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Are Advent Drops, Zerotuss-XP Drops And Alerid Syrup The Right Treatment For Wet Cough And Chest Congestion In An Infant?
Question: Hello Sir,
My Son is 5 months old and suffering from really bad wet cough due to chest congestion from last 2 weeks. Intiailly our Child Specialist gave him Febrex Plus-AF Drops and Viscodyne-LS drops for almost 10 days but there is no improvement in his cough. We also giving him levoline 0.31 mg Nubilizer twice a day. Yesterday he advised a chest X-Ray which I am attaching. and gave him Advent Drops, Zerotuss-XP Drops and Alerid Syrep twice a day for 3 days. He has no fever and is active baby and properly taking feed on regular interval. Can you please suggest is this right treatment going on for him.
Regards,
XXXX
My Son is 5 months old and suffering from really bad wet cough due to chest congestion from last 2 weeks. Intiailly our Child Specialist gave him Febrex Plus-AF Drops and Viscodyne-LS drops for almost 10 days but there is no improvement in his cough. We also giving him levoline 0.31 mg Nubilizer twice a day. Yesterday he advised a chest X-Ray which I am attaching. and gave him Advent Drops, Zerotuss-XP Drops and Alerid Syrep twice a day for 3 days. He has no fever and is active baby and properly taking feed on regular interval. Can you please suggest is this right treatment going on for him.
Regards,
XXXX
Brief Answer:
May be a viral associated wheeze or Multi triggered wheeze
Detailed Answer:
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.
Questions:
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?
I shall await your response.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
May be a viral associated wheeze or Multi triggered wheeze
Detailed Answer:
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.
Questions:
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?
I shall await your response.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor, Please see my answer against each of your question.
1. How many days per month does your kid cough or feel breathless?
Ans. He is just 5 months old and coughing from last 2-3 weeks.
2. How many nights per month does your kid's sleep get disturbed due to above symptoms?
Ans. There is no sleep disturbance yet due to cough.
3. Does your kid feel breathless when running around or playing with other kids?
Ans. He is just 5 months old.
4. Are the symptoms when there are seasonal changes?
Ans. This is the first time he got these symptoms.
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
Ans. No family history of asthma and any allergy.
6. Is the cough always associated with fever?
Ans. No there is no fever at all.
Can you please also take a look the X-ray and report I attached.
Regards
1. How many days per month does your kid cough or feel breathless?
Ans. He is just 5 months old and coughing from last 2-3 weeks.
2. How many nights per month does your kid's sleep get disturbed due to above symptoms?
Ans. There is no sleep disturbance yet due to cough.
3. Does your kid feel breathless when running around or playing with other kids?
Ans. He is just 5 months old.
4. Are the symptoms when there are seasonal changes?
Ans. This is the first time he got these symptoms.
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
Ans. No family history of asthma and any allergy.
6. Is the cough always associated with fever?
Ans. No there is no fever at all.
Can you please also take a look the X-ray and report I attached.
Regards
Brief Answer:
Multi triggered wheeze and given suggestions
Detailed Answer:
Hi,
It looks like a viral illness. What I mean by playing with other kids is - while he is active. By what you say I feel that he has multi triggered wheeze.
My suggestions are:-
1. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Budecort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever the kid is having severe cough in spite of regular usage of Budecort. The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. Do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your pediatrician for this.
2. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.
Hope my answer was helpful for you. I am happy to help any time.
Wish your kid good health.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Multi triggered wheeze and given suggestions
Detailed Answer:
Hi,
It looks like a viral illness. What I mean by playing with other kids is - while he is active. By what you say I feel that he has multi triggered wheeze.
My suggestions are:-
1. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Budecort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever the kid is having severe cough in spite of regular usage of Budecort. The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. Do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your pediatrician for this.
2. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.
Hope my answer was helpful for you. I am happy to help any time.
Wish your kid good health.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Okay Sir,
Thanks for your detailed answer. Can You please tell me is that antibiotic (Advent Drops) gonna help in reducing mucus. How long we should gave this medicine including that Zerotuss XP drops (Ambroxol, Guaifenesin and Levosalbutamol).
There is summer here so can inhale steam gonna help on this? Is there any serious thing to which we should worry or its normal? How long we expect that cough will be completely gone?
Thanks & Regards
Thanks for your detailed answer. Can You please tell me is that antibiotic (Advent Drops) gonna help in reducing mucus. How long we should gave this medicine including that Zerotuss XP drops (Ambroxol, Guaifenesin and Levosalbutamol).
There is summer here so can inhale steam gonna help on this? Is there any serious thing to which we should worry or its normal? How long we expect that cough will be completely gone?
Thanks & Regards
Brief Answer:
Answers to the questions on cough
Detailed Answer:
Hi,
Coming to your queries one by one:-
1. Advent is an antibiotic and is not going to be useful in a viral illness like this. Rather it might cause antibiotic resistance and so I suggest that you stop it.
2. Combination medicines for better avoided in such young babies. I suggest you give only plain Levosalbutamol which is available as Levolin syrup at the doors of 2.5 ml 3 times a day for 3 days.
But this is a prescription medicine and you will require a doctor's prescription for it.
3. Steam inhalation will aggravate the problem by causing irritation to the lower breathing tubes.
4. This is a normal reason due to seasonal problem you need not worry about this.
5. This might take 7 to 10 days to completely settle down.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Answers to the questions on cough
Detailed Answer:
Hi,
Coming to your queries one by one:-
1. Advent is an antibiotic and is not going to be useful in a viral illness like this. Rather it might cause antibiotic resistance and so I suggest that you stop it.
2. Combination medicines for better avoided in such young babies. I suggest you give only plain Levosalbutamol which is available as Levolin syrup at the doors of 2.5 ml 3 times a day for 3 days.
But this is a prescription medicine and you will require a doctor's prescription for it.
3. Steam inhalation will aggravate the problem by causing irritation to the lower breathing tubes.
4. This is a normal reason due to seasonal problem you need not worry about this.
5. This might take 7 to 10 days to completely settle down.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello Sir,
Thanks for this great advice, We will surely consider this. One last question, how the chest congestion then clears up? Is levolin syrup clears that out.
Thanks Again
Regards
Thanks for this great advice, We will surely consider this. One last question, how the chest congestion then clears up? Is levolin syrup clears that out.
Thanks Again
Regards
Brief Answer:
Chest congestion and Levolin
Detailed Answer:
Hello,
Yes, the so called chest congestion in general population is actually wheezing and it will get cleared with Levolin please.
Hope I have answered your query.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Chest congestion and Levolin
Detailed Answer:
Hello,
Yes, the so called chest congestion in general population is actually wheezing and it will get cleared with Levolin please.
Hope I have answered your query.
Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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