Conversation: The conversation between human and AI assistant.
[|Human|] My son,9yrs old had swelling in rt nostril for about 5 months.He got epistaxis frequently & I suspect something,so I look his nostrils with torch light&i found it.He had past history of asthma since his age was 8 months old. He took montelukast sodium 5mg at night continuously.I am also a general medical doctor& I would like to know your opinion,what shall I do for this. With thanks
[|AI|]  Dear Concerned., Thanks for writing to us. Chronic Swelling in right nostril when you have put Torchlight could be due to either(A)Polyposis-mucosal peculated/sessile polyps, may even be originating from maxillary sinus(B)Inferior Turbinate Hypertrophy-For the above complaints consult an ENT Surgeon for a detailed ENT assessment/Endoscopic Surgical Clearance of the above lesions from their root. For Asthmatic Complaint Pls take him for all Baseline Blood and Urine investigations/Chest X-Ray/Pulmonary Function Tests. For maintenance dosage regularly use bronchodilator inhalations. In an acute attack pls nebulize him with locally acting Glucocorticoids and Bronchodilators. Avoid Tablets and Parenteral to prevent systemic side effects. As the child grows, gradually the bronchioles and bronchi grow and expand, he will also not suffer any attack as the bronchoconstriction will not affect air entry at all. Thatswhy childhood asthma is less dangerous compared to adult onset asthma. Wishing your son a safe and speedy recovery., Best Regards., Chat Doctor.