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Suggest Treatment For Productive Cough Along With Fever And Cold
Question: Hi there,
My son (3 years old) has had a cough for about 2 months now. Its a productive cough and occurs about 20-30 times a day. Rarely at night (maybe 2 times at night he coughs). He had a fever and cold at the beginning of all this 2 months ago, and seems to have contracted another cold about a week ago. He was on Augmentin for about 15 days and it also taking a nose spray to help open his sinuses. They seemed to help a little, but the day he went off the augmentin is when his new cold developed. He is in preschool now and maybe contracted something else, but the coughing has never fully gone away.
His doctor got him a chest and sinus x ray a few days ago. The chest x ray was clear and the sinus x ray showed slight mucosal swelling. He didn't want to put him on another antibiotic right away, but we really aren't sure where to go from here.
Any advice on testing we should do next? Or meds that might help him? I feel terrible that hes been coughing this long and nothing seems to fully fix it. He is eating and energy level is fine--just this continued cough.
My son (3 years old) has had a cough for about 2 months now. Its a productive cough and occurs about 20-30 times a day. Rarely at night (maybe 2 times at night he coughs). He had a fever and cold at the beginning of all this 2 months ago, and seems to have contracted another cold about a week ago. He was on Augmentin for about 15 days and it also taking a nose spray to help open his sinuses. They seemed to help a little, but the day he went off the augmentin is when his new cold developed. He is in preschool now and maybe contracted something else, but the coughing has never fully gone away.
His doctor got him a chest and sinus x ray a few days ago. The chest x ray was clear and the sinus x ray showed slight mucosal swelling. He didn't want to put him on another antibiotic right away, but we really aren't sure where to go from here.
Any advice on testing we should do next? Or meds that might help him? I feel terrible that hes been coughing this long and nothing seems to fully fix it. He is eating and energy level is fine--just this continued cough.
Brief Answer:
CBC and ESR should be done
Detailed Answer:
Thanks for the query.
You need to do the Complete blood count, ESR and WIDAL test.
Mountax test to exclude tuberculosis.
A endoscopic evaluation of the nose as well as a of a Cat Scan or CT is required to provide a specific diagnosis.
Here are some possibilities (diagnosis) to consider -
1. chronic rhinosinusitis.
2. allergic cough.
3. pulmonary tuberculosis.
4. partially traeted infection.
5. deviated nasal septum or other such deformities.
6. Tropical eosinophilia.
Nasal mucosal swelling may be due to overuse of nasal decongestant drops or infection of the sinuses.
You should see a ENT surgeons to rule out deformity in the oro-nasal passage.
Till then you can try syrup s-mucolite, syrup monticope.
Deworming with albendazole should also be done.
Sometimes diethylcarbamazine (DEC) may also be given if there is suspiction of tropical eosinophillia.
Hope I helped you.
CBC and ESR should be done
Detailed Answer:
Thanks for the query.
You need to do the Complete blood count, ESR and WIDAL test.
Mountax test to exclude tuberculosis.
A endoscopic evaluation of the nose as well as a of a Cat Scan or CT is required to provide a specific diagnosis.
Here are some possibilities (diagnosis) to consider -
1. chronic rhinosinusitis.
2. allergic cough.
3. pulmonary tuberculosis.
4. partially traeted infection.
5. deviated nasal septum or other such deformities.
6. Tropical eosinophilia.
Nasal mucosal swelling may be due to overuse of nasal decongestant drops or infection of the sinuses.
You should see a ENT surgeons to rule out deformity in the oro-nasal passage.
Till then you can try syrup s-mucolite, syrup monticope.
Deworming with albendazole should also be done.
Sometimes diethylcarbamazine (DEC) may also be given if there is suspiction of tropical eosinophillia.
Hope I helped you.
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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