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Suggest Remedy For Severe Cough In A Child
Question: Hello Doctor,
My 9 month old daughter has been suffering from severe cough. She is under medication though but the cough does not seem to subside. Both my wife and I feel helpless when our daughter coughs.
My 9 month old daughter has been suffering from severe cough. She is under medication though but the cough does not seem to subside. Both my wife and I feel helpless when our daughter coughs.
Brief Answer:
Looks like a viral 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 she cough or feel breathless?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she runs around or plays 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?
If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing.
Kindly get back with answers so that I can guide you further.
Regards - Dr. Sumanth
Looks like a viral 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 she cough or feel breathless?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she runs around or plays 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?
If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing.
Kindly get back with answers so that I can guide you further.
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
Answers to your questions:
1. She has cough for last 2 weeks or so.
2. Almost daily she gets up coughing in the night.
3. No. She is an active baby; crawls around the house and is in playful mood.
4. I feel so. She has atopic eczema and we keep her moisturized all the time. We apply cetaphil lotion and occasionally use desonide ointment if her itching does not subside.
5. My father is an asthmatic patient. My wife also gets skin allergies and she pops in allegra 180 tab.
6. Cough is not associated with fever.
Thanks.
Answers to your questions:
1. She has cough for last 2 weeks or so.
2. Almost daily she gets up coughing in the night.
3. No. She is an active baby; crawls around the house and is in playful mood.
4. I feel so. She has atopic eczema and we keep her moisturized all the time. We apply cetaphil lotion and occasionally use desonide ointment if her itching does not subside.
5. My father is an asthmatic patient. My wife also gets skin allergies and she pops in allegra 180 tab.
6. Cough is not associated with fever.
Thanks.
Brief Answer:
This is multi triggered wheeze and needs inhlaers for this season
Detailed Answer:
Hi...By what you quote I feel what your kid is having multi triggered wheeze.
Suggestions:
1. There are certainly alternative management therapies now-a-days. Medicine has advanced a lot and allergies and wheezing is 100% controllable.
2. 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.
3.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. So 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 paediatrician for this.
4. 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. Further clarifications and consultations on Health care magic are welcome. Wish your kid good health.
I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696
Dr. Sumanth MBBS., DCH., DNB (Paed).,
This is multi triggered wheeze and needs inhlaers for this season
Detailed Answer:
Hi...By what you quote I feel what your kid is having multi triggered wheeze.
Suggestions:
1. There are certainly alternative management therapies now-a-days. Medicine has advanced a lot and allergies and wheezing is 100% controllable.
2. 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.
3.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. So 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 paediatrician for this.
4. 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. Further clarifications and consultations on Health care magic are welcome. Wish your kid good health.
I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696
Dr. Sumanth MBBS., DCH., DNB (Paed).,
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
Answered by
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