Pediatrics/Allergy

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Question
"Respected Sir,
         I have got a 3.5 year old grandson who frequently suffers from allergy(Allergic Rhinitis),coupled with fever.I had also similar problem,But one ENT Specialist gave me FLuticasone Nasal Drops which helped me a lot.But Fluticasone is PROBABLY not recommended below 4 years in age.One more  SODIUM CROMOGLYCATE drops/spray in brand names Iffiral/Cromal/Fintal are given,but they are not available in Hyderabad.
         Will you be kind enough to suggest some remedy"

Answer
allergic rhinitis is not an easy diagnosis below 5 years unless parents to suffer from same.
i would like to confirm the sqame by getting further tests before advising any medicines.
the tests are
allergen tests, CBC for esosinophils, xray chest and xray nasopharynx

also i would like to know the time duration and frequency of symptoms.. as charted on breathing diary. You may download such a diary from breathingdiary.com

Common syrups used for treating allergic rhinitis below 5 year age are combinations of montelucast and levocetrizine for few months. Need needs to be assessed before prescription as missing a diagnosis may have its complications.

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Dr Kondekar Santosh Venketraman Pediatrician MD, DNB, Mumbai India, Online Pediatrician

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also click here for what to ask a doctor?. download Question answer android app on child health from kondekar.com . Free advice also on topics like asthma epilepsy tuberculosis in children. I am a proud father and a qualified pediatrician with an expertise and interest in counseling parents regarding different aspects of health and disease making them understand children, their health and disease and the doctors.Download android app to ask free questions from www.kondekar.com Read my reviews/ratings at REVIEWS I do treat and counsel all classes and specialties, I have a special expertise and interest in queries regarding feeding of infants and; the common cold & related illnesses including asthma. I as a friendly doctor, try to help you understand the children, the disease, the treatment and the doctor! At the end, dont forget to add prestige points and nominations for me, as that is the only incentive for me to continue with free service. Affiliated to Seth G S Medical college and KEM Hospital Mumbai India (1992 till 2010). Now at Topiwala National Medical College, BYL Nair hospital Mumbai. *Online Pediatrician * KEY WORDS: ASTHMA EPILEPSY REPEATED RESPIRATORY INFECTIONS TUBERCULOSIS INFANT FEEDING HEART DISEASES ADHD AUTISM ADD SECOND OPINIONS PAID ANSWERS

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I was a pediatrician at Seth GS Medical College and KEM Hospital Mumbai India, since 1999 till 2010. Currently as a pediatrician and as a associate professor at Topiwala National Medical College, BYL Nair hospital Mumbai. Pioneered as Online Indian Pediatrician for free advice SINCE 2002. Now also at Shushrusha Hospital Dadar,Mumbai INDIA daily 7 to 9 PM. Child Specialist dr Kondekar

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I am MD DNB in pediatrics and a fellow of College of Physicians and surgeons of Mumbai, and fellow of foundation for advancement of medical education and research GSMC. Currently also as a consultant in child health specialist pediatrician in Mumbai India at Shushrusha Hospital Walk in clinic Daily 7 to 9 pm Dadar West.

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