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Infant is having dry cough and cold. Given t-minic but no relief. Suggest? - Online Doctor Chats

Date : 06-Aug-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1225 Questions
User:Hello Sir
User:Its regarding my 7 month old baby
User:for last 2 weeks she is having dry cough and cold...we have givin t-minic but no relief
User:now for last 2 days it seems that she is getting teeth in lower side so motion also increased
Doctor:Is she running fever?
User:no fever
Doctor:Have you consulted a doctor?
User:no i thought t-minic will doc is outside station
User:actually very cold wind is there in hyderabad
Doctor:I understand what you describe.
Doctor:In the absence of fever, the condition is not related to infection.
Doctor:In this case, other conditions that cause cough and cold needs to be ruled out. Those condition can include allergies, bronchospasm, wheezing, etc.
User:so what we can do in this moment as she is getting teeth also
Doctor:The treatment of this condition will depend on the cause. Hence a clinical examination is of ut most important.
User:anything temporary i can do today?
Doctor:Teething is a normal process and usually doesn't cause any serious problem. The cough, cold and stool is definitely not related to teething.
User:i heard that during teething stool frequency will increase
Doctor:I wish to advise you temporary fix, however symptoms of more than 2 week worries me.
Doctor:I would like to rule out lower respiratory problems such as bronchospasm, pneumonitis and so on.
User:please do that
Doctor:Such conditions will need additional bronchodilators along with the current antihistamines to take care of that problem.
User:i will try for 3-4 days...if didnot work then take consultation
Doctor:As these conditions can lead to respiratory distress, it is recommended that you consult a pediatrician at the earliest.
Doctor:I would not recommend you to wait for more time now, since it is already 2 weeks past.
Doctor:I hope you agree with me.
User:then its fine doc....
Doctor:Do you have any other questions?
User:yah..can you help me regarding diabetes questions
Doctor:Sure. Proceed with your questions.
User:last 2 month back i diagnosed sugar with past lunch 600
User:i was taking glyciphage 250 mg and himalaya didnot worked still it was 350
Doctor:Oh. Your sugars are pretty much uncontrolled.
Doctor:May I know your age?
User:another doc recommend me to take glicephage 500mg 3 times and glusegen 30/70 insulin
Doctor:Have you considered using insulin?
User:29year old only
Doctor:Sugars of above 300 is extremely high. Persistently very high sugar can cause unwanted problems and insulin is the better option of treatment.
Doctor:Are you taking insulin now?
User:then i have taken another opinion on healthcare with Doc XXXXXXX and she told me to take glyciphage500 mg 3 times and insulin not rqd
User:i am not taking insulin now....but i am taking glyciphage 500 mg 3 times for last 4 days but it seems that post lunch sugar increased to 450
User:i am totally confused what to do
Doctor:Let me help you XXXXXXX
User:yah please
Doctor:You must be aware that there are two types of diabetes. Type 1 and Type 2. The difference is that the first type there is no insulin production. Insulin resistance is the problem in the second type.
Doctor:Type 1 is much common in young individuals and the treatment of choice is insulin.
Doctor:However we can try oral medications if diabetes is type 2.
User:how i know that it is type1 or type2
User:in our family now body have diabetes
Doctor:But many a times we notice that people who are on medications gradually over a period of time lead to depleted insulin secretions and thus end up with insulin injections.
User:can we come back to oral from insulin if diabetes comes under control?
Doctor:In your case, since you are still young, I cannot by default put you as type 1 or type 2. We require further tests such as serum insulin levels, c-peptide levels and so on to determine the type of diabetes.
Doctor:With this back ground, I shall explain your situation.
Doctor:Since insulin produces better sugar control then oral drugs, and as your sugars are extremely high, I think it would be appropriate to start insulins.
Doctor:Presuming you have type 2 diabetes, there is a chances that your doctor will put you back on oral drugs once the sugar level is controlled with insulin.
User:serum creatinine was 0.9 mg/dl
Doctor:You will also need to know that blood sugar levels can go high in times of stress and infections.
Doctor:You will need to monitor your sugars frequently during such stressful situations and adjust the treatment according to the needs.
Doctor:In short, with sugars going above 300, I think it is better to start on insulin.
User:ok doc thanks for your advice
Doctor:You can try short acting insulin (actrapid) than long acting ones such as the ones you are on now.
Doctor:You can consult a diabetologist and start the insulin therapy (short acting insulin) along with medications.
User:u mean instead of insugen i can ask actrapid
Doctor:Once the sugar levels come under control, a plan to switch you on oral drugs or long acting insulin can be done.
Doctor:Yes, I feel actrapid may be better suited in this case.
User:thank you sir
Doctor:You are welcome.
Doctor:Do you have any other query?
User:no more
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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