<human>: Hi my son 5 years old he is very allergy with food and dust .also he has skin allergy. He always have running nose and headache . Since the past two weeks he been having fever and cough . The doctor prescribe solupred 20 and vifex syrup . It been two month since he had taken solupred 20 can he take it again? And very often his nose bleed
<bot>: Hello. Thank you for asking at Chat Doctor. I went through your sons history and would like to make following suggestions to him:1. Avoidance of the substances he is allergic to is the best strategy for managing allergies. If he has been tested for allergies, I would suggest him to avoid the foods he is allergic to. (provided that allergy testing is reliable)For dust allergy, specific allergen immunotherapy can be advised by an Allergist-Immunologist after thorough allergy evaluation.2. I would agree with his treatment suggested by his doctor. However, were I treating him, I would add montelukast and levocetirizine to above treatment. 3. Soured 20 is corticosteroid. In severe asthma symptoms, it may be necessary to give oral corticosteroids. A short course of 3-5 days of corticosteroids does not cause significant long term side effects. So as his doctor thinks Soured 20 is necessary for him at present, I would agree with him. Treating doctor is the best judge of the children condition.4. If he needs repeated asthma symptoms or repeated corticosteroid courses, I would suggest him regular medications like montelukast or inhaled corticosteroids. (Inhaled corticosteroids are much safer than oral corticosteroids, but are less useful in acute symptoms)So I would suggest you to review his symptoms with his doctor to discuss the need of regular medications.5. I would suggest him to avoid the exposure to dusts, smokes & air pollution as much as possible.6. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help him in a longer run by improving his immunity. Hope above suggestions will be helpful to him. Should you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health. Thank you & Regards.