Hello, Welcome to icliniq.com. I have gone through your son's history and the report (attachment removed to protect patient's identity), and would like to make my suggestions and comments about him as follows: As per your description, the clinical picture very much matches that of a viral infection, borderline report of IgM parvovirus, and itchy rash increases the possibility that it may actually be a parvovirus infection. So far, I would reasonably agree with the treatment that your son has received. Treatment of most viral infections is treatment of symptoms only, Paracetamol for fever, antihistamines for cough and cold, and other conservative measures. There is no specific treatment for many viral infections, and most of the viral infections recover by themselves if the child's immunity is normal.
Hi, Welcome to icliniq.com. First of all, I am replying to your main 3 questions as follows: 1. Routine management of wheezing: In my opinion, inhaled levosalbutamol (Levolin) is good for asthmatic wheezing. You can give it by nebulization or by inhalers (MDI - Metered Dose Inhaler) with spacer attached. Personally I would prefer MDI with spacer for children more than 5 years of age because it is as good as nebulization and ensures maximum deposition of drug into the lungs (close to 90%) and easy to carry.
Hi, Welcome to icliniq.com.I went through your daughter's history and reports (attachment removed to protect patient identity). I would like to know few more details in order to give you an accurate treatment plan. 1. What makes you tell that she has low immunity? And how often she falls sick in a year? 2.
Hi, Welcome to icliniq.com. I would like to know more about you as follows: I understand that your son is having breathing difficulty for the last five months. But overall, what are the best and the worst seasons for your son? What are his nose symptoms - congestion, running nose, sneezing, nose itching, etc? How frequent and severe his nose symptoms are? Does he have any eye symptoms? If yes, what are they - itching, excess watering, redness, etc? Are there any digestive symptoms? If yes, what are they - constipation, frequent loose stools, indigestion, flatulence, frequent acidity or chest burns, the feeling of fluid in the mouth, etc? Are you routinely exposed to any kind of smoke or pollution? Since when has he been taking Esiflo (Salmeterol)? What frequency? In what form - rota haler, metered dose inhaler, etc? Have you shown the technique of using an inhaler to your doctor? Above details would help me to know your complaints better and therefore to make suggestions for you more specifically. At present, from your short query, I can assume that he is having asthmatic complaints. Detailed suggestions for treatment can be given after knowing in depth about your symptoms.
Hi, Welcome to icliniq.com. I went through your query. I can understand your concern about long-term effects of antiepileptic medications. So, in reply to your query, I would like to make suggestions for your son as follows: Treatment of many types of childhood epilepsy requires long-term antiepileptic medications, sometimes for years together. Hence, your doctor (a neurologist) always has to judge the minimum dose that is adequate to prevent seizures and also to take care that the dose does not cause side effects.
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