A runny nose, cold, and sneezing are usually due to viral infection or allergies. Stay hydrated, use steam inhalation, and try a saline or antihistamine nasal spray for relief. If symptoms persist or recur often, get checked for allergic rhinitis.

Since he has not shown progress after taking Maxtra, Azithal (azithromycin), and Monticope (montelukast and levocetirizine), it is highly recommended to have his pediatrician re-evaluate him. Sometimes, a persistent cough is viral and requires supportive care like warm fluids and saline drops rather than antibiotics, or it may require a different treatment approach. Please consult your doctor promptly for a physical exam. Seek immediate care if you notice rapid breathing, chest pulling in, or extreme sleepiness.

Since he has diabetes, it is very important to monitor his blood sugar levels closely, as infections can cause them to fluctuate. Please ensure he stays well-hydrated and continues steam inhalation. He can continue Monticope and Dolo 650 (paracetamol) as needed, but since he has a productive cough and weakness, I highly recommend consulting his doctor for a physical evaluation. A doctor can listen to his chest to rule out any chest infection and safely adjust his treatment. Please seek immediate medical care if he experiences difficulty breathing.

Fortunately, taking modern, non-drowsy antihistamines (like cetirizine or loratadine) every few days over several years is generally very safe and rarely causes serious long-term side effects. Occasionally, some people might experience mild dry mouth or slight fatigue. While there is no absolute 'permanent cure' for allergies, allergen immunotherapy?often called allergy shots?is a highly effective option. It works by gradually training your immune system to tolerate allergens, which can dramatically reduce or even eliminate your symptoms long-term. Please discuss this option with an allergist to see if it is right for you!

You likely have a viral cold with congestion and nausea from mucus swallowing. Stay hydrated, take steam inhalation, and use paracetamol for fever or discomfort. If vomiting continues or you can't keep fluids down, see a doctor for anti-vomiting medication.

Tinnicar (caroverine) and Monticope (montelukast/levocetirizine) likely helped reduce middle ear congestion and nerve sensitivity. Once stopped, the underlying mild middle ear issuewhich can cause tinnitus, especially in the quiet eveningbecame noticeable again. Since your hearing tests are normal, this is very reassuring and suggests no permanent nerve damage. Please consult your ENT specialist to address the middle ear issue, which might involve simple treatments like nasal sprays or allergy management.