<s>[INST] Hi, I Have a daughter of 3 yrs and 9 months of age and her weight is 19.5 kg.we have recently shifted from mumbai to bangalore but since we are in bangalore my daughter is not well , she has of n on cough, cold, nose blockage, and today she has pain in her left ear, she is on medicine for the last 2 months, kindly help. [/INST] Thank you for following up.Your daughter has infection of nose,ear,throat. I suggest:-nose and throat culture for flora and sensitivity to antibiotics-consult ENT doctor for differentiation adenoids, chronic tonsillitis, ethmoiditis  Best regards  Dr. Svetlana </s>