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What Causes Recurrent Intermittent Cold, Cough And Fever?
Question: My son is 3.5 years old. he get cold/cough/fever very often. how to differentiate between allergy, infection or athsma
Brief Answer:
Please answer the questions below
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?
7. In a day when he has fever - once fever medication is given and fever comes down - how is the activity of the kid?
8. How many days does each fever episode last?
Get back to me with answers and I will guide you further.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Please answer the questions below
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?
7. In a day when he has fever - once fever medication is given and fever comes down - how is the activity of the kid?
8. How many days does each fever episode last?
Get back to me with answers and I will guide you further.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Please find the answers below:
1&2. He don't have cough and breathlessness in every month. he get it once in 3-4 months. But once started it take long time to relive. This time the cold started 6-7 weeks back.Then started fever and cough after 3 weeks. Then we consulted a doctor . he prescribed alerid, crocin and ventrolin. We stopped the medication when the cold and fever subsided. After few days ear pain with fever started. Then he had given antibiotic ( amoxyline) and ear drops and ascoril. The antibiotic was over one week back and his ear pain and fever also cured, But we were continuing Ascoril till yesterday as he was having slight cough. Today afternoon the fever started again and he has difficulty in breathing during sleep.
3. we have not observed any breathlessness while playing.
4. yes , it look like seasonal
5. no. but there are allergic people
6. not always
7. once the fever comes down , he become normally active.
8. 2-3 days with crocin.
1&2. He don't have cough and breathlessness in every month. he get it once in 3-4 months. But once started it take long time to relive. This time the cold started 6-7 weeks back.Then started fever and cough after 3 weeks. Then we consulted a doctor . he prescribed alerid, crocin and ventrolin. We stopped the medication when the cold and fever subsided. After few days ear pain with fever started. Then he had given antibiotic ( amoxyline) and ear drops and ascoril. The antibiotic was over one week back and his ear pain and fever also cured, But we were continuing Ascoril till yesterday as he was having slight cough. Today afternoon the fever started again and he has difficulty in breathing during sleep.
3. we have not observed any breathlessness while playing.
4. yes , it look like seasonal
5. no. but there are allergic people
6. not always
7. once the fever comes down , he become normally active.
8. 2-3 days with crocin.
Brief Answer:
Looks like viral associated wheeze
Detailed Answer:
Hi....from your answers I feel that it could be a viral associated wheeze. Your kid doesn't have asthma. Small viral infections are triggering cold which is turning into wheezing and cough. He might grow out of its as the age progresses.
Coming to your queries about differentiation of illness -
1. Allergy - there will be family members with allergic tendency, cold and wheezing can occur without fever, the symptoms will be all round the year and are not related to infection or fever.
2. Infection - there will definitely be fever. Sometimes the kid will be normal in between 2 fever episodes on same day, then it may be a viral infection. If it's bacterial infection, the kid will be sick looking and breathlessness will be more prominent than cough.
3. Asthma - asthma is also an type of allergic manifestation of airways. But it is a diagnosis which should be made only if symptoms are still persisting even after 5 years of age.
Hope I have clarified your questions. I will be glad to help if there is anything else.
Regards - Dr Sumanth
Looks like viral associated wheeze
Detailed Answer:
Hi....from your answers I feel that it could be a viral associated wheeze. Your kid doesn't have asthma. Small viral infections are triggering cold which is turning into wheezing and cough. He might grow out of its as the age progresses.
Coming to your queries about differentiation of illness -
1. Allergy - there will be family members with allergic tendency, cold and wheezing can occur without fever, the symptoms will be all round the year and are not related to infection or fever.
2. Infection - there will definitely be fever. Sometimes the kid will be normal in between 2 fever episodes on same day, then it may be a viral infection. If it's bacterial infection, the kid will be sick looking and breathlessness will be more prominent than cough.
3. Asthma - asthma is also an type of allergic manifestation of airways. But it is a diagnosis which should be made only if symptoms are still persisting even after 5 years of age.
Hope I have clarified your questions. I will be glad to help if there is anything else.
Regards - Dr Sumanth
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
I recommend Levosalbutamol
Detailed Answer:
Hi.... usually For viral illness associated wheeze like this I suggest levosalbutamol for 3 days thrice a day in weight appropriate dose. But this is a prescription drug so I suggest you meet your pediatrician for the prescription.
Regards - Dr. Sumanth
I recommend Levosalbutamol
Detailed Answer:
Hi.... usually For viral illness associated wheeze like this I suggest levosalbutamol for 3 days thrice a day in weight appropriate dose. But this is a prescription drug so I suggest you meet your pediatrician for the prescription.
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Shanthi.E
OK. do you recommend any vaccination or alternate medicine like homeo as a preventive measures?
Brief Answer:
I do not recommend homeo medicines - Yearly influenza vaccine is useful
Detailed Answer:
Hi...
1. I do not recommend homeo treatment for this.
2. I suggest influenza vaccination yearly.
Regards - Dr. Sumanth
I do not recommend homeo medicines - Yearly influenza vaccine is useful
Detailed Answer:
Hi...
1. I do not recommend homeo treatment for this.
2. I suggest influenza vaccination yearly.
Regards - Dr. Sumanth
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
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