Childhood Diseases

Posted by: Angela | 2011/09/26


Wheezing chest

Hi Doc, thanks for all your advice on this column. My daughter is 18 months has has perpetual colds because she is at creche. she has developed a bad cough and a bit of a wheezy chest. She saw an ENT the other day because the grommets inserted at 14 months have fallen out and her ears are blocked again. He didn''t listen to her chest at the time but has prescribed antiobiotics, Prozef, and cortisone in the morning and nasonex in the evening to treat her ears. Will this sort out her cough and wheeze as well? I am also giving her some mucospect to help thin out the mucous. She often develops coughs after her colds but doesn''t always have a wheezy chest.

I am concered about her ears because she is not speaking that much. She babbles and sings la la, and says a few words at 18 months such as baba, cow, no, there, ta, moo, so i am trying everything I can in order to ensure she can hear well. She has had blocked ears since she was about 6 months old due to the colds at creche.

Thanks again,

Expert's Reply



Thank you. Your little girl's health problems are similar to that experienced by many toddler's who attend a creche. Children pick up repeated viral infections. You should try your best to keep your daughter's nose clear by using a saline nasal spray such as Sterimar Children's twice daily.This will help to get her eustachian tubes to start draining the fluid from her middle ears in the normal way.Your daughter almost certainly has the problem of recurrent viral wheezing. Fortunately this problem is usually less during the summer months. The other good news is that she will outgrow this problem usually by the age of 3 years. In the meantime it would help a lot if she was treated on Singulair which has been shown to protect children quite well against these episodes of viral wheezing. She will need a prescription for the Singulair, the dose is one 4mg chewable tablet at night. Also give her a good immune booster such as Scotts Emulsion daily.

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