9 yrs old female w/c/o stuffy nose
NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. PATIENT HISTORY: Pt is a 9 yrs old female Till the age of 6-7 yrs, she c/o constipation (2 days no defecation), passing very hard stool. Dr prescribed high fibre diet taking which normalised her bowel movement. At that time only, she also used to c/o digestive issues (acid reflux, sour burps, sour aftertaste, foul smell from mouth) on eating something fried, oily and spicy. Now the frequency has decreased a lot after starting high fibre diet and taking lot of water. Since childhood, she used to suffer often from cough and cold (nasal congestion and dry cough), would last for 8-10 days, happening 2-3