Hello... As you mention she have hoarse sounding cough, May be it is because of laryngeal infection. May be it is viral/ allergic / bacterial infection You should get her evaluated once for her complaint to get her examined physically by a pediatrician. 1.Dry coughs are often accompanied by a hoarse voice. 2.A hacking cough can damage the larynx, (the organ located at the front of the neck, that 3.manipulates the pitch and volume of the voice.) 4.When the larynx is damaged it can make the voice sound thin. For this reason, the causes of a 5.dry, hacking cough can often be the reason that you have a hoarse voice as well. 6.However, there are also some conditions that directly affect the larynx. May be she required: Blood investigation Nebulisation Symptomatic medicine (Cough syp etc) Appropriate Antibiotic My advice: Stop fast food Avoid oily spicy food Avoid cold items Drink warm water every thirst Thanks I wish she rcover soon Regards, Dr. Sagar Mhatre