Posted by: KC | 2010/07/27



Hi Dr, please can you give me your opinion.
I have a two an a half year old who seems to constantly have a cold. I know I can be a bit paranoid but something just does not seem right. He seems to get a cold every three to four weeks and it generally lasts two weeks or more. His current cold is going on for almost four weeks. This occurs summer to winter. Last year we had a terrible time with tonsilitis and after 10 courses or more of antibiotics we finally had the tonsils removed. He also had his adenoids removed and allergy tests done. The tests showed that he is allergic to dust mites, mould etc. Common allergies. He was put on Avamys nasal spray once a day. Since then, the colds continue but he is not effected by any secondary infection. He does not run a temp, no ear, throat or chest infections, just a blocked/stuffy nose and an on/off post nasal drip or very dry cough. He sometimes wakes during the night complaining of a sore nose which I presume is itchy and irritating him. Some nights and mornings he also gets a horrible dry cough and it seems like he is battling to cough? When this happens he usually sneezes and the sneeze will sound barky as if he has croup but his chest sounds fine.
His mucous is not usually clear and watery which you would associate with an allergy, it is usually yellow so I assume there must be some sort of infection?
My paed is excellent and very difficult to get an appointment with so I feel like a bit of hypochondriac taking my son to him for a common cold. In your opinion would this justify an appointment or should I just continue with the usual otc treatments for colds? Besides these bouts of colds, he is very healthy and thriving.
Thank you. Your advice is once again much appreciated!

Expert's Reply



Your son has been shown to be allergic and is allergic to housedut mites and moulds. He appears to have a problem with allergic rhinitis and is being treated on Avomys. His cough sounds like he has asthma and he should be started on asthma treatment.Use a saline nose spray or nose drops as well as the Avomys to keep his nose clear.You do not mention whether he attends a creche as he is also subject to frequent viral respiratory infections.You should boost his immunity by using Creche Guard or Scotts Emulsion at least through the winter.

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