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Childhood-diseases

Question
Posted by: Nita | 2004/11/02

Q.

Constant Phlegm/Catarrh for 6 months now

Hello Doctor.
My 3yr10m old daughter has had phlegm in her upper respiratory tract since having flu in May this year. It's so bad that she coughs up huge globs of it at times, specially in the morning and evening. It has gone to her lung and this has been sorted out with meds and physio. She's been for std allergy test (pricks on arms) and only scored a 1 in two items. She gets a blue hugh around her month and nose when she goes to bed as well. According to the doc her tonsils and enlarged but don't need to be removed. We can't seem to shake the wetness and I'm at wits end. She is otherwise a normal 3yr old busy child, though we can't seem to shake the phlegm. Do you think the tonsils could be linked to the phlegm problem? Please advise what you suggest I do next. thanks Nita

Expert's Reply

A.

Paediatrician

The most important thing is that she is a normal busy child, which tells us that the problem is not serious. Airway irritation from recurrent viral infections can sometimes take a long time to recover fully, but if she is not feverish and she does not struggle to breathe or has a tight chest then the best advice is to observe if it improves during the summer. I would not consider removing the tonsils/adenoids unless she snores at night or has recurrent bacterial throat infections.

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2
user comments

C.

Posted by: dr anonymous | 2004/11/04

If she is coughing such big amounts of phlegm; have the doctors, test the sputum for types of bugs (MCS=Microscpoy, culture & sensitivity) .especially to exclude TB.

Also the indication for tonsilectomy are strict, don't rush for this.
If your child is needeing antibiotics every 2 months (due to inflammed & infected tosils) , then maybe it can be cosidered.

Reply to dr anonymous
Posted by: T | 2004/11/03

Mine boy is almost 4 years. His Tonsils were removed at 2 and a half. His condition is improved but I find the phlegm is the nightmare I have been to a specialist who advised i shouldn't worry too much as this will clear as he grows up. It's not as bad as it used to be but I worry coz the nose is always wet and coughing worse at night or early morning. I would say after the tonsellectomy he certainly has improved.

Reply to T

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