<s>[INST] My 2 year old son is having allergic reactions to milk and milk products and sometimes to dust. once he had a reaction to MMR vaccination also.he shows repeated cough and wheezing. How can I treat/prevent/predict/manage the situation effectively. Is epi pen necessary. We have managed it using steroids and nebulisation and found him normal within 1hr [/INST] Hi, By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you: 1. How many days per month does your kid cough or feel breathless? 2. How many nights per month does your kid's sleep get disturbed due to above symptoms? 3. Does your kid feel breathless when running around or playing with other kids? 4. Are the symptoms when there are seasonal changes? 5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? 6. Is the cough always associated with fever? Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology </s>