Childhood Diseases

Posted by: HMom | 2010/05/04


My 16 month old

Hi Doc,
My daughter has had a mucous chest from May to Oct last year. Then March she got bronchiolits and was given oralex anti-b. She never got well and in April was given more contisone and put on more Anti-b. Then two weekes later was sick again and i took her to another paed. He said she has bronchial pneumonia and hospitalized her and did tests some of which is she has RSV, isnt allergic to any foodstuffs but slightly to airborne things (her count wasnt too bad). Her immune system is good apparently. The doc treated with celestamine, physio with drainage via nose from chest, nebulizer  singulair etc and now she has 1 sachet of singulair in the morning plus her pump and zyrtec in the evening with her pump (cant remember the pumps name but starts with an s? sorry). My question is her chest sounds wet to me when she coughs now - is this due to the medicine loosening up the mucous? the mucous in her runny nose now is green - is this infection? Thanks a milll doc.

Expert's Reply



It sounds as if your little daughter has a common problem at this age which is known as recurrent viral wheezing. Her symptoms do resemble asthma but are probably not true asthma,but rather repeated chest infections. She has a definite upper respiratory infection now with the green discharge from her nose. It is possible that most of her repeated chest infections are being started off by infection in her nose. The medicines she is on will not loosen mucous as such and they are usually given to treat asthma in children. You need to try to clear her nose of this infected mucous by using saline either in the form of Salex nose drops or a sea water spray called Sterimar used twice a day.Keep on with using the Zyrtec and the Singulair. I doubt whether the Seretide will benefit her. Children usually outgrow this problem by the time that they start proper school. If your baby is at a creche you should consider keeping her at home as she will probably have a difficult winter with repeated infections. Boost her immunity by giving her Creche Guard and probiotics through winter.

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