A 2 year old baby gets cough when weather changes and has low Hb. Kindly help.

Question

Hello doctor,

My brother's child (2 years old male) has been suffering from the following ailments:

He was hospitalized due to severe pneumonia and bronchitis two months back.
He will get a cough when the weather changes to cloudy, rainy, or very cold weather and when he has more cough he will get a high fever (sometimes reaches 104 degrees).
He will not eat properly. So we try to give him food with a small number of intervals.
His hemoglobin is 10.5/A1+.
His mother is having hypothyroid and on thyroid medicine of 75 mg per day Thyronorm.
His immunity may be sensitive and he is getting all vaccination as per government schedule.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen the reports that you have attached (attachment removed to protect patient identity). Hemoglobin level is low, it should be around 12 g/dl. CRP (C-reactive protein) level is high, suggestive of acute infection during hospitalization. Urine infection was also present at the time of admission. Repeated infections occur in a child with a low immune system.

In my opinion, you should give syrup Vitcofol (Folic acid, Nicotinamide, and Cyanocobalamin) half teaspoon two times a day for one month, and syrup Bevon (Vitamin A, E, Cholecalciferol, etc.) one teaspoon once a day for one month. Vitcofol to increase the iron level and Bevon is a multivitamin syrup to increase immunity. Give food rich in fat and protein like full cream milk two times a day. Add a small amount of clarified butter in every meal. Give egg once a day. In fruits, give banana, apple, and mango. Give cottage cheese and soybean gravy. Give two almonds daily. Give nonvegetarian food also, if you eat. Repeat hemoglobin level and review after one month.

Answer 2

Hi,

Welcome back to icliniq.com.

Sure. Hope he gets well soon.

A 2 year old baby gets cough when weather changes and has low Hb. Kindly help.

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