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Nebulization for cough and cold in children - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 634 Questions
Doctor :   Hi
Doctor :   How can I help you>
User :   hi doctor
Doctor :   Please proceed with your query.
User :   my daughter who is 28 months old is under treatment of budamate inhaller twice a day 2 puffs and Rhinocort nasal spray once a day and Montec LC Kids tablet once a day for teh past 2 months and she has to continue teh same for another one month....in between these months whenever she used to get cold cough, teh intensity was not that severe like earlier when she was not under this treatment....so during that time I used to give asthaline nebulization also on a SOS basis and she was doinggreat for last 2-3 months
Doctor :   Ok
User :   suddenly she developed cough 3 days back and as usual I thought it will go, gave her asthaline nebu..but severity increased last to last with cough and fever...so I visited her pulmo and pediatric and they said continue teh treatment and also give antibiotics
Doctor :   Ok
User :   so from yesterday I am giving her clamp but as doc says it takes 48 hours to effect she again got severe cough and fever last night...didnt know what to do....her pediatric is also out of town so gave budacort+duoline nebu as she was givem 2-3 months back when she had same condition
User :   though i messaged her pediatric and told teh same she said in that case dont give budamate puffs and i did the same....but i want to understand
User :   what is the difference between puff and nebu and how much is the dosage difference and what should I do now...i didnt giveher regulat 2puffs of budamate in teh morning but what should i do in teh evening? puffs or nebu ? i am totally confused
User :   i stay in XXXXXx and doc says its common with kids in XXXXX and she will be fine when she is 4-5 years old
Doctor :   Let me brief you.
User :   but whatto do now...neithet I can go to office nor sge can go to school....she is not able to eat only puking
User :   pls help doctor
User :   ok
Doctor :   The current symptoms your child has is probably due to an infection, and that may be the reason why your doctors would have stopped the budamate.
Doctor :   The difference between puffs and nebulisers are simple.
Doctor :   Both the instrument administer the medications through breathing.
Doctor :   For a puff to be effective, it has to be synchronized well,
Doctor :   I mean, the time of pumping it and breathing has to be exact, if the drug has to be effective.
Doctor :   This practise may not be easily performed by young children,
Doctor :   hence though the medications and the dose of both puff inhalers and nebulisers are the same,
Doctor :   the effectivity of the drug doesn't remain the same.'
User :   so budamate 100 puff or budacort .5mg nebu both are of the same dosage?
User :   but doctor she is again and again getting fever...im giving her crocin and she is ok for few hours and gain she is getting....so is it that antibiotics will take 48 hours to react?
User :   so budamate 100 - 2 puff or budacort .5mg nebu both are of the same dosage?
User :   she had also been given ascoril-d cough syrup
Doctor :   The dose produced by the inhalers and nebulisation
Doctor :   will be in the effective range, but if there is no proper synchronization,
Doctor :   the drug that reaches the lungs via an
Doctor :   * puff inhaler will be very low compared to the nebulisers.
User :   ok...
User :   and asthalin syrup pr asthaline nebu which one is effective?
User :   my doc says in acute case give her asthaline syrup
Doctor :   based the your description, I think your daughter has an infection now, which needs antibiotics,
User :   ya im giving her antibiotics as i said
Doctor :   if her breathing issues are not improving with the present treatment she will need hospitalisation.
User :   but doctor she is again and again getting fever...im giving her crocin and she is ok for few hours and gain she is getting....so is it that antibiotics will take 48 hours to react?
User :   there is no breathing problem
Doctor :   And yes, her breathing issues will slowly resolve as she grows elder.
User :   only coughing and fever
User :   as of now
Doctor :   And probably should settle down by the time she reaches 5-6 years.
User :   but doctor she is again and again getting fever...im giving her crocin and she is ok for few hours and gain she is getting....so is it that antibiotics will take 48 hours to react?
Doctor :   Antibiotics definitely take time to react.
User :   and asthalin syrup pr asthaline nebu which one is effective? my doc says in acute case give her asthaline syrup
Doctor :   I cannot pinpoint the time exactly, as I don't know what is the infecting organism is and what antibiotics she is on.
User :   and asthalin syrup pr asthaline nebu which one is effective? my doc says in acute case give her asthaline syrup
Doctor :   Plus, if the infections is a viral one, then it may take more than 48 hours for the fever to come down.
Doctor :   Hence I suggest you discuss with your pediatrician who will be able to provide you with more appropriate answers for this query.
User :   main pediatric is out of country
Doctor :   Nebulisation will provide immediate relief, but syrups will be long acting when compared to the other.
User :   his junior doc says now asthaline syrup and budacort+duolin nebu twice a day
User :   so wanted to know teh difference between asthaline syrup and nebulization
User :   cant i avoid asthaline syrup as it goes to entire bodu and asthaline nebu only to the area
Doctor :   Yes, that will be an effective treatment provided there is also an antibiotic cover.
User :   which one? syrup with antibiotics or asthaline nebu with antibiotics?
User :   which one? asthaline syrup with antibiotics or asthaline nebu with antibiotics?
Doctor :   If you have the facility to give her nebulisers, then give her the nebulisers.
Doctor :   with antibiotics.
User :   ok
Doctor :   Do you have any other query?
User :   yes i do have
User :   nope
User :   thanks
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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