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Cold, cough, respiratory infection, fever - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1605 Questions
User :   hi
Doctor :   Hi
Doctor :   How can I help you?
User :   my son is 2 1/2 year old
User :   last two to three weeks he is suffering from cold and cough
User :   in between he had fever also
User :   his doc gave him ciz cold and then now he has switched over to ventryl expectorant
User :   its almost 6 days now
User :   hs cough is not reducing even nose block also
Doctor :   Ok
User :   he has milk regularly
User :   after drinking again he starts coughing
User :   kindly help
User :   flam is not ocming out
Doctor :   Is he persisting to have fever?
Doctor :   Do you find that he is not breathing well?
User :   he had fever doc gave him orgemol for 2 days
User :   fever stopped
User :   he breathes but becase of nose block
User :   he struggles sometime
Doctor :   Do you find that he is extremely drowsy, irritated or refusing to feed?
User :   after using nasal drops he is finee
User :   he is not drowsy
User :   gets irritated soemtimes
User :   eats whatever he likes
User :   since he goes to play home
User :   he sleeps early
User :   he is very active
User :   but cough is not reducing
User :   too much flam is also there
Doctor :   Ok
Doctor :   Does he have nasal congestion too?
User :   ya he has
User :   today it was little less in the morning
Doctor :   Ok
Doctor :   Let me explain to you.
User :   k
Doctor :   According to your description,
Doctor :   it appears that your kid is suffering from an upper respiratory infection or bronchitis.
User :   k
Doctor :   The most common cause of such infection is a viral infection.
User :   k
Doctor :   I presume the same to be with your infant too.
User :   k
Doctor :   These infections are usually self limiting ones which settle on its own in a week or so.
Doctor :   However if cough and fever persists for more than a week
Doctor :   a chest examination and chest xrays may be needed.
Doctor :   Since you report that fever is settling, I expect that the present cough will slowly fade away soon.
Doctor :   You need to continue the expectorant suggested to you.
Doctor :   (expectorant can increase the cough
User :   but doc has suggested for 7 days
User :   today its already 6 days over
User :   am scared to give him more medicine
Doctor :   initially and later reduce).
Doctor :   Along with these medication, you can use saline nasal drops - 2 drops applied to each nostril twice a day.
User :   ok
Doctor :   They will help in reducing the nasal congestion.
User :   ok
Doctor :   As I said viral illness is the most common,
Doctor :   persisting viral illness can some times get secondarily infected by bacteria.
User :   k
Doctor :   In such circumstances, antibiotic therapy is essential.
User :   k
Doctor :   Now since you describe that you child is active
Doctor :   not drowsy
Doctor :   and has no fever,
Doctor :   I do not feel that there is a bacterial infection now.
User :   ok
Doctor :   However, if symptoms persist, antibiotic syrups can be used inorder to prevent the bacterial infection .
Doctor :   So, if you feel that his symptoms are persisting after a day or 2,
Doctor :   or if your child develops fever, or other symptoms such as increase cough, drowsiness, highly irritable develop
User :   k
Doctor :   report back to your pediatrician
User :   k
Doctor :   who will suggest you the required antibiotics.
Doctor :   Right now,
Doctor :   I do not find any reasons to be worried off.
Doctor :   Have you followed what i have suggested?
User :   yes i have
User :   any home remedies shd i follow
Doctor :   The most essential is a proper nutrition with good hydration.
User :   ok
User :   he opts to have more milk
Doctor :   Diet containing good vegetables is good,
User :   but i was told by someone that milk products and oily food to be avoided
Doctor :   but milk and other liquid diet
User :   he has vegetables
Doctor :   is also fine.
Doctor :   If he is comfortable with milk, you may continue with it.
User :   ok
Doctor :   Continue with vegetables.
User :   will flam subside on its own
User :   or shoud i give him steam
Doctor :   Avoid any cold and refrigerated products such as fruit juices.
Doctor :   Steam, if he is cooperative.
User :   fine
User :   how to give steam for small childrn
Doctor :   Else the saline nasal drop is the alternative.
User :   can i use vicks
User :   ok
User :   saline drop is RHINE drops is it
Doctor :   It comes as nasoclear solution
User :   k
Doctor :   which is available at any chemist/pharmacy.
User :   k
Doctor :   You can use it.
User :   ok doctor
Doctor :   Do you have any other query?
User :   doct even i have severe cough
User :   and too much congestion
User :   can u suggest some medicine
User :   there is no fever
Doctor :   Viral infections can be contagious, I mean spread easily.
User :   slight nose block and cough
User :   with too much flam
Doctor :   You may use benadryl syrup 1 tsp thrice a day for a 3 -5 days.
User :   ok
Doctor :   Good diet with plenty of water is vital.
User :   k
Doctor :   Watch out for fever, presence of yellow foul smelling sputum(phlegm)
Doctor :   if you notice these symptoms,
Doctor :   it is a sign of bacterial infection which needs course of antibiotic.
User :   k
Doctor :   Have you followed what i have suggested?
User :   s i did
User :   one last query
Doctor :   proceed.
User :   doc has suggested sifer for son for his appettite
User :   how long can i give this
User :   now i am giving him 5ml in the morning an 5 ml in the evening
User :   he is underweight
Doctor :   Sisfer is probably an iron containing medication which helps in treating anemia.
User :   k
Doctor :   They can be used for period of 2 weeks to month.
User :   k
Doctor :   Your doctor is the best person to tell you
User :   alright
Doctor :   the exact duration
User :   fine
User :   what could be his weight acording to his age
Doctor :   of treatment, as he is able to evaluate for the signs of anemia.
User :   he is 10.2 now
User :   last to las week he was 10 1/2 kgs
Doctor :   If your child is a son, then his weight should be around 11 to 13 kgs,
User :   son
Doctor :   Ok,
Doctor :   then a weight of around 11 to 13 kgs can be considered normal
User :   ok
Doctor :   Do you have any other query?
User :   no thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye
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