a 5 year old chil having blood in his urine and stool for atleast 1 month which is of bright red colour, and he also having fever and cough with sputum for 5 to 6 months, he is having treatment but its not seem to be work on long term,, please help me as soon as possible
From history It's seem that he had CHRONIC RESPIRATORY DISEASE WITH SECONDARY GASTROINTESTINAL-GENITO URINARY DISEASE.your child may have fever and cough with sputum for 5-6 months suggestive of PERSISTENT OR PROLONGED COUGH which may have one of the following causes:pneumonia(bacterial, viral,fungal), bronchiectasis,anatomical airway defect, accidental foreign body ingestion, immunodefeciency disorders, but we can not directly jump to conclusion.history of recurrent infections, associated symptoms, past and current Chat Doctor. If I had such type of patient I would advise for investigation like, complete blood count, ESR,MT(Monte test if any contact history of Tuberculosis patient), Chest X RAY, Sputum microscopy and culture for gram staining and AFB, USG thorax. On the basis of report I will decide to do either bronchoscopy, CT scan or Special investigation for Cystic fibrosis or immunodeficiency.I would start antibiotic short course like third generation cephalosporin and Caroline like azithromycin till I will get all my report. After that I would do further management. You have mention that your child is currently taking some 