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Author Topic: Allergic rhinitis?  (Read 314874 times)

snowyice

  • Guest
Re: Allergic rhinitis?
« Reply #380 on: February 24, 2012, 12:07:07 am »
@letletmd dadalhin ko na ang anak ko pag balik namin from hk sa allergologist.  2 weeks kami nag stop sa nasal steriod niya tomorrow start na naman kaninang umaga napansin ko medyo sinisipon naman siya.

leletmd

  • Guest
Re: Allergic rhinitis?
« Reply #381 on: February 26, 2012, 12:45:48 am »
^ lelet po, no letlet  ;)
Nasal steroids are best given on a long term basis kasi, rather than as intermittent basis, to achieve long lasting results or improvement.

lilsaintsm0m

  • Guest
Re: Allergic rhinitis?
« Reply #382 on: February 28, 2012, 06:21:33 pm »
^ah ganun pala yung doc problem kasi natigil ko yung nasal steroids nya after finishing the 1 bottle nawala na sa isip ko na isang month pa pala. nagulat nalang ako nakita ko sa calendar ko tuloy tuloy pa pala. paano kaya yun? pinkish na red yung pulp niya minsan wala naman. thanks doc let :)

lovelymaeve

  • Guest
Re: Allergic rhinitis?
« Reply #383 on: February 29, 2012, 11:49:38 am »
sisses sa mga nakapag painom na ng loratadine (immunix) sa babies nila, ilang ml po ba for 1 year 2mos na baby? before kasi pinainom ni pedia si baby nito kasi for protection on allergy daw. hininto ko kasi naging okay naman na si baby pero ngayon kasi hindi na naman nawawala ubo at sipon nya so iniisip ko allergy na naman. problem is nakalimutan ko ilang dose binigay ni pedia. thanks a lot sisses.
 

hunny_ally

  • Guest
Re: Allergic rhinitis?
« Reply #384 on: February 29, 2012, 12:24:49 pm »
^imo, it's better you see or ask your pedia directly. Nag-iiba kasi ang dosage depending on your baby's age and weight.

jenskie

  • Guest
Re: Allergic rhinitis?
« Reply #385 on: February 29, 2012, 03:02:31 pm »
Mga mommies, my baby is already 1 year old and 1 month, per yun sipon nya halos hindi na nawala, tapos mas malala ang sipon niya kapag mag-gagabi. I was thinking na baka may allergic rhinitis na ang baby ko. SI daddy nya kasi may allergic Rhinits tapos ako rin. She was given by her pedia Nasatapp na nga kasi nagkaron na sya ng ear infection dahil sa hindi mawala walang sipon niya. Tapos hindi pa sya makatulog ng maayos sa gabi.

snowyice

  • Guest
Re: Allergic rhinitis?
« Reply #386 on: February 29, 2012, 08:20:17 pm »
Nasatapp may allergic rhinitis nga yung anak mo sis.  Try mo gamitan ng Mucanase, Salinase or Sterimar.

leletmd

  • Guest
Re: Allergic rhinitis?
« Reply #387 on: February 29, 2012, 09:08:08 pm »
Nasatapp is a decongestant with a short acting anti - histamine. It is not specific for allergic rhinitis. It is usually given for upper respiratory tract infections such as otitis media (ear infections), common cold, etc.
Caution lang on using decongestants. It should not be used for more than 2 weeks or else, you might get rebound congestion or congestion arising from continued use of the decongestant.

@lilsaintsm0m:
I suggest a visit to your child's allergologist so she can better guide you regarding the medications.

@lovelymaeve:
As hunny_ally said, when it comes to medications and dosages, it would be best to consult your pedia. Dosages are computed based on weight and not just based on age.
Since your child's symptoms remain persistent, then, it really warrants a trip to your pedia. What worked before may not necessarily work again.

jenskie

  • Guest
Re: Allergic rhinitis?
« Reply #388 on: March 01, 2012, 01:30:20 pm »
I texted my Baby's pedia at may bago syang gamot n binigay sakin for ubo at sipon. Before kasi naka montelukast sya for 2 weeks pero it seems no effect sa baby ko. Spiropent at alnix binigay nya ngayon. Pero na-woworry tuloy ako baka may Primary complex si baby ko, though hindi naman sya nilalagnat at sa gabi lang sya inuubo.

