annienorman 寫道:
Dr. Yonex,
Would U please comment "Bonjedex" Nasal Spray,
my BB is 2 years and 4 months, he has鼻鼾 when sleep and coughing usually at night and in the early morning, sounds有痰in 氣管,doctor said he is 鼻敏感 but not yet 哮喘. He ask me to spray Bonjedex for BB every night for one week, if still not working then maximum 2 weeks. If after 2 weeks still have such problem, need to see he again.
Is "Bonjedex" Nasal Spray suitable for a 2 years old BB? what's the side effect? My BB is very health before as I breast feed him until 2 years old. He has such problem after 感冒菌入腸胃a month ago.!
Thanks for your reply! :-(
Daphne^^ 寫道:
Dr. Yonex
請請幫我.....謝謝
之前我地在加拿大生活,仔仔從來無病過.......現住港1年,我仔仔從兩歲開始到現在3歲,每個月都有流鼻水同咳,有時會發燒,d時就乾咳,夜咳,痰咳,仔仔一咳得勁,夜晚訓訓下就好易咳到嘔,嘔晒d飯同奶,而加同佢介飲奶有咳時,情況就少左好多....
我同佢睇左好多個醫生,每次我都有問醫生佢係唔係有哮喘,佢地就話唔係,係唔係鼻敏感,氣管敏感就唔可以答到我....可能我轉醫生多,(咁唔好就轉啦) 但我好怕佢有機會變哮喘
今個月又開始發...日間有時流鼻水,少少咁,訓左就間斷有咳,一咳就持續咳十幾秒,聽到有d痰, 我剛剛停左善古靈,已經食左14日,第十日就開始有d病......
Q1.我要如何預防仔仔有哮喘,
Ans.: You may name it brochial allergy, since about 40% of kids at 3~4 years have that in HK. But only 15% should have the label-tag of Asthma at 9 years old; meaning that most of these kids will grow out of the disease when they have more cortisol secretion from their adrenal glands when they have the grow spur!
but我都唔知仔仔係唔係鼻敏感,or氣管敏感, 定係身體較為差, 仔仔3yrs,95cm高,14kg
Ans.: sounds quite normal to me.^^
Q2.我仔仔是否要再開始食返善古靈? 盒善古靈係我之前係都要個醫生俾我仔仔試下,but佢話對我仔仔無用喎,佢話我仔仔係病毒多,醫生係趙xx, 仔仔多數睇佢....
Ans.: U don't need to stop Singulair when he has acute illness. U may try it for 4 weeks first, e.g. 4mg Nocte. About 70% will improved, though not all.
Q3,小朋友一開始有病,你覺得是否一定要看醫生食藥,eg,流鼻水同咳, 或者等佢身體對抗下,BUT 我仔仔次次都只會得更嚴重....
Ans.: U should bring him to see a reliable doctor. The doctor may give him symptomatic treatment. He will feel easier. As long as there's no long term steroid use, there's no problem for him to build up his own immunity! 病向淺中醫!
Q4,有無D藥我可以用作看門口,FOR 流鼻水,鼻塞,化痰止咳.....
Ans.: Not advisable. It's not difficult to find a GP nearby. Believe that we are more learnt to precribe. U do not need to drive an hour to see the doctor in HK.
mom2006 寫道:
1. 請問假如bb(1歲)鼻敏感發作，食收鼻水藥唔得，可唔可以自行幫佢噴Flixonase nasal spay ？
Ans.: No. too young.
2. 如果噴，係咪要持續噴2 weeks？(醫生好似話過)定無鼻水就停得？
Ans.: 4~8 weeks.
3. 這藥有類固醇，噴得多會唔會令bb慣左，更容易鼻敏感？或者有d咩side effect？
Ans.: Again, not for ur bb.
４．醫生話如果唔食善古寧就要聞有類固醇ｄ氣，效果快ｄ。ｏ甘善古寧有無類固醇？
Ans.: No steroid in Singulair.
張病人須知講左好多副作用，醫學界有無ｃｏｍｍｅｎｔ？
Thank You !!
mom2006 寫道:
Thank you Dr. Yonex.
死啦。其實支 Flixonase nasal spay 係中建大廈一個 Paediatrician 開比佢
Ans.: Oh, sorry~我無稔過會批評到他.
