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Suggest Treatment For Frequent Cold And Cough In A Child Along With Intermittent Fever
Question: My son is 2.6 years old and weigh 14 kg and height is 94 cm... Since he was 2 years old he is catching frequent cold and cough..after every 15-20 days he has cold and cough..it starts with a cold and then cough and smtimes fever...sometimes the cough is dry and sometimes it is wet...when it is dry cough it is mostly at night...we have changed 3 doctors but his condition is still the same..doctors have prescribed him anti allergy medicines..from the last 3 months he is taking montair lc kid 4 ml alongwith levolin respule nebulization wenever he is having wet cough..one doctor suggested IgE allergy test and TTG Iga antibodies test..TTA ige test was in normal range but IgE test is 112(normal range is less than 60).please suggest us wat to do as we are very tensed..
Brief Answer:
Looks like viral associated wheezing or multi triggered wheezing
Detailed Answer:
Hi,
By what you quote I feel what your kid could be having is viral associated wheeze or multi triggered wheeze. I need more information. I have a few questions for you:
1. How many days per month does he cough or feel breathless?
2. How many nights per month does his sleep get disturbed due to above symptoms?
3. Does he feel breathless when he runs around or plays with other kids?
4. Are the symptoms when there are seasonal changes?
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
6. Is the cough always associated with fever?
Please get back to me with answers, so that I can guide you better.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Looks like viral associated wheezing or multi triggered wheezing
Detailed Answer:
Hi,
By what you quote I feel what your kid could be having is viral associated wheeze or multi triggered wheeze. I need more information. I have a few questions for you:
1. How many days per month does he cough or feel breathless?
2. How many nights per month does his sleep get disturbed due to above symptoms?
3. Does he feel breathless when he runs around or plays with other kids?
4. Are the symptoms when there are seasonal changes?
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
6. Is the cough always associated with fever?
Please get back to me with answers, so that I can guide you better.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Above answer was peer-reviewed by :
Dr. Nagamani Ng
hello doc,
thankx for ur reply!!
1) it started in feb 2017..wen he was 2 yrs old before that he was absolutely fine...he got cold then cough which lasted for 15 days..thn again on 25 march he got flu,,then on 26 april he started with dry cough which lasted 15 days thn on 4 may he had stomach infection which lasted for 4-5 days but again the cough started after that mainly at night this time...it was not getting fine after arnd 20 days so we changed the doc ...doc said he had infection in sinus and presribed antiobiotic...cough vanished again after 25 days started again without cold ..doc prescribed montair lc kid..then again on 10 july he had cold andd wet cough...we nebulized him...got better after a week...again on 11 aug same cold and wet cough...but he does not feel breathless...
2)wen he was having that sinus infection only then he used to cough regularly at night..otherwise he cough 2-3 times a night for 1-2 minutes
3)he does not feel breathless wen he runs around or plays..
4)these symptoms are going on since feb now it is aug so we dnt think its related to seasonal allergies otherwise it would hv got better and even before feb he does nt had any prob in any season
5)yes his grandfather has asthma ...no other allergies...
6) the cough is not always associated with fever
wats the IgE result signify in his case??do we need to for some other tests??
thanks and regards
thankx for ur reply!!
1) it started in feb 2017..wen he was 2 yrs old before that he was absolutely fine...he got cold then cough which lasted for 15 days..thn again on 25 march he got flu,,then on 26 april he started with dry cough which lasted 15 days thn on 4 may he had stomach infection which lasted for 4-5 days but again the cough started after that mainly at night this time...it was not getting fine after arnd 20 days so we changed the doc ...doc said he had infection in sinus and presribed antiobiotic...cough vanished again after 25 days started again without cold ..doc prescribed montair lc kid..then again on 10 july he had cold andd wet cough...we nebulized him...got better after a week...again on 11 aug same cold and wet cough...but he does not feel breathless...
2)wen he was having that sinus infection only then he used to cough regularly at night..otherwise he cough 2-3 times a night for 1-2 minutes
3)he does not feel breathless wen he runs around or plays..
4)these symptoms are going on since feb now it is aug so we dnt think its related to seasonal allergies otherwise it would hv got better and even before feb he does nt had any prob in any season
5)yes his grandfather has asthma ...no other allergies...
6) the cough is not always associated with fever
wats the IgE result signify in his case??do we need to for some other tests??
thanks and regards
Brief Answer:
Looks like multi-triggered wheezing - he needs inhalers
Detailed Answer:
Hi,
By the symptoms you have quoted and answers for my questions, I feel that your son has got multi triggered wheezing. He will definitely get better by using inhalers.
The IgE result signifies that he is prone for allergies. Suggestions for multi triggered wheezing -
1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and allergy is 100% controllable.
2. Inhalers are the newest management strategies for this. If I were your pediatrician I would have suggested the use of Budecort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever the kid is having severe cough in spite of regular usage of Budecort.
The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your pediatrician for this.
3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.
Hope my answer was helpful for you. I am happy to help any time. I wish your kid good health.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Looks like multi-triggered wheezing - he needs inhalers
Detailed Answer:
Hi,
By the symptoms you have quoted and answers for my questions, I feel that your son has got multi triggered wheezing. He will definitely get better by using inhalers.
The IgE result signifies that he is prone for allergies. Suggestions for multi triggered wheezing -
1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and allergy is 100% controllable.
2. Inhalers are the newest management strategies for this. If I were your pediatrician I would have suggested the use of Budecort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever the kid is having severe cough in spite of regular usage of Budecort.
The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your pediatrician for this.
3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.
Hope my answer was helpful for you. I am happy to help any time. I wish your kid good health.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Suggestions on hyper reactive airways disease
Detailed Answer:
Hi,
Coming to your queries one by one:
1. Budecort is a steroid - but it is safe at the prescribed dose. No need to worry as the dose is not in milligrams (like in oral steroids) and it is in micro grams.
2. Internationally rather nebulizer - metered dose inhalers are the preferred treatment. Nebulizer being used without oxygen can cause sudden death.
3. Allergy in this age group is extremely common now due to the environmental pollution and seasonal changes.
Hope I have answered your query.
Thank you.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Suggestions on hyper reactive airways disease
Detailed Answer:
Hi,
Coming to your queries one by one:
1. Budecort is a steroid - but it is safe at the prescribed dose. No need to worry as the dose is not in milligrams (like in oral steroids) and it is in micro grams.
2. Internationally rather nebulizer - metered dose inhalers are the preferred treatment. Nebulizer being used without oxygen can cause sudden death.
3. Allergy in this age group is extremely common now due to the environmental pollution and seasonal changes.
Hope I have answered your query.
Thank you.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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