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Question
My son is 11 months old he was born at 35 weeks and had a hard time breathing at first for a couple of days. They released him with no oxygen. He has been a lot especially since developing RSV on December 10th, 2012. Since this he has has chronic bronchilitis and 6 ear infections. They took a chest x-ray and said his lining of is lungs were inflamed and full of mucus and placed him on pulmicort x2 a day. His trend for the ear infections are 10 days antibiotics (which they have alternated between 4) and then 3-4 of clear ears and then ear infections again.The pulmicort has helped his cough a bit but he still has the purring sound when he breathes. What could be causing this?

Answer
Hi
I would like to see his chest shape with both hands raised above headů
Also if possible a CT scan chest and an arterial blood gas analysis will give me a clear reasoning of chronic lung disease.
In addition to above specific therapy with ipratropium based bronchodilators are likely to prove beneficial given 4 times a day along with calvium supplementation.
I request you to discuss with your specialist with print out of this answer to help manage more effectively.
Thanks

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

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