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What Causes Nasal Congestion And Rattling Cough In Infants?

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Posted on Wed, 22 Jul 2015
Question: my 8 month old has a stuffy nose and a wheezy crackling cough. what could it be?
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Answered by Dr. Sumanth Amperayani (34 minutes later)
Brief Answer:
It could be a viral upper respiratory illness

Detailed Answer:
Hi....it could be a mild upper respiratory illness. The cough siginifies the same.

Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.

Fever can manifest - Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.

For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sumanth Amperayani (7 minutes later)
I've been using saline solution and have tried the nose sucker as well....last time he had this cough my Dr said it was pneumonia. is it possible his cough could be due to the temperature at all ?
doctor
Answered by Dr. Sumanth Amperayani (2 hours later)
Brief Answer:
I don't think it is pneumonia - reasons explained

Detailed Answer:
Hi....I don't think it is pneumonia as there is only stuffy nose and cough.

I will tell you the red flag signs when to suspect pneumonia -

1. Fast breathing.
2. High grade fever
3. Inability to feed
4. Sick looking kid
5. Bluish lips and finger tips.
6. Oxygen requirement.

If these are not there, then it is unlikely to be pneumonia. In fact predominant cough is a sign of viral illness than pneumonia.

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. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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What Causes Nasal Congestion And Rattling Cough In Infants?

Brief Answer: It could be a viral upper respiratory illness Detailed Answer: Hi....it could be a mild upper respiratory illness. The cough siginifies the same. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Fever can manifest - Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,