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Bronchiolitis problem causing cough - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   My 3-year-old daughter has been to the doctor twice this week because of a recurring cough. Last Monday she had a low grade fever of 99.1. On Tuesday I took her to the doctor, and she stated that she might have a little cold, but might be getting complicated to the point of getting asthma. Then on Wednesday she went to school for 1/2 day because she started complaining of abdominal pain right after she ate. I took her to the same doctor, and she stated that she has the symptoms of bronchiolitis, which also include stomach cramps. Last night she got a fever of 100.00, and this morning she started again with a low grade fever of 99.3. Is this still part of that virus that the doctor mentioned? Should I wait to see if the virus goes away, or should I take her to another doctor?
Doctor :   Hi
User :   Hello
Doctor :   let me read your query
Doctor :   please give me a few minutes
User :   ok
Doctor :   you need to wait for atleast 1 week before all the symptoms subside
User :   It has been a week already. The first time I took her for the cough was last Wednesday
Doctor :   ok
User :   But the cough started about a month ago
User :   My worry is the stomach cramps that she gets
Doctor :   has the condition improved since then or it worsened ?
User :   It did get worse because, even though she was under the nebulizer treatments, she started wheezing
User :   When I took her back to the doctor this Tuesday, she was wheezing all over
Doctor :   may i know all the medications she is on ? Has any antibiotics been given ?
User :   Well, let me give you her whole history this month
User :   She started with a stomach virus on February 4, then was hospitalized on Feb. 6 due to dehydration
User :   She was put on antibiotics at this time because she had a throat infection
Doctor :   OK
User :   She was released on Feb. 8 from the hospital, and no more antibiotics were prescribed
Doctor :   how many days of antibiotics were given?
User :   About 4 days, because I had taken her to the doctor on Saturday, and he started her with antibiotics since then
User :   By this time she already had the cough
User :   But it started getting worse, even with cough medication
User :   It got to the point where she could not sleep at night
Doctor :   has she been given any inhalers ?
User :   Only nebulizer treatments
Doctor :   what about at home ? any nebulisation given at home ?
User :   Yes, since last Wednesday, xophenex for 4 times a day, and pulmicort 1 at night
Doctor :   Small kids, usually have increased predisposition for respiratory infections
Doctor :   and this presents in the form of bronchiolitis
Doctor :   and since they cannot bring out sputum as adults, the infection can become prolonged
Doctor :   based on her history, she may need a prolonged course of antibiotics for at least 10 days
User :   Are her stomach cramps part of that infection?
Doctor :   yes
User :   Anything else that I should look out for?
Doctor :   she should be getting nebulisation with brochodilators , as well as steam inhalation
Doctor :   this will help to soothen the throat and reduce the symptoms of cough
User :   Can the steam be in the form of a humidifier?
Doctor :   yes
Doctor :   that would be fine
User :   are the bronchodilators the xophenex and pulmicort, or is there something else?
Doctor :   yes they are the bronchodilators and combined with steroids as well to reduce the hyper immune response causing brocho constriction
User :   She was taking an oral steroid last week
Doctor :   thats fine,
Doctor :   now the steroid is in her sprays and inhalers, this is what i meant
User :   ok
User :   How do I help with the stomach cramps?
Doctor :   you can give her some tums or mylanta in syrup form
User :   are probiotics safe for her to take? I've heard that they help relieve symptoms of stomach upset. I take them, and I know that there are probiotics for kids.
Doctor :   yes
Doctor :   they can be given to her
Doctor :   they will help her cramps and improve her immunity as well
User :   ok, I think you have answered all my questions
User :   you put me at ease because I'm a nervous wreck right now
Doctor :   you are most welcome
User :   Thank you
Doctor :   once the infection settles down,,,,
Doctor :   she may have persisting cough for a few days
Doctor :   this is normal,
Doctor :   you should watch for persistant fever, productive cough, with purulent expectoration, irritability, and inability to feed properly, reduced daily activity and playfulness
Doctor :   in case such symptoms are present, she may need a examination, to get a Xray, to rule out pneumonia
Doctor :   but if proper therapy and antibiotics is given, she will not have any such issues in the future
Doctor :   I hope you have followed my comments
User :   yes I have
Doctor :   do u have any other questions ?
User :   no, I don't
User :   Thank you
Doctor :   ok, thanks for consulting me here
Doctor :   have a good day
Doctor :   and hope your daughter a speedy recovery
User :   thank you
Doctor :   take care and bye for now
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