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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Fever, Cold And Cough Is Recurring In Child After Treatment?

Dear Doctor, my 6.5 years daughter is having fever, cold and cough since one month. Went to doctors multiple times, with their medicine, it was normal for few days, again it repeats...after two weeks, they did CBP, CRP and Montoux. CBP and Montoux were normal but CRP test which shows 26(actuals are 0 to 5), so doctor suggested for anti biotics for a week. After that course, she was normal..but after four days, the same situation. we went to other doctor, he did CBP, ESR which shows normal results. but he mentioned some lungs issue is there in chest xray. Asked to go Alergy Panel Test. Not able to understand what to do....can any one please suggest us. she is on tegrital syrup.
Mon, 15 Sep 2014
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Pediatrician, Pulmonology 's  Response
HI...greetings from Chennai...by what you quote I feel she is landing in recurrent viral illnesses and as it is associated with cough always it could also be a viral associated wheeze too. I have a few questions for you -
Questions:
1. How many days per month does she cough or feel breathless?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she 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?
If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance.
Regards - Dr. Sumanth
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Why Fever, Cold And Cough Is Recurring In Child After Treatment?

HI...greetings from Chennai...by what you quote I feel she is landing in recurrent viral illnesses and as it is associated with cough always it could also be a viral associated wheeze too. I have a few questions for you - Questions: 1. How many days per month does she cough or feel breathless? 2. How many nights per month does her sleep get disturbed due to above symptoms? 3. Does she feel breathless when she 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? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance. Regards - Dr. Sumanth