hunny_ally

  • Guest
Re: Allergic rhinitis?
« Reply #389 on: March 01, 2012, 01:37:35 pm »
^my son is on montelukast as well since sept non-stop. I noticed Hindi kaagad ganun yung effect niya. Slow acting talaga siya. And from what I know it's not given to stop coughing and colds but to avoid triggering allergy. Try back reading a bit. I think doc lelet explained it in one of her posts.

lovelymaeve

  • Guest
Re: Allergic rhinitis?
« Reply #390 on: March 05, 2012, 01:02:03 pm »
@dra lelet : psensya na po wala ako mahanap na thread kung saan ko ipopost question ko. gaano po ba katagal ang pagitan bago pwde ulit mag antibiotic ang bata (1yr & 2 mos). niresetahan po kasi ng amoxicillin si baby ko nung dinala ng byenan ko sa center. pero hindi nya nabanggit na kakainom lang ni baby ng antibiotic last december so nagdadalawang isip ako kung ipapainom ko po yung binigay na gamot. thank you po.

snowyice

  • Guest
Re: Allergic rhinitis?
« Reply #391 on: March 05, 2012, 06:55:40 pm »
@jenskie yung Montelukast medyo matagal ang effect niya in other words in the future ang benefit, my son has been taking Montelukast mga 5months na and so far hindi siya sinipon at inubo when we were in HK kahit lagi siyang naaambunan

leletmd

  • Guest
Re: Allergic rhinitis?
« Reply #392 on: March 05, 2012, 10:05:14 pm »
@dra lelet : psensya na po wala ako mahanap na thread kung saan ko ipopost question ko. gaano po ba katagal ang pagitan bago pwde ulit mag antibiotic ang bata (1yr & 2 mos). niresetahan po kasi ng amoxicillin si baby ko nung dinala ng byenan ko sa center. pero hindi nya nabanggit na kakainom lang ni baby ng antibiotic last december so nagdadalawang isip ako kung ipapainom ko po yung binigay na gamot. thank you po.

Walang absolute rule as to sa spacing ng antibiotics. It would depend kasi on the reason for the need for antibiotics, like for example, nagka-sinusitis ang 1 patient 1 month ago and received antibiotic for 2 weeks then nagka-UTI naman ngayon at kailangan ng antibiotics so no choice but to give the patient antibiotics to treat the UTI rather than the patient suffer from complications.
Since December pa ang last antibiotic intake ng anak mo, then wala na itong bearing sa present condition niya ngayon. For one thing, sobrang tagal na and different indication na ito.
Personally, I am not fond of giving antibiotics left and right because it harms the immune system and makes infants more prone to developing allergies (as part of the hygiene hypothesis and this is one of the basis for the need for probiotics to prevent allergic disorders) so I think what you have to clarify/know is bakit daw kailangan ng antibiotics ngayon? Ano ang diagnosis ng doctor sa health center? Kasi if really needed/indicated, then why deprive your daughter of treatment? Kung malabo naman ang reason then you have to clarify it with the doctor na nagprescribe ng antibiotics.

Dacian

  • Guest
Re: Allergic rhinitis?
« Reply #393 on: April 08, 2012, 11:16:23 am »
sis we had the same dilemma... after my baby's flu shot, nagkataon siguro na epekto ng bakuna yun tapos ng weather, nagka ubo't sipon ang baby ko. mga 1 week nag mucosolvan lang kami. more on viral infection daw, tapos tumigil lang ng 2 days tapos ayan na naman, pero ubo na lang. pero sabi ng pedia, it could be more on bacterial infection kaya nag antibitics na rin si baby- co amoxiclav... ok naman na si baby ngayon. super ingat na lang... nag eevolve na kasi ang mga sakit ngayon nakakainis!

after my baby's 2nd shot flu vaccine nagka-fever baby ko tapos nagka-dry cough.  pero sabi ni pedia hindi daw magkaka-fever after ng flu shot and hindi daw related yung pagkaroon ng dry cough sa flu vaccine.  yung 1st shot nya din na flu vaccine, nagka-fever din sya tapos with cough and colds.  ano ba yan.  parang ayaw ko na ipa-flu shot si baby next year.  every year pa naman yung flu vaccine.

leletmd

  • Guest
Re: Allergic rhinitis?
« Reply #394 on: April 08, 2012, 08:01:10 pm »
^ Flu vaccination can cause fever if there is swelling on the injection site, but it cannot cause cough or colds. The cough of your baby could be due to an infection already incubating during the time the flu vaccine was given.
Also, the flu vaccine doesn't protect the patient from all causes of cough and colds. It only protects against the 3 strains included in the flu vaccine.
Nevertheless, I hope you would consider the risks involved with not vaccinating your child with the flu vaccine since babies and the elderly are the ones most susceptible to getting complications from the flu infection.

Dacian

  • Guest
Re: Allergic rhinitis?
« Reply #395 on: April 09, 2012, 08:23:57 am »
thanks po doc sa info.

iniisip ko rin baka coincidence nga lang na same yung nangyari (fever, cough and colds) after the flu shots.  pero grabe, after nya gumaling... after ng flu shot ulit, same na naman.

meron pala ako doc nabasa pero sa adult flu vaccine ata ito:
http://www.thinktwice.com/flu.htm

[Flu102] My husband had a flu shot in January and experienced swelling in his axilla that night, probably the lymph nodes. After that, he became weak and chilled all the time, with a dry cough. During the next two months, the coughing, weakness and chills persisted, and by the end of the second month he was vomiting. His doctor did several tests until one showed acute kidney failure. He was diagnosed with Goodpastures syndrome. This condition causes an abnormal amount of antibodies in the blood, causing them to attack the kidneys and lungs. The treatment is immune suppressive therapy. Isn't that ironic. It seems that the flu shot that is supposed to build up immunity caused his to work too hard and didn't know when to shut down. Needless to say, the doctors refuse to admit that the flu shot caused this. He has been unable to work, gets tired, and is at increased risk of catching a virus due to drug therapy.

[Flu134] I had a flu shot in November, and by December I became weak and continued to get weaker until I collapsed in my bedroom and was taken to the hospital. I was surrounded with intravenous lines, a feeding tube, bladder catheter, and tracheotomy for the ventilator. I was helpless, totally paralyzed with Guillain-Barre syndrome. I had a blood infection, pneumonia, a fever of 107.9 degrees, and blood pressure of 44 over zero. My wife was told to make arrangements for a post-mortem. I was ICU for three weeks and then transferred to a rehabilitation center. Three months later I was released to come home because I could ambulate approximately 100 feet with a walker. I continued rehabilitation as an outpatient for the next three months until I could walk with hand crutches. Today I need a cane. I was not forewarned of any possible hazard when they gave me the flu shot.

[Flu203] I received a flu shot in November, and in January I started to get a body rash. I am achy in my (vaccine) arm and neck. I believe the shot may be responsible for my misery.

[Flu214] Three years ago I was given one of only four flu shots I ever had. What was unknown to me was that a strain of mono was included in the vaccine. I believe it was this strain that infected me and almost killed me. The next year, unaware and never warned by doctors, I took the flu shot again. This time it contained a deadly strain that put me in ICU fighting for my life.

[Flu253] My wife was diagnosed with subcutaneous T-cell lymphoma after receiving a flu shot. The doctor did not write down the brand or lot number. Two weeks after receiving the flu shot, lumps started appearing on her legs.

[Flu325] I have a friend who received a flu vaccine on Monday and by Tuesday she was very sick. After many tests the doctors said it was not a reaction to the flu shot. Their diagnosis was "reactivated mono" -- despite the fact that she never had mono. I have heard many people swear that they'll never get another flu vaccine. Now I understand.

[Flu 344] I'm a 67 year old man who has had a flu shot annually for many years. Only once was I chilled. But, yesterday I had my flu shot and from 11:30 p.m. til 4 a.m. this morning I had the most severe headache of my life. It began to dissipate so I was able to sleep. Today I just feel a bit weak. Any history of such a severe headache associated with a flu shot?


[Flu368] The sister of an acquaintance died suddenly two nights ago. She was in her 40s and otherwise healthy. She got a flu shot that day, came home complaining about not feeling well, and died that night. She died at home, rather suddenly, without warning. Do you know if this is an unusual coincidence or a recurring pattern?



