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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Suffering From Fever, Cold, Cough. Fever Fluctuating, Cough Present After Medication. Prednisolone Helpful?

hello sir, my nephew who is only eleven months is suffering from fever, common cold and cough from a few days back. the doctor had prescribed calpol , cefpodoxime , ventiphylline-pd, coscopine syrup. Now it is three days over still fever, cough is there? Fever is fluctuating in nature. Doctor has now prescribed prednisolone? is it o k? please help me?
posted on Fri, 8 Mar 2013
Twitter Fri, 8 Mar 2013 Answered on
Twitter Fri, 8 Mar 2013 Last reviewed on
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Pediatrician,  's  Response
Hi,
I dont agree to the oral steroid been added to his treatment list especially since he is still running fever.Steroid can flare an infection.What is required at this time is some lab investigation to rule out infection.Steroids are added only if the child has asthmatic bronchitis without fever.If fever is present and he is surely asthmatic then Nebulisation wiith these medications might help and much safer.
Bye
Take care
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General & Family Physician,  Dr. Ramesh M.Vachharajani's  Response
Hi,
Welcome to HCM,
As higher anibiotic,bronchodilator are given and there is no response requires evaluation.
There is possibility of having Pneumonia.
So what I believe, before going to start predinsolone, go for,
TC, DC, ESR.
X-ray chest.
Consult pediatrician and take his opinion.
Ok and bye.




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Child Suffering From Fever, Cold, Cough. Fever Fluctuating, Cough Present After Medication. Prednisolone Helpful?

Hi, I dont agree to the oral steroid been added to his treatment list especially since he is still running fever.Steroid can flare an infection.What is required at this time is some lab investigation to rule out infection.Steroids are added only if the child has asthmatic bronchitis without fever.If fever is present and he is surely asthmatic then Nebulisation wiith these medications might help and much safer. Bye Take care