Q: My 3.5 years old son is suffering from chest congestion for the last 3-4 months. The frequency of the same has been increasing consistently, to the extent that for the last month we have been taking him to the doctor almost every week. His treatment started with normal expectorants, going on to nebulizer and finally last week had to be given a 4 day course of steroids. However, the congestion has still not subsided completely and he is still on a 5-day course of expectorant (Vent Pead) plus nebulizer (though a lower dosage). The doctor said that repeated exposure to some allergen is causing repeated congestion. He has no other problem like wheezing or fever, etc.

1. How can congestion be cured?
2. What is the best way to determine that there is no congestion left inside?
3. Any tips to avoid re-occurrence of such episodes?
4. Should the child be sent to school when suffering from congestion?

A:

1. Congestion can be completely controlled by inhaled steroids, bronchodilators, and most importantly avoidance of triggers, e.g. smoke, dust, pets, etc.
2. Peak flow meter examination.
3. Regular use of preventers.
4. Avoid school during congestion phase.