The Flu Vaccine and Guillain-Barre Syndrome (GBS)
(A Scientific Study)
The Flu Vaccine and Guillain-Barre Syndrome
(An Unsolicited Report)

In 1998 I got a flu shot for the first time. It was one of those deals where the school's nurse made arrangements for someone to come in and inject us after school. I signed the little pink release form, didn't even bother to read it first, trusting it would do no harm. Super mistake! After getting it, I became ill, not really bad but sort of nagging lingering feeling of not being well for about 4 weeks. One day at school I just didn't feel well, but passed it off as probably coming down with something. I woke up next morning with my left arm paralyzed. Went to ER, they checked me for a stroke and some other things, and told me to come back if I got worse. By that evening my feet didn't work too well and they tingled as did my fingers. Next day I tried to walk and fell down. Somehow made it back to ER, again they had no idea what was wrong with me. Things were getting worse, losing movement and ability to walk. My son carried me to bed that night. Went to my regular PCP, as soon as he saw me he knew what it was, and asked if I had received a flu shot recently; of course I had. He said I had GB (Guillain-Barre) and explained it to my horror what was going to happen to me. Probably get much worse and the possibility of a tracheotomy tube if I needed one. He sent me straight to the hospital. In around 8 days I was gone, totally paralyzed and on total life support. I don't remember anything of the first year of hospitalization. After 16 months I was moved to a skilled nursing facility, still totally paralyzed and with a trach tube and feeding tube. Somehow they got me to breathe on my own, but still had trach tube and feeding tube and I went home after 22 months in power wheelchair. I regained some motion through PT (physical therapy) but nothing great. After a few months my trach was removed and surgically closed. My stay at home was short lived, relapsed in about 5 or 6 months. Totally paralyzed again, 8 months in hospital and PT. Third relapse was of a 6 months duration, but another stomach tube had to be inserted. Forth relapse was for 4 months hospital and PT. My last relapse was Jan 03, duration 1 month. The CIDP I had developed was and has been stopped by taking an immunosuppressant, Cellcept, and infusions of IVIG. I'm still in a chair, but have no pain, tingling, have sensation on total body, and can perform most of life's functions by myself. My left arm has suffered the most, being the first to be paralyzed and has permanent nerve damage. I'm able to get up and walk using things to hold onto. On my last visit to my neurologist I was able to walk holding his hand about 6 feet, not much but it took years to be able to do that. I scratch my head when I hear them promoting the flu shots. If I had only read that little pink paper and asked what GB was. Most people I come in contact with in the hospital and out -- nurses, doctors and regular people -- after hearing my story, feel that it is better to chance the flu and not get the shot.



i don't know if true ito o gawa-gawa lang.

leletmd

  • Guest
Re: Allergic rhinitis?
« Reply #396 on: April 12, 2012, 10:53:52 pm »
^ Medyo OT na tayo since this is best posted on the vaccination thread but, sige, that is what we call "anecdotal evidence" and thus, it is not accepted by the scientific community. Ang hinahanap kasi naming evidence are those based on scientific studies kasi yun proven kung may correlation man or hindi.
You see, even after the vaccines are released into the market, the vaccine companies continue to do post - surveillance studies to monitor or catch any adverse reactions that they missed out in the initial study.

Also, from the website name itself, it is very obvious that they are anti-flu vaccine so biased na kaagad and mahirap paniwalaan.

Anyway, I'd like to share this article on a scientific study regarding the flu vaccine:

"Study Confirms Safety of Pediatric Flu Vaccine

Norra MacReady

August 2, 2011 — The trivalent inactivated influenza vaccine (TIV) does not seem to be associated with serious adverse events, say the authors of a self-controlled screening study of more than 60,000 children.

Lead author Jason M. Glanz, PhD, from the Institute for Health Research, Kaiser Permanente, Denver, Colorado, and colleagues screened children 24 to 59 months of age who were enrolled in 7 managed care organizations over 4 influenza seasons between October 1, 2002, and March 31, 2006. "To our knowledge, this investigation represents the largest TIV screening study for children [in this age range] to date," they write in the August issue of the Archives of Pediatric & Adolescent Medicine.

They observed a significant, temporal relationship between vaccine administration and only 4 acute, nonserious conditions: fever and limb soreness, which were known adverse events, and vomiting and diarrhea, which had been identified in earlier safety studies.

