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Chest congestion, cough, wheezing in an infant - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1934 Questions
User :   Hi, my 7 month old daughter is having chest congestion n slight wheezing since three days. She's been nebulising twice daily and been prescribed sal mucolite and omnacortil forte (4ml daily). Is the prescription fine?
Doctor :   hi
User :   Hi..
Doctor :   Dr. XXXXXXXX here
User :   This is XXXXXXXX here
Doctor :   let me read what you have typed
User :   Ok
Doctor :   the prescription is fine for the symptoms
Doctor :   is it getting controlled?
User :   v strarted t omnacortil jst a few hrs ago
Doctor :   does she have any other symptoms?
User :   until then was on sal mucolite
Doctor :   is she having cough with sputum production?
User :   yeah...cough wit flem
Doctor :   ok. what is the color of phlegm?
User :   not much is comin out as she is swallowin it
User :   but wayever she threw white
Doctor :   ok. try to make her avoid swallowing, encourage to put it out
User :   but how wud i do tat
Doctor :   make her do warm salt water gargling too which will help in the throat irritation
User :   i mean...she wont understand if i say...rite?
User :   she is 7 months old
Doctor :   teach her my you yourself doing it, children learn better and faster with demonstration.
User :   how do i get her to gargle?
Doctor :   i will teach you
Doctor :   you can try
Doctor :   give her small sip of water and you yourself take it
Doctor :   and make the gargling noise
Doctor :   in playful way
Doctor :   she will try to imitate
Doctor :   and learn to do it.
User :   hmmm
User :   Okies...shall try
User :   I jst wanted to confirm tat t medication is fine
Doctor :   the medication is fine
Doctor :   continue with them
Doctor :   since only 1 dose of Omnacortil is given,
User :   Alright...
Doctor :   wait and see with giving her 2-4 doses as prescribed
Doctor :   observe over next 24 hours
Doctor :   if she is not yet improving, then repeat examination will be necessary
User : long does it take for chest congestion to subside?
User :   coz nebulisation is improving her congestion
Doctor :   it will take about 5-7 days for complete recovery
User :   like ystrdy it was btr
User :   but today got a li'l bad
User :   is thr smthin apart frm these medications tat i can do to help?
User :   some home remedy like gargling n all?
Doctor :   yes, you can try with gargling, but with careful training with very small sips of water
Doctor :   along with nebulization , you can also try giving her 2-3 drops of honey with 1 drop of ginger juice in it
Doctor :   about 2 - 3 times a day
User :   ok
Doctor :   give her warm sips of milk with almonds (powdered and boiled in milk)
Doctor :   watch out for development of any new symptoms
User :   symptoms like?
Doctor :   like runny nose, nose block, fever, excessive cough, vomit, blood/mucus (excess) in vomit, chills and rigors etc
User :   she does hav runny nose aftr inhalation n nebulisation...
User :   n she also coughs wen thr is more congestion, i feel
Doctor :   ok. does she have nose block?
User :   2day mng i felt she had blocked nose
User :   but aftr nebulisation it was fine
User :   n i also use saline drops for her
Doctor :   ok
Doctor :   ok, that is good, and you can continue to use it
Doctor :   do not worry, she should be better in 2-3 days time
User :   okies
User :   t other thing is
User :   sometimes aftr coughin for a while
User :   or cryin
User :   i fell thr is an increase in temp for her
User :   i checked n is like 98.7 n 98.6 n all
User :   is tat ok?
Doctor :   ok. that is normal for children, they tend to have increase in temperature when crying etc
Doctor :   do not worry if it is not crossing 99 F
User :   ok
User :   thanx a ton
User :   it really helps...
Doctor :   is there anything else you would like to ask me?
User :   Just a gen q...
Doctor :   ok. please proceed
User :   is it ok to giv babies banana wen it icold...likt t current b'lore climate?
Doctor :   no, do not give them banana
Doctor :   if giving, give after recovery and with small amounts of salt and mashed banana
User :   okies...n apples, guava n all...shud they b given boiled?
Doctor :   you can give boiled apples
User :   ok
Doctor :   avoid cold fruits when she is not well
Doctor :   these include
User :   cud u help me ...which r cold fruits?
Doctor :   guava, banana, water melon, musk melon, pomegranate, grapes
Doctor :   and citrus fruits
User :   ok
User :   cickoo?
Doctor :   you can give her apple, papaya, now
User :   chickoo?
Doctor :   once she is better you can give her the rest of fruits
User :   do i need to boil papaya?
Doctor :   chikoo also is cold
Doctor :   no, ripe papaya does not need to be boiled
User :   ok
User :   thanks
Doctor :   is there anything else you would like to ask me?
User :   sorry...but r u a pediatrician? just so tat i knw whom I chatted wit..
Doctor :   No, I am a General physician with experience in pediatrics and gynecology
Doctor :   of about 7 years
User :   Okies...thank u
User :   :)
User :   N i forgot to mention tat she has just recovered frm measles
User :   n tis congestion set in
Doctor :   ok. measles reduces immunity in children predisposing to viral infections
User :   ok
Doctor :   and bacterial infections too, which could be why she got the symptoms
User :   okies
Doctor :   give her good high protein diet
Doctor :   she will regain her health faster
User :   high protein diet? foods include?
Doctor :   i will give examples
User :   she 6.5kg cdco says it is long as she eats n is healthy
Doctor :   as i said milk with almond powder
User :   but i giv her NAN
User :   n we cannot boil NAN
Doctor :   chapati, boiled and mashed rajma, chola
User :   n can they digest almond powder?
Doctor :   yes with milk they can, she is 7 months you need to start her on home foods
User : a southindia
Doctor :   the measure is 1 spoon boiled in 250 ml of milk.
User :   south not much rajma n chola in our diet
Doctor :   but the child needs it now, so small amounts you need to give her exclusively
User :   but she has mashed veggies like potatoes, beans, carrots, t pulp of drumsticks n all
User :   rice n dal also
Doctor :   or give her idli with few drops of ghee
Doctor :   rava idli can be tried
User :   yeah...i giv her idli, ghee too
User :   okies...but wat about not being able to boil NAN?
Doctor :   could you describe NAN
User :   it is t milk powder u get for babies
User :   like Lactogen...
Doctor :   ok. you need to make it with warm water then
User :   she still, I do not giv her cow milk
Doctor :   avoid outside feeds, they tend to make bowel sensitive
User :   so, i boil almonds in water n add to milk powder?
Doctor :   cow milk is more natural, you can give her safely in dilution
Doctor :   dilute it in 2:1 ratio and boil it
Doctor :   and she can be given.
User :   ok
Doctor :   do you have further queries to ask me?
Doctor :   have you followed what I have said?
Doctor :   are you there?
User :   Yes
User :   I am here
User :   sorry
User :   had to attend to my baby
Doctor :   ok
User :   I understood wat u said
User :   thank u
User :   she is lookin n feelin btr nw
Doctor :   ok. if she is active and feeding well, not lethargic, not irritative, then do not worry
Doctor :   she will recover soon
User :   yeah
User :   she is feedin n sleepin well n active
User :   just t congestion probs at times since 2-3 days
User :   Ok...u may carry on
User :   thank u for all t clarifications
User :   really appreciate it
Doctor :   is there anything else I can help you with?
Doctor :   thanks for consulting me. bye for now
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