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Why does my kid get frequent colds?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At March 31, 2018
Reviewed AtNovember 11, 2022

Patient's Query

Hi doctor,

My 4-year-old daughter is frequently suffering from colds. In turn, she develops a bacterial infection. In the last three months, she has had six bacterial infections. Her doctor gives her antibiotic medicines. She has a chronic cough now, and Budecort was suggested for three months for Asthalin if she coughs. I need to know why she has frequent colds. The doctor suggests it is allergic, but no idea what. There is no family history of asthma. I am worried about my daughter. She has developed this after two and a half years of being healthy.

Does allergic could happen due to the local home environment? My flat is on the first floor and near a hill. Nights are extremely cold. I have an oil-filled room heater. My kitchen has some leakage, and a fungal smell comes out. Is this the reason for frequent allergies? Please suggest if I need to change my flat.

Hello,

Welcome to icliniq.com.

I went through in detail regarding your daughter's problem.

According to me, the reason for her frequent chest congestion and repeated cough is not her bacterial infection. It is because her allergy level is high. Although you do not have any asthmatic in the family, your surrounding environment is not favorable to her. That is why she continuously coughs off and on.

These symptoms come under the heading of childhood asthma, and the medications that your daughter is using are actually the required treatment. Try to clean the nearby environment in which she is living. There should be no smell of oil or any antifungal spray or any sort of smell that provoke her symptoms.

So, try to avoid triggering factors of asthma as much as you can and add up one medicine, namely Myteka (Montelukast) tablet 5 mg at night time daily for three months to prevent future attacks of asthma.

Patient's Query

Thanks doctor,

Dust mites are not there. Some kind of smell is there due to wood burning, but that is not regular. Shall I add a HEPA filter in my flat, at least in the bedroom? For cold weather, I bought an oil-filled room heater. Montair 4 mg tablets are already there; I forgot to mention. If her health issue is local, how can I medically stop this? As it is not possible to relocate somewhere else.

Currently, it is summer. Still, she has a cold, even though it is not too cold outside. Last year, we did allergy testing, but IgE is not showing any allergic reactions. She usually breathes through her mouth at night. Her adenoid X-ray also suggests they are not big in size. Shall I try with an a/c and HEPA filters to keep the room smell free and pollen-free? Or, should I wait until she turns 6 so that her immunity becomes better? Does the hillside have more pollen and pollutant air than the plains? Previously, we used to live 1.25 miles from our current home when she was 2 and a half years. Until then, no such health issues were there. After that, we moved to a new flat, and she had a constant cold. Please suggest better options apart from moving to another place.

Hello,

Welcome back to icliniq.com.

Do not move anywhere.

  1. Try to complete the three months course of Montelukast and continue using steroids inhaler twice a day along with proper cleaning of room and your home.
  2. Do not use powder or perfume.
  3. Try to give her medicines especially her inhalers on time.
  4. Use an exhaust fan in the room for proper ventilation and watch.
  5. Give her Flixonase nasal spray (Fluticasone) at night time in both nares to prevent blocked nose.

Patient's Query

Thank you, doctor,

Inhaler Budecort is two times, Asthalin if cough, Allegra syrup if cold for five days, and Montair 4 mg tablet for three months, one tablet at night. All the above medicines are for two months. This is the same treatment we did last year as well. In recent months, she has had a regular fever. She had simple febrile convulsions six months back. My point is, how to build immunity? As each week sickness is too much. I am giving Allegra and an inhaler almost every week. Does this impact badly as side effects? Allopathy seems helpless to address this issue.

Hello,

Welcome back to icliniq.com.

Do not lose hope. Your daughter will be fit one day. Just wait for two months. You have just started Montelukast. So, it will take time to show response, and one thing, you can add any vitamin B complex syrup along with lunch and dinner. This multivitamin will increase her immunity.

Coming to the second issue of fever, mostly fever, appears due to a dehydrated body. Try to hydrate her as much as you can and always take a proper reading of her temperature with a thermometer. If above 100, then give her syrup Panadol 7 ml only.

Patient's Query

Hi doctor,

Thank you for the reply.

A good point to note is dehydration. It means we can give more drinking water. Is there any measurable unit of water?

She mostly develops bacterial infections and needs antibiotics. The point is that the bacterial infection plus fever and then medicine continued till the fourth of this month. Yesterday, she got a fever, that is, on the eighth. The same thing happened last month as well. Why repetitive bacterial infections? Can it be due to food? She had convulsions last year. Is the fever due to her medicines? We started using Fresium tablet as well two tablets a day.

The pattern is cold, then cough, then fever, and asthma symptoms are extra. If she has a cold, then for how many days to give Allegra? Does my daughter have side effects of antibiotics used frequently (two or three times in a month)? For hydration, what extra to give?

Hello,

Welcome to icliniq.com.

There is no relationship between fever and Fresium.

Please tell me that fever which you noted is a single spike or comes in continuity? It might be viral, so no need to give antibiotics on every episode of fever.

This time if fever appears, first go for CBC (complete blood count) then start antibiotics and do share report with me too.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samreen A Urooj
Dr. Samreen A Urooj

Pediatrics

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