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Upper respiratory tract inflammation and its treatment - 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 : 2004
Answered : 1722 Questions
User :   my 10 year old son started off with a regular cough today, some think like clearing his throat and now he sounds like he is barking. I have given him a albuteral treatment and took him out side in the cool air. Should I take him to the ER
Doctor :   Hi
User :   Hi
Doctor :   Is he having problems/difficulty with breathing?
User :   he says no it just hurts his throat
Doctor :   Is he running fever?
User :   He had croup at the age of 3, I thought they out grow this?
User :   I checked at 10:30 and it was 99.1
User :   I did give him motrin at that time
Doctor :   Ok
Doctor :   Is he producing sputum with the cough?
User :   no just clearing of the throat
Doctor :   Do you notice any other associated symptoms such as pain while swallowing, nasal congestion, headaches?
User :   no he had nasal congestion last week, but nothing in the last two days.
Doctor :   Ok
User :   he says when he coughs it hurts his head
Doctor :   What about pain/difficulty while swallowing?
User :   no he ate dinner and crackers for a snack and no complaints
Doctor :   Ok
Doctor :   Does he have history of allergies, bronchial asthma?
User :   allergies he does.
Doctor :   Ok
Doctor :   Let me explain to you.
User :   ok
Doctor :   Your description of symptoms are consistent with the features of upper respiratory tract inflammation.
Doctor :   Probably secondary to allergic cause or due a viral infection.
User :   okay so what should I do or give him. He did finally fall asleep and is quiet at the moment.
Doctor :   Presence of "barking" sound indicates involvement of the epiglottis and tracheal tissues.
Doctor :   If the barking cough is very recurrent, then he needs evaluation and emergency treatment.
Doctor :   Else continue with present medications, along with steam inhalation.
User :   now he doesn't have his tonsils so will this always be a problem for him?
Doctor :   2. You can use syp benadryl 1 teaspoon twice a day along with albuteral.
User :   well we gave him delsym at 8:30 is it okay to still give him benadryl?
Doctor :   No, do not use both delsym and benadryl.
User :   ok
Doctor :   3. Watch out for these symptoms
User :   did the delsym make it worse?
Doctor :   high grade fever, breathing difficulties, recurrence of barking cough, pain while swallowing, rashes on the body and so on.
Doctor :   Delsym is a centrally acting cough suppressant, while benadryl has antihistamine properties helpful in an allergic cough.
Doctor :   Since both can induce drowsiness, avoid using both the medications together.
User :   ok
Doctor :   If any of the above symptoms, occur, he needs to see doctor.
User :   I will watch him during the night and take him to the dr in the morning.
Doctor :   Apart from these measures, it is also necessary to avoid allergies too, hence remain indoors as much as possible - till improvement, keep curtains closed, regularly change the bedsheets and pillow cover, avoid taking him to a dusty room or closed closet and so on.
Doctor :   I expect the symptoms to be down in a few days (may be 2-4 days),
User :   he is always inside these days. with 36" of snow outside lol
Doctor :   but if you the symptoms persist for more than a week, consult your doctor and he may need change of medications or antibiotic usages.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   I understand what you have said and I will watch.
User :   Thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.,
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