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What Causes Cold And Cough In Children?
Question: Hi,
My 2 yrs old daughter suffering cold and cough since last few month, started in winter this year and under my pediatric supervision , last week she faced some wheezing, my doc detect it as viral wheezing and suggest 'Asthalin 100 mcg 200 meter in-healer, 6 to 8 puff at a time with initially one hour-then two-then three and finally thrice in 24 hours. But it should be 6 puff each time. But recommended dosage is 1 to 2 puff at a time and XXXXXXX 8 puff in 24 hours. My query is ' are we doing some wrong with her?'
The other med prescribed is 'Omnacortil forte' 6.5 ml, single dosage for three days and Relent+ , 2 ml thrice a day for couple of days.
My daughter is active always. Wt around 11 kg, hight 83 cm.
Please reply
Thanks
D. XXXXXXX XXXXXXX WB
My 2 yrs old daughter suffering cold and cough since last few month, started in winter this year and under my pediatric supervision , last week she faced some wheezing, my doc detect it as viral wheezing and suggest 'Asthalin 100 mcg 200 meter in-healer, 6 to 8 puff at a time with initially one hour-then two-then three and finally thrice in 24 hours. But it should be 6 puff each time. But recommended dosage is 1 to 2 puff at a time and XXXXXXX 8 puff in 24 hours. My query is ' are we doing some wrong with her?'
The other med prescribed is 'Omnacortil forte' 6.5 ml, single dosage for three days and Relent+ , 2 ml thrice a day for couple of days.
My daughter is active always. Wt around 11 kg, hight 83 cm.
Please reply
Thanks
D. XXXXXXX XXXXXXX WB
Brief Answer:
It is likely to be due to bronchiolitis
Detailed Answer:
Thanks for asking on HealthcareMagic.
There is a viral condition called bronchiolitis characterized by wheezing and probably your child has it. In such a case, if metered dose inhalers are given, it is more effective if delivered by a spacer device like Huf-Puf kit. It is simple to use. The inhaler is to be attached on one end and the child breathes in through the other end. After releasing the puff, the child has to take 5-10 breaths through the spacer device. This ensures full delivery of the drug. Generally 2 puffs at a time repeated at timely durations is more effective than delivering it altogether as 6-8 puffs. If such 6-8 puffs are required, I would rather prefer nebulization. Steam inhalation in combination with the puffs will be a good home alternative for the same. You can increase or decrease the number of times the inhalers are given, based on the extent of wheezing. It can be given for symptomatic relief. It can be given 6-8 times a day.
Please continue the other medicines. If the child is otherwise active, you need not worry.
Hope that helps.
Regards
Dr. Diptanshu Das
It is likely to be due to bronchiolitis
Detailed Answer:
Thanks for asking on HealthcareMagic.
There is a viral condition called bronchiolitis characterized by wheezing and probably your child has it. In such a case, if metered dose inhalers are given, it is more effective if delivered by a spacer device like Huf-Puf kit. It is simple to use. The inhaler is to be attached on one end and the child breathes in through the other end. After releasing the puff, the child has to take 5-10 breaths through the spacer device. This ensures full delivery of the drug. Generally 2 puffs at a time repeated at timely durations is more effective than delivering it altogether as 6-8 puffs. If such 6-8 puffs are required, I would rather prefer nebulization. Steam inhalation in combination with the puffs will be a good home alternative for the same. You can increase or decrease the number of times the inhalers are given, based on the extent of wheezing. It can be given for symptomatic relief. It can be given 6-8 times a day.
Please continue the other medicines. If the child is otherwise active, you need not worry.
Hope that helps.
Regards
Dr. Diptanshu Das
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Dr. XXXXXXX
We use the spacer for my daughter and 2 puffs x 3 times = 6 puffs at morning-then 6 puffs at around 2 pm - then 6 at bed time too. Total 18 puffs as advised by my doc. In Dec,14, she has gone through "hand-foot-mouth" followed by "bronchiolitis".
If it seems overdose. is there any harm in future? Actually peoples from my relation told me that puff frequency is high enough.
Thanks
D. XXXXXXX XXXXXXX
We use the spacer for my daughter and 2 puffs x 3 times = 6 puffs at morning-then 6 puffs at around 2 pm - then 6 at bed time too. Total 18 puffs as advised by my doc. In Dec,14, she has gone through "hand-foot-mouth" followed by "bronchiolitis".
If it seems overdose. is there any harm in future? Actually peoples from my relation told me that puff frequency is high enough.
Thanks
D. XXXXXXX XXXXXXX
Brief Answer:
You need not worry about overdose, but do distribute the doses.
Detailed Answer:
Thanks for writing back.
Although I do not expect any short or long term side effects due to the use of inhalers, I doubt if such a dose is required. I would rather suggest giving it more on 'as required' basis rather than a routine and timely use. However, if wheezing persists, there is no alternative other than to give it. In case you feel that the child is otherwise fine and there is no component of wheezing, you may skip the dose.
Rather than distributing 18 puffs over three sessions, I would rather suggest giving 3 puffs each in 6 sessions. That is likely to be more effective.
In case you found my answer to be useful, I would request you to close the thread with a positive review and a 5 star rating.
Regards
Dr. Diptanshu Das
You need not worry about overdose, but do distribute the doses.
Detailed Answer:
Thanks for writing back.
Although I do not expect any short or long term side effects due to the use of inhalers, I doubt if such a dose is required. I would rather suggest giving it more on 'as required' basis rather than a routine and timely use. However, if wheezing persists, there is no alternative other than to give it. In case you feel that the child is otherwise fine and there is no component of wheezing, you may skip the dose.
Rather than distributing 18 puffs over three sessions, I would rather suggest giving 3 puffs each in 6 sessions. That is likely to be more effective.
In case you found my answer to be useful, I would request you to close the thread with a positive review and a 5 star rating.
Regards
Dr. Diptanshu Das
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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