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Suggest Treatment For Persistent Fever In A Child While On Tylenol
Question: my son 5 years old had fever 15 days ago. he was taking tylenol and motrin every six hours.his fever is ok
but now he is cough and his chest is congested for more 2 weeks. when we went to see a doctor who gave him amoxcillin 10mgs and albuterol pumb. after taking amoxcillin he had rashes all over his body and face.
we went to see a doctor again. she stopped amoxcillin and gave him azithromycin 200 mg
my son is not taking any medication eventhough we give in juice, milk and 7-up, once he takes a sip, he throws right away and sometimes throws food he has eaten.
once he wakes up in the morning, he coughs so much and mucus comes out from chest
now he has coldsores on th right side of his lips. coldsores have been coming since childhood. doctor gave him -mupirocin ointment usp 2%
how we stop morning cough and what we should do to stop cough during the day
can we give azithromycin in the food like a couple of drops so the taste of food does not change
is these any anitbiotic available to give him in the rectum
or any other recommendations
but now he is cough and his chest is congested for more 2 weeks. when we went to see a doctor who gave him amoxcillin 10mgs and albuterol pumb. after taking amoxcillin he had rashes all over his body and face.
we went to see a doctor again. she stopped amoxcillin and gave him azithromycin 200 mg
my son is not taking any medication eventhough we give in juice, milk and 7-up, once he takes a sip, he throws right away and sometimes throws food he has eaten.
once he wakes up in the morning, he coughs so much and mucus comes out from chest
now he has coldsores on th right side of his lips. coldsores have been coming since childhood. doctor gave him -mupirocin ointment usp 2%
how we stop morning cough and what we should do to stop cough during the day
can we give azithromycin in the food like a couple of drops so the taste of food does not change
is these any anitbiotic available to give him in the rectum
or any other recommendations
Brief Answer:
I need more information - please get back with answers to my questions
Detailed Answer:
Hi...Thank you for consulting in Health Care magic. Greetings from XXXXXXX
By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze.
I have a few questions for you -
Questions:
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?
Regards - Dr. Sumanth
I need more information - please get back with answers to my questions
Detailed Answer:
Hi...Thank you for consulting in Health Care magic. Greetings from XXXXXXX
By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze.
I have a few questions for you -
Questions:
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?
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Prasad
Questions:
1. How many days per month does he cough or feel breathless?
he coughs now and then but no breathless
2. How many nights per month does his sleep get disturbed due to above symptoms?
when he is sick than he coughs at night and wakes up coughing
3. Does he feel breathless when he runs around or plays with other kids?
no
4. Are the symptoms when there are seasonal changes
yes when weather changes like winter
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
no
6. Is the cough always associated with fever?
sometimes
1. How many days per month does he cough or feel breathless?
he coughs now and then but no breathless
2. How many nights per month does his sleep get disturbed due to above symptoms?
when he is sick than he coughs at night and wakes up coughing
3. Does he feel breathless when he runs around or plays with other kids?
no
4. Are the symptoms when there are seasonal changes
yes when weather changes like winter
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
no
6. Is the cough always associated with fever?
sometimes
Brief Answer:
Looks like hyper reactive airways disease - needs inhaled corticosteroids
Detailed Answer:
Hi...By what you say I feel that your son might be having a hyper reactive airways disease. It is resulting in wheezing seasonally which is making him show the symptoms which he is having now. This is not infection, no point in using antibiotics time and again. This is allergy and not infection.
Suggestions:
1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and wheezing is 100% controllable.
2. Inhalers are the newest management strategies for this. If I were your paediatrician 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.
3. 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 paediatrician for this.
4. 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. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Looks like hyper reactive airways disease - needs inhaled corticosteroids
Detailed Answer:
Hi...By what you say I feel that your son might be having a hyper reactive airways disease. It is resulting in wheezing seasonally which is making him show the symptoms which he is having now. This is not infection, no point in using antibiotics time and again. This is allergy and not infection.
Suggestions:
1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and wheezing is 100% controllable.
2. Inhalers are the newest management strategies for this. If I were your paediatrician 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.
3. 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 paediatrician for this.
4. 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. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
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. Remy Koshy
Answered by
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