(仔仔病左成個月，唯有捱極貴的費用去試下，所費不菲！！)。Doctor suggest 如鼻敏感翻發(流鼻水)，先試比佢食一隻叫 Xyzal (每晚十滴)既藥水，唔得再噴Flixonase nasal spay ，再唔得返去睇佢。雖然佢都開過支Oxymetazoline Spray，但話只for stuffy nose，不能治鼻敏感。如果咳呢，先食Meptin，唔得返去由佢prescribe Singuliar。
Ans.: Singulair都最好用係兩歲以上wor~
最近仔仔又流鼻水，如果唔用Flixonase nasal spay ，可以試d咩？
Ans. Dimetapp 2.5 ml tds(一日三次, 每六小時)+ 4 days
Zaditen 2.5ml Nocte.(晚服) for 2 weeks.
我知有Steriod都好唔想比佢用，
Ans.: I agree.
but doctor suggest...
另外你提過用來洗床單的chemical，我見個網頁話係for 疥瘡，係咪當洗衣液甘用呢？落幾多？洗唔洗用洗衣粉？
Ans.:
(Benzyl Benzoate 25%w/v,
if 每樽 = 500ml, 稀釋 1:125)
例子:
一般有手抽的水桶 ~ 20 公升 需要用 160 ml (約1/3 樽)
洗衣機 “低”水位 ~ 32 公升 需要用 250 ml (約1/2 樽)
洗衣機 “中”水位 ~ 42 公升 需要用 320 ml (約2/3 樽)
洗衣機 “高”水位 ~ 52 公升 需要用 400 ml (約8/10樽, )
用滅除塵蟎的 藥劑(Benzyl Benzoate)添加入清水浸透20分鐘，再放入洗衣機洗滌
Thank you in advance
Dr.Yonex 寫道:
[quote]
christaki 寫道:
THANKS DR.YONEX
請問我可否比埋細B食"善古靈"嗎?
Ans.: Not advisable. Mind U that the Med.Co should persuade everyone to take their product! But for the case of Singulair, they mentioned > 2 years!
我見另一位mani 都suggest 我比佢食,,and 如果長期食"Zaditen"and "善古靈"可以嗎,
Ans.:Zaditen OK for your younger kid~ Take 2 months and reassess La~ e.g. stop for a week or so to see any sign of worsening~ Medication is medication. There is always side-effect going along with effect~, espectially when U take it in a longer period!
christaki 寫道:
Dear Dr.Yonex
我個大女(3yrs)呢排都咳左好耐+流鼻水, 成3個幾week, 睇左3次doctor,話佢氣管炎,食左藥+(煲左d川貝),依家先好似好dd,請問佢食"善古靈"?份量幾多?食幾耐......
Ans. Try 4 weeks 4 mg 晚間服 啦~Mind U she has slim but possible chance of allergy 咖~
另細女(剛1yrs....only 20.lbs)仲差,成日都鼻水倒流,有痰,食左止咳, 化痰藥都唔好,doctor 話佢有鼻敏感,所以好難好,
但係我問個doctor,佢話細b咁細,唔好食"善古靈",咁點好?
Ans.: Try Zaditen 2.5ml Nocte(晚間服) for 2 weeks
Dr.Yonex 寫道:
[quote]
christaki 寫道:
THANKS DR.YONEX
請問我可否比埋細B食"善古靈"嗎?
Ans.: Not advisable. Mind U that the Med.Co should persuade everyone to take their product! But for the case of Singulair, they mentioned > 2 years!
我見另一位mani 都suggest 我比佢食,,and 如果長期食"Zaditen"and "善古靈"可以嗎,
Ans.:Zaditen OK for your younger kid~ Take 2 months and reassess La~ e.g. stop for a week or so to see any sign of worsening~ Medication is medication. There is always side-effect going along with effect~, espectially when U take it in a longer period!
christaki 寫道:
Dear Dr.Yonex
我個大女(3yrs)呢排都咳左好耐+流鼻水, 成3個幾week, 睇左3次doctor,話佢氣管炎,食左藥+(煲左d川貝),依家先好似好dd,請問佢食"善古靈"?份量幾多?食幾耐......
Ans. Try 4 weeks 4 mg 晚間服 啦~Mind U she has slim but possible chance of allergy 咖~
另細女(剛1yrs....only 20.lbs)仲差,成日都鼻水倒流,有痰,食左止咳, 化痰藥都唔好,doctor 話佢有鼻敏感,所以好難好,
但係我問個doctor,佢話細b咁細,唔好食"善古靈",咁點好?
Ans.: Try Zaditen 2.5ml Nocte(晚間服) for 2 weeks
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