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Suggest Treatment For Wheezing And Persistent Cough In A Child
Brief Answer:
Please do not use antibitocs for wheezing - not necessary
Detailed Answer:
Hi...Please do not use antibiotics for wheezing. Basically wheezing is due to seasonal changes/ allergy and inter-current viral illness. Antibiotics are not indicated and if unnecessarily used may lead to antibiotic resistance in future.
I completely agree with your pediatrician in not using an antibiotic for wheezing.
You can continue T-Minic drops.
I have a few questions for you - please get back to me with answers so that I can guide you better.
Questions:
1. How many days per month do the kid cough or feel breathless?
2. How many nights per month do the kid’s sleep get disturbed due to above symptoms?
3. Does the kid feel breathless when he is active and playful?
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. Does he cough when he cries or laughs?
7. What was age when he first developed this wheezing?
8. What is his exact date of birth and current weight?
Regards - Dr. Sumanth
Please do not use antibitocs for wheezing - not necessary
Detailed Answer:
Hi...Please do not use antibiotics for wheezing. Basically wheezing is due to seasonal changes/ allergy and inter-current viral illness. Antibiotics are not indicated and if unnecessarily used may lead to antibiotic resistance in future.
I completely agree with your pediatrician in not using an antibiotic for wheezing.
You can continue T-Minic drops.
I have a few questions for you - please get back to me with answers so that I can guide you better.
Questions:
1. How many days per month do the kid cough or feel breathless?
2. How many nights per month do the kid’s sleep get disturbed due to above symptoms?
3. Does the kid feel breathless when he is active and playful?
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. Does he cough when he cries or laughs?
7. What was age when he first developed this wheezing?
8. What is his exact date of birth and current weight?
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
1. How many days per month do the kid cough or feel breathless?
// Usually he vomits when have cough as he is diagnosed Laryngomalacia, doctor advice to wait for at least one to two years. He do not feel breathless
2. How many nights per month do the kid’s sleep get disturbed due to above symptoms?
//No such condition
3. Does the kid feel breathless when he is active and playful?
// Very Active and playful, do not feel breathless but do have cough
4. Are the symptoms when there are seasonal changes?
//Yes, happened first time
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? No
6. Does he cough when he cries or laughs?
//Cries
7. What was age when he first developed this wheezing?
//one week back
8. What is his exact date of birth and current weight?
//13/09/2016, 4.6 KG
// Usually he vomits when have cough as he is diagnosed Laryngomalacia, doctor advice to wait for at least one to two years. He do not feel breathless
2. How many nights per month do the kid’s sleep get disturbed due to above symptoms?
//No such condition
3. Does the kid feel breathless when he is active and playful?
// Very Active and playful, do not feel breathless but do have cough
4. Are the symptoms when there are seasonal changes?
//Yes, happened first time
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? No
6. Does he cough when he cries or laughs?
//Cries
7. What was age when he first developed this wheezing?
//one week back
8. What is his exact date of birth and current weight?
//13/09/2016, 4.6 KG
Brief Answer:
Looks like a viral associated wheeze
Detailed Answer:
Hi....I understand your concern. Looks like a viral associated wheeze.
I do understand that he has got laryngomalacia, but if he has got noisy breathing since birth especially while sleeping and feeding, that means there might be a congenital airway anomaly also.
Moreover he is underweight for his age.
Keeping all this in mind, I suggest that...
1. Do not nebulize with Levolin, it will aggravate the airway problem.
2. Use Ipravent for nebulization.
3. Best is to use Ipravent metered dose inhaler than nebulization.
4. He will require further evaluation as he's underweight if his birthweight had been normal.
Regards - Dr. Sumanth
Looks like a viral associated wheeze
Detailed Answer:
Hi....I understand your concern. Looks like a viral associated wheeze.
I do understand that he has got laryngomalacia, but if he has got noisy breathing since birth especially while sleeping and feeding, that means there might be a congenital airway anomaly also.
Moreover he is underweight for his age.
Keeping all this in mind, I suggest that...
1. Do not nebulize with Levolin, it will aggravate the airway problem.
2. Use Ipravent for nebulization.
3. Best is to use Ipravent metered dose inhaler than nebulization.
4. He will require further evaluation as he's underweight if his birthweight had been normal.
Regards - Dr. Sumanth
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. Arnab Banerjee
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