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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Chest Cough With Runny Nose In Children Suggest?

My 1 year old had a runny nose that started 1 week ago. He has not eaten for 2 full days, but will take a bottle of milk/formula. He is very tired, and not himself. He had a low grade fever yesterday, but not today. He now has a chest cough. Does he need to see a doctor?
Fri, 23 Feb 2018
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Pediatrician, Pulmonology ,  's  Response
Hi...Thank you for consulting in Health Care magic.
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. 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.
If he develops severe repsiratory distress and fever not settling in 4-5 days and feeding difficulty - you need to seek medical attention please.
Regards - Dr. Sumanth
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What Could Chest Cough With Runny Nose In Children Suggest?

Hi...Thank you for consulting in Health Care magic. 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. 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. If he develops severe repsiratory distress and fever not settling in 4-5 days and feeding difficulty - you need to seek medical attention please. Regards - Dr. Sumanth