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Suggest Remedy For Cough And Nasal Congestion

Posted on Tue, 5 Jan 2016

Question: I have an onset of cough. its not much but will probably get worse. nose is a little stuffy. I probably got this from my baby, he's been suffering from cough and running nose for the last two days. any medicine I can take ?

Answered by Dr. Tushar Kanti Biswas (3 hours later)

Brief Answer:
URTI likely viral

Detailed Answer:
Hi, Welcome to HCM.

Thank you for your query. I can understand your concerns.

It seems that you have upper respiratory tract infection (URTI) most likely Viral (running nose,dry cough etc)-might have got from your baby.

What you need to take at this stage (2nd day of illness) is symptomatic treatment such as antihistamine ( e.g Tab LEVOCETIRIZINE 5 mg Orally Once daily at bedtime for 5 days ) and Cough syrup like BROMHEXINE or AMBROXOL Hydrochloride 1 Teaspoon three times a day again for 3-5 days.

If you have fever,you can also take Tab PARACETAMOL 650 mg orally after food,if temperature is more than 100 degree F(but to a maximum of 3-4 doses per day).

Viral infection of upper respiratory tract will likely resolve in 5-6 days.

Maintain good hydration by drinking lot of water/juice/soup.

Let me know if there's anything else I can help you with .

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Tushar Kanti Biswas (4 hours later)

Thank you Doctor..Is Ascoril syrup any good? and there is also a tablet - Tus Q? I will get levo cetrizine. will this however make you drowsy?

Answered by Dr. Tushar Kanti Biswas (2 hours later)

Brief Answer:
Antihistamine and expectorant

Detailed Answer:
Ascoril contains terbutaline, bromhexine and guaifenesin and can be used as expectorant but use only 1 teaspoon three times a day.
Tus-Q contains chlorpheniramine maleate ,an antihistamine which makes one drowsy and hence often abused.Avoid it,especially if you have to drive.
Low-sedating agents such as cetirizine or levocetirizine generally
are used first as antihistamine. It does not make one drowsy.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Tushar Kanti Biswas (3 days later)

This is not controlling my cough. I am having Ascoril and livo citrizine since 3 days. Today, I have mild fever and I took a Dolo 650 which gave a lot of relief. Now I am suffering from increases cough..nose is stuffed but not runny. please advise

Answered by Dr. Tushar Kanti Biswas (1 hour later)

Brief Answer:
URTI ? viral-secondary bacterial infection

Detailed Answer:
It seems your URTI has spread to lower respiratory tract and has increased cough with mild fever.
You need to take a course of antibiotic preferably fluoroquinolone group ( such as Levofloxacin (standard dose 500 mg daily orally at least for 5 days).Also do a complete blood count.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj