Suggest Treatment For Severe Cough Along With Sneezing And Phlegm Discharge

Posted on Tue, 16 Dec 2014

Question: Hi Doctor.

My 3.5 year old daughter has been goring through sever coughs for 3-4 weeks now.
It started with small sneezing and cold like symptoms and later turned into severe whooping coughs with phlegm vomits ( Occasionally when she cries a lot). The coughs have reduced over time now and now she only has whooping coughs during early morning and late night just before sleeping.

We haven't started any proper medication for her as we thought it's just seasonal allergy and will go with time.

As of now only abnormal report which we have seen is CBC with MCv 73.6, Neutrophils 35 and Lymphocytes 60. I am attaching report for more reference.

Reports attached are CBC, AEC and Chest XRAY report.

Please let me know if their is anything serious to worry about or what best I can do for my daughter to recover faster. Any more tests to be done.

Thanks

Awaiting your quick response.

Answered by Dr. Omprakash Ashokrao Deshmukh (10 minutes later)

Brief Answer:
It may be allergic.

Detailed Answer:
Thanks for the query.
Values you entered for nuetrophils and mcv are in normal range.
It looks like allergic or viral cough.
Other reports are also normal.
Sometime it may take 3 to 4 weeks to go off completely.
If there is no fever, child is active , eating well , you need not to worry.
Try nebuliser or room humidifier to clear the phlegm.
Hope i helped you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Omprakash Ashokrao Deshmukh (3 hours later)

Thanks!! a lot doctor. It certainty helped.

We have already started nebuliser 2-3 days back.
Any medicine which we must use to clear the congestion.

As after seeing xray doctor said she has lot of phlegm in chest.

Any home remdies which i can use.

Also you said it may be viral or allergy. What else it can be? Any other tests which you want me to perform.

Answered by Dr. Omprakash Ashokrao Deshmukh (5 hours later)

Brief Answer:
try mucolytics.

Detailed Answer:
Thanks for the follow up.
Yes you can try syp. Smucolite (bronchodilator and mucolytic) and syp monticope( anticold and antiallergic) after consulting a doctor.
Home remedies which can be tried are juice of tulsi leaves , honey, hirda, turmeric powder ( mixed together).
If there is no fever , then there is no need to perform any more test.
Hope i helped you.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Omprakash Ashokrao Deshmukh (24 hours later)

Thanks!! Doctor. My daughter doesn't had any fever in last 2-3 weeks as we have been monitoring it continuously.

The only thing now she has is whooping coughs 3-4 times in a day (Mostly nights)
or when she cries a lot.

She is a active and naughty child and runs and palys around the whole house.

How long do you think will take the phlegm to dry away completely and also WBC will come to normal values. What is the normal range of WBC in kids.

Answered by Dr. Omprakash Ashokrao Deshmukh (59 minutes later)

Brief Answer:
start the symptomatic treatment

Detailed Answer:
Thanks for follow up.
I would advise you to start mucolytic and antiallergic after consulting a doctor.
It may take 3 to 5 days more.
Increase nebulisation frequency.
Also remove books, curtains from your childs room to avoid dust.
Wbc count of 5000 to 15000 is normal for 3 yr child.
Lymphocytes will comes to normal (below50) within 1 to 2 weeks.
Hope i helped you.

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. Bhagyalaxmi Nalaparaju