Dr. Sudhakar Palanisamy
Pediatrics
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Patient's Query
Hello doctor,
It is about my 6 years son. Everyday morning he has a running nose after getting up from sleep. This is going on for the past 15 days. Running nose or nose block stops after one or two hours. He is not getting any symptoms in the evening or night. He does not have any fever. We are using Nasoclear drops or saline solution nebulization for him. Also, advise to increase his appetite.
Hello,
Welcome to icliniq.com.
The way you describe, it looks like allergic rhinitis (basically nose allergy). Mostly, it happens due to dust or other air pollution. If you had changed your residence recently, then it might be the main cause. If this place is temporary, then I am sure it will become normal when you get back to your place. I will give you a syrup try that for one week, then let us see. Apart from that, I feel nothing to worry.
Patient's Query
Thank you doctor,
We are staying here for the past two years. My house is also clean. But the weather here is rainy every day due to monsoon. Due to COVID-19, my son does not go outside the house at all. Our place is also isolated, and no dust here.
Thanks for the medication. I will give this medicine for seven days.
Hello,
Welcome back to icliniq.com.
The city is as such polluted and the rain might have triggered the problem. Let us wait and see.
Patient's Query
Thank you doctor,
What about medications for improving my son's appetite?
Hello,
Welcome back to icliniq.com.
What is your son's weight? At this age, children tend to get involved more in playing and do not like to waste time in eating. Just make him food which he likes. If his activity is good, then I will not worry about his appetite. But you can try vitamin supplements for one month. It improves the appetite of children with vitamin deficiency.
Patient's Query
Thank you doctor,
My son's weight is 48.50 lbs. He likes junk food. No physical activity due to current COVID-19 situation and always playing on mobile. His running nose stopped. Should I continue Cetirizine for four more days as prescribed by you?
Hello,
Welcome back to icliniq.com.
Expected weight for 6 years old is 44.09 lbs approximately. So please avoid junk foods. Decrease screen time. As a parent, we must involve in playing with children. That is my personal request. Take care and continue the medicine for three more days. Nothing wrong in it.
Patient's Query
Thank you doctor,
As per your recommendation, I used to give Cetirizine syrup 5 ml to my son at night only. As I am giving in the morning he feels drowsy and does not attend his online classes. From day 1 of taking Cetirizine itself his running nose stopped. Yesterday, again after completing the course early morning my son started having nose block and running nose. What should I do now?
Hello,
Welcome back to icliniq.com.
The actual treatment for allergic rhinitis can go on for more than three months. But Cetirizine is not the right drug for it. If he was a known case of allergic rhinitis I would have started nasal spray which we usually give for one or two months. But since it is his first episode we will try another three days of the same drug then give half the dose for five days and then we will gradually decrease and stop. If this does not work then we will start nasal spray treatment.
Patient's Query
Thank you doctor,
I used to give my son Budecort nasal spray using huf-puf kit until he was four years (irregularly that is three or four months at a time), as he had a wheezing problem at one and a half month and was hospitalized four times for severe cough. But those problems stopped three years back, now he is having only running nose or nose block in the early morning (1 AM to 4 AM) for the past one month.
Hello,
Welcome back to icliniq.com.
I think you are saying Budecort inhalation which is given for asthma. Huf-Puf kit is for inhalation purpose. I can understand but this is not asthma and mostly can be managed with nasal spray (just using it into nostrils and not breathing). Let me know if you have any doubts.
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Pediatrics
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