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What Causes Throat Pain, Cold And Tiredness In A Child?

Posted on Fri, 10 Mar 2017

Question: My daughter has throat pain, cold congestion and tiredness for few days. Today she said has some body pain also. taking T Alerfast M and Sino Nasal Spary. and steam also. Pls advise

Answered by Dr. Priyanka Aggarwal (38 minutes later)

Brief Answer:
Acute pharyngitis

Detailed Answer:
Hi
Welcome to HealthcareMagic and thanks for putting up the query
Your daughter is probably having bacterial infection of the throat. Her nasal congestion is also due to infection. The body aches can be explained with thus only.
Instead of Alerfast M which is an anti allergic, she must be given a combination of levocetrizine and phenylepherine twice daily . Give her antibiotic also like cefixime 200 mg twice daily. Give paracetamol for fever.
So warm salt water gargles.
Take lozenges for symptomatic relief.
Steam inhalation.
Do everything for 5 days.
All the medicines I prescribed are available only on prescription.
Wishing her a speedy recovery
Any further questions are always welcome.
Thanks and regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Priyanka Aggarwal (8 hours later)

Hi,
she has fever and pain while swallowing food but no vomiting - Yesterday night she had shivering and had fever @101F.
she had mild fever last week with throat pain, that time we have given paracetamol two times only and she was ok from fever but had congestion, then we have started T Alerfast M and Sino Nasal Spray.
can u pls review and advise and pls suggest medicines name also with salt, like for 1. combination of levocetrizine and phenylepherine twice daily - which medicine?

Answered by Dr. Priyanka Aggarwal (1 hour later)

Brief Answer:
ACUTE PHARYNGITIS

Detailed Answer:
Hi
She is having pharyngitis and even tonsils might be inflamed.
Give tablet cefixime 200 (zifi, letocef) twice daily
Tablet coldaid or febrex plus or ct plus twice daily.
It is a combination of levocetrizine and phenylepherine
Tablet vitamin c once daily
Tablet paracetamol for fever.
Give all medicines for 5 days.
All the medicines I prescribed are available only on prescription.
Also make her do gargles.
Wishing her a speedy recovery
Thanks and regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Priyanka Aggarwal (2 hours later)

Thanks for your revert and advise. Yes her tonsil also inflamed as I can feel, hard glands on neck toward chin side, ear side.

will start medication today and will revert with progress.

Answered by Dr. Priyanka Aggarwal (2 minutes later)

Brief Answer:
Acute pharypharyngitis

Detailed Answer:
Hi
Thanks for the follow up query
The neck glands are also swollen due to throat infection only. Start with the medicines, she will be better soon.
Take care
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Priyanka Aggarwal (1 hour later)

Hello Dr.

i have query on Febrx

it contains - paracetamol – 500 mg + chlorpheniramine - 10 mg +phenylpherine – 2 mg but it does not have levocetrizine

so my query is, is there any need for separate paracetamol tab and what about levocetrizine

or

SINAREST-LP TABLETS can be option, Pls advise which has
COMPOSITION
Each Tablet of Sinarest LP contains:
Levocetirizine 2.5 mg
Phenylephrine 10 mg
Paracetamol 500 mg
Caffeine 30 mg

Answered by Dr. Priyanka Aggarwal (1 hour later)

Brief Answer:
Acute pharyngitis

Detailed Answer:
Hi
Give Sinarest L.P. Thrice daily..
It has paracetamol but if she still has fever, paracetamol can be repeated at an interval if 6 hrs just once a day
Wishing her get well soon
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Priyanka Aggarwal (54 minutes later)

Thanks, just summarizing, I will follow with this, hope it is as per advise, if any change, let me know immediately

1.     Cefixime 200 – ZIFI – twice daily
2.     Sinarest LP – thrice daily
3.     Vit C – limc – once daily
4.     TASCU – chewing - 2 daily
5.     Steam – once daily

for 5 days

Answered by Dr. Priyanka Aggarwal (31 minutes later)

Brief Answer:
Acute pharyngitis

Detailed Answer:
Hi
All the prescription is as prescribed. Please start with the medicines. Also give her hexidine gargles.
Wish your daughter Get well soon
Thanksand regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Priyanka Aggarwal (2 hours later)

Hello Doctor,

didn't get sinerest LP also :) may be due to caffine, so I have taken cheston cold total, has

Levocetirizine 5 mg
Phenylephrine 5 mg
Paracetamol 325 mg
Ambroxol 30 mg

Answered by Dr. Priyanka Aggarwal (1 hour later)

Brief Answer:
Acute pharyngitis

Detailed Answer:
Hi
CHeston cold is fine.
Start with the medicines and keep me updated.
Take care
Thanks

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Nagamani Ng