4 mg) and cetrizine(2.5 mg) combination.
There are various brands(syrup or kid tablet) , few are montair lc, montina L. This need to be given once a day for 7-10 days.
Along with this I would suggest to give levosalbutamol syrup like Ambrodil s plus or ambrolite s. The dose for this age is 7.5 ml three times a day for 5 days.
Please get these medicines prescribed by a pediatrician.

Regards
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. Prasad
doctor
Answered by
Dr.
Dr. Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2073 Questions

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Is Eosinophil Count Of 640 With Severe Cough A Cause For Concern?

Brief Answer: Anti allergic medicine will help, please provide some details Detailed Answer: Hello Thanks for asking on this platform Eosinophil count more than 450 is considered to be high. Eosinophilia with cough is mostly due to some allergy, but few condition like tropical pulmonary Eosinophilia can also present with high eosinophil count with cough. I would like to know that 1)For how long cough is there? 2) Is there any breathing difficulty also? 3)Is there any skin allergy? 4)Any family history of allergy? 5)If chest x-ray has been done and if yes then what was the report? 6)Is there any history of repeated sneezing or nose running? Most of the cases of allergy responds well with the antiallergic(montelukast and cetrizine combination). Sometimes steroid is also given depending on the condition. Giving bronchodilator like salbutamol in oral or inhalational form is also need to be given. In uncommon cause like tropical pulmonary Eosinophilia medicine like diethylcarbamazine is given. I request you to answer the above mentioned questions and also to provide the detail of any medication if he is getting any currently. Also let me know about the detail if you have visited any doctor. Regards