Annual influenza vaccination was first recommended for children aged 6 to 23 months in 2004, write Dr. Glanz and his coauthors. The age range was gradually expanded to 18 years by 2008. However, although vaccine efficacy can be demonstrated through direct observation, its safety must be inferred from a relative lack of adverse events associated temporally with administration. This makes large, postmarketing studies important vehicles for detecting adverse events, particularly rare and serious ones that may have been missed in prelicensure clinical trials. One study examined safety in all children under 18 years of age, but it was conducted before the expanded age recommendations. Dr. Glanz and colleagues' study is the first to gather safety data specifically for the 24-month to 59-month age group.

The authors looked for evidence of medically attended events (MAEs) in children aged 24 to 59 months who had received at least 1 TIV dose during the study period. Multiple vaccinations in the same child were treated as independent exposures. The investigators used a self-controlled case series analysis to examine the temporal relationship between TIV and the incidence of MAEs. In this type of analysis, "the incidence rate of events in postvaccination risk windows is compared with the incidence rate in unexposed periods before and after the risk windows. Only individuals who experience the event of interest are included in the analysis, and each individual acts as his or her own control." This design controls for potentially confounding variables such as sex, race or ethnicity, and chronic health conditions, the authors explain. Overall, the study cohort included 66,283 children who received 91,692 doses of TIV.

The investigators studied the records for 5 potentially serious MAEs: cellulitis and skin reactions, hypotension, cardiac events, nervous system disorders, and gastrointestinal (GI) tract disorders. When the data were restricted to events confirmed through medical records, the only condition significantly associated with vaccination was aggregated GI tract disorders in children with a high-risk health condition (incidence rate ratio [IRR], 7.7; 95% confidence interval [CI], 1.11 - 53.52; P = .04). Other conditions significantly associated with TIV were GI tract symptoms, such as vomiting and diarrhea (IRR, 1.18; 95% CI, 1.1 - 1.25), and fever (IRR, 1.71; 95% CI, 1.64 - 1.80). There was also an association with nonconfirmed reports of limb soreness (IRR, 3.56; 95% CI, 1.3 - 9.75; P = .01).

In a secondary analysis examining the risk for MAEs in children who received multiple doses of TIV, the authors observed an apparent dose response between the vaccine and allergic reactions in the 1- to 3-day risk window. "The respective IRRs for the second through the fifth doses increased incrementally from 6.19 to 16.45 and were statistically significant," they write.

Numerous associations were examined in an effort to maximize the detection of important safety signals, so it is possible that statistically significant signals may have appeared simply by chance, the authors state. Also, they obtained their data from managed care organizations, which did not keep these statistics for research purposes, so some of the MAEs may have been misclassified. In addition, some rare adverse events may have been missed, despite the large cohort size.

Nevertheless, they conclude, "our results provide additional evidence that TIV is safe in young children."

sky_butterfly17

  • Guest
Re: Allergic rhinitis?
« Reply #397 on: May 23, 2012, 04:36:00 pm »
hi doc,

i'm worried sa post nasal drip ng son kong 16 month old. halos 1 month na. nagcheck up kami last sat May 19 kasi may konting ubo. Celestamine yung binigay ng pedia 3x a day for 5-7 days, 1.25ml. then allerkid after matapos yung celestamine. If di pa rin daw mawala baka need na daw mag nasal steriod (di ko sure kung ano yun) and montelukast. pansin ko every month may sipon sya...kaya sobrang worried ako..

leletmd

  • Guest
Re: Allergic rhinitis?
« Reply #398 on: May 24, 2012, 08:26:45 am »
^ What was the assessment of the pedia regarding the post nasal drip? Kasi kung may post nasal drip, then there is nasal congestion and if there is nasal congestion, then medyo matagal na ang initial symptoms (sneezing, nasal itch and watery nasal discharge) kasi chronic sign na ang nasal congestion. Have you been to an allergologist? If not, then I suggest that you bring your son for consult before nasal steroids are started.

sky_butterfly17

  • Guest
Re: Allergic rhinitis?
« Reply #399 on: May 24, 2012, 09:13:40 am »
thanks doc. will bring him to allergologist instead..

 

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