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Suggest Treatment For Cough, Cold, Chest Congestion And Wheezing Increased Along With Fever
Question: Doctor,
My son 5month, 7.6kg weight had a sudden attack of cough and cold. Started budesol nebulisation, augmentin syrup, ascoril n syp.ventryl as advised by doc. After 2days his chest congestion n wheezing increased along with fever n got admitted as CXR showed right ?lower lob pneumonia. Currently on inj.ceftriaxone 250mg tds, inj.augmentin 150mg bd, inj.dexa,budesol nebulisation 6H, asoril syp 6drops tds,oxymetazoline 0.01 sos 2drops, Brutus cough syrup.1) Is it adequate or need to change the antibiotic
2) is it safe to use budesol.in 5 month baby
My son 5month, 7.6kg weight had a sudden attack of cough and cold. Started budesol nebulisation, augmentin syrup, ascoril n syp.ventryl as advised by doc. After 2days his chest congestion n wheezing increased along with fever n got admitted as CXR showed right ?lower lob pneumonia. Currently on inj.ceftriaxone 250mg tds, inj.augmentin 150mg bd, inj.dexa,budesol nebulisation 6H, asoril syp 6drops tds,oxymetazoline 0.01 sos 2drops, Brutus cough syrup.1) Is it adequate or need to change the antibiotic
2) is it safe to use budesol.in 5 month baby
Brief Answer:
Please answer my questions to guide you better
Detailed Answer:
Hi...I have a few questions for you -
Please get back with answers so that I can guide you better.
1. Which day of fever is this and how high is the fever?
2. Is he having fast breathing?
3. Is he requiring oxygen supplementation?
4. What is his current weight?
5. Is there any family history of asthma or allergy?
6. IS IT POSSIBLE TO UPLOAD THE CXR IMAGE?
Regards - Dr. Sumanth
Please answer my questions to guide you better
Detailed Answer:
Hi...I have a few questions for you -
Please get back with answers so that I can guide you better.
1. Which day of fever is this and how high is the fever?
2. Is he having fast breathing?
3. Is he requiring oxygen supplementation?
4. What is his current weight?
5. Is there any family history of asthma or allergy?
6. IS IT POSSIBLE TO UPLOAD THE CXR IMAGE?
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr XXXXXXX amperyani
sir,
his fever subsided on 1st day of injectible antibiotic.I.e on 9/11
He don't have difficult breathing , wheezing+, had fast breathing earlier which was wen the chest congestions agravated n relieved by nebulisation . But never required o2 thrapy.
we don't have history of asthma or allergy.
Current weight : 7.6kg
Seems like can't upload cxr photo thru this forum
sir,
his fever subsided on 1st day of injectible antibiotic.I.e on 9/11
He don't have difficult breathing , wheezing+, had fast breathing earlier which was wen the chest congestions agravated n relieved by nebulisation . But never required o2 thrapy.
we don't have history of asthma or allergy.
Current weight : 7.6kg
Seems like can't upload cxr photo thru this forum
Brief Answer:
Suggestions on treatment
Detailed Answer:
Hi... I have just gone through the reports and chest X-ray.
By what you quote and also by what the reports say and chest X-ray shows o feel that it could be a viral pneumonia which might not require antibiotics at all. In such a case two antibiotics are not warranted at all. But I have observed that the spacing of antibiotics should be like this.
1. The dose of Ceftriaxone should be 375 mg twice a day.
2. Stop Augmentin, Oxymetazoline, Ascoril and injection Dexa.
3. Budesol can be given in a 5 month old when clinically required, but after going through your answers I don't think it is indicated in this case.
4. Injection Dexa is a more potent steroid then Budesol. Please stop it.
Regards - Dr. Sumanth
Suggestions on treatment
Detailed Answer:
Hi... I have just gone through the reports and chest X-ray.
By what you quote and also by what the reports say and chest X-ray shows o feel that it could be a viral pneumonia which might not require antibiotics at all. In such a case two antibiotics are not warranted at all. But I have observed that the spacing of antibiotics should be like this.
1. The dose of Ceftriaxone should be 375 mg twice a day.
2. Stop Augmentin, Oxymetazoline, Ascoril and injection Dexa.
3. Budesol can be given in a 5 month old when clinically required, but after going through your answers I don't think it is indicated in this case.
4. Injection Dexa is a more potent steroid then Budesol. Please stop it.
Regards - Dr. Sumanth
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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