Childhood Diseases

Question
Posted by: Anna | 2013-02-05

Q.

Building immune system

Dear doctor,

I have two daughters - 4 and a half years and 19 months. The little one was constantly sick last year, ever since she started nursery school in March 2012. She even landed up in hospital three times. Her main problems were with her lungs - she would get a cough which would turn into bronchitis, etc. She was prescribed Altosec and Singulair to be taken in the evenings. She was doing well over the school holidays in December and January but now being back at school for a few weeks, the coughing has started again. I am giving her Flemeze, Celestamine and Prednisone.

My questions are, firstly, am I treating the cough correctly? Secondly, when do I take her to the doctor with a cough? After treating it for a day, two days, a week? And thirdly, what can I do to boost her immune system? She''s been through a lot and I really want this year to be a better year for her.

Thank you in advance.

Expert's Reply

A.

Paediatrician

Your little daughter is having a really difficult time since being at 'school'. She has the typical 'crèche syndrome' with one infection after another. She required three hospitalisations last year and no sooner being back at school she is sick again. I am very unhappy that you are giving her Celstamine a very powerful and long lasting cortisone plus a short acting cortisone namely prednisone. It is strongly recommended that you take your daughter out of the crèche this year. She is very young still and is paying a heavy price as regards her health for being at this crèche. She should be looked after at home or at granny's house or where she is the only child being cared for.
For her present illness and with her history of landing up in hospital it is time to see the paediatrician again.

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