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Childhood Diseases

Question
Posted by: | 2018/09/20

Q.

3 year old with endless problems

Good day Doctor. Firstly I would like to thank you for taking the time to read this. I am a 26 year old first time mom to a 3 year old. Ever since he was little he has had endless problems with his nose and phlegm on the chest. It has become so serious that these days we have to get him an antibiotic every week. His ENT doctor told us that he had allergies and it's something that he needs to outgrow. His paediatrician also agreed that it was allergies (no testing was done yet as to what his allergic to) and his paediatrician advised us to use salex sinus rinse to clear his sinus. It helps but he doesn't like it and I don't think it's fair to put him through everyday. There's not a month that would go by without him having a cold due to his nose. Please advise what else I can do. His doctors don't seem too worried about this because they believe it's allergies and as a first time mom I get paranoid for everything. Please help doctor.

Expert's Reply

A.

Paediatrician
- 2018/09/21

It is a pleasure to be of help. Your son's nose and chest problems are very common indeed in pre-school children. What is unfortunate is the fact that he is getting so many antibiotics which will not help him as most infections, if not all are due to viruses. Antibiotics will actually affect his immunity by wiping out the 'good bacteria' in his gut which is so important to protect his immunity against infections. What needs to be decided here is whether your son is indeed allergic or if he is having repeated virus infections. The latter is a common problem in children who attend a creche. If he is indeed allergic, this should have been established well before his present age and he should have been placed on the correct treatment. He must be seen by a paediatric allergist as soon as possible who will diagnose and treat him correctly, even if it turns out that he is not actually allergic. There are paediatric allergists in all the main centres in SA and your son really needs to be seen ASAP. In the meantime (while you are waiting for an appointment) make sure to give him a good probiotic every day.

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