Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor, my 20-month-old son is having cold and fever on and off for the last 2 months. Before this, he only had a fever and cold when he was 12 months old that got well in 2 days with the paracetamol. He had almost 3 fevers in the last 2 months. For the last fever and cold 2 weeks ago, he had Erythromycin Ethylsuccinate, ibuprofen, and some cough syrup. He has been having runny nose continuously for the last 2 months. I have tried Prospan for his cough last month. Again, yesterday, he started having cough, fever, and vomiting. I gave him some paracetamol and he slept well, got up normally and had his dinner and played well, but again yesterday night got fever. Is anything serious??? What is he having???? Is azithromycin helpful??
[|AI|]  Hi... Thank you for consulting in Chat Doctor .THIS LOOKS LIKE RECURRENT VIRAL ILLNESS AND ANTIBIOTICS ARE NOT REQUIRED AT ALL. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal