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What causes recurrent cough inspite of using medicines? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:Hi
User:hi dr.
Doctor:Hi
Doctor:How can I help?
User:my son is 16 months old
Doctor:ok
User:he suffered cough 3 month back
Doctor:ok
User:sorry month not week
Doctor:ok
User:we consult the dr. he prescribed the medicine and nebulizer
Doctor:ok
User:we give the medicine as per his prescription , but the problem arise after 5-6 days again
Doctor:ok
User:we consult agin then he priscribed the medcine & nebulizer again
User:and here we notice when there is wheather cahnge
User:he suffered the same problem
Doctor:ok
User:why this problem arise again & again...
User:at evening and night he had more cough
Doctor:To better answer this question i need more details about your baby's condition
User:& if weather is XXXXXXX or hot he had no cough
Doctor:ok
User:plz ask
Doctor:Does he have any other symptoms?
User:no
Doctor:Does he get fever?
User:he is well active no fever, taking food proper
Doctor:Does he get sputum with cough?
User:only cough with sputem...
Doctor:What colour is the sputum?
User:when weather change we feel, some chest sound...
User:white..
Doctor:ok
Doctor:What is the sound like?
User:like congustion with chest sputum...
Doctor:Wheezing?
Doctor:ok
Doctor:Does he have difficulty in breathing?
User:no
User:he played well in day time
Doctor:Two things are coming to my mind
Doctor:One is bronchitis that is recurring
Doctor:Second is asthma
User:means
Doctor:bronchitis is inflammation of the respiratory tract
Doctor:Can you tell me the medicines prescribed by the doctor?
User:dr prescribed AB phylline 0.9ml BD
User:neb, Duolin 0.9ml+budecort (1mg) 0.9ml.....tid
Doctor:ok
Doctor:Does your baby go to a daycare ?
User:otrinoz drops ...1drop in each nostrils sos
Doctor:ok
User:Day care means
User:creach
Doctor:yes
User:no he lives in joint familiy
Doctor:ok
Doctor:Are there other kids in the family?
User:no
Doctor:I am thinking that he may be getting recurrent infection from them
Doctor:ok
Doctor:What is the source of food and water in your family?
User:food is home made
User:water is RO treated and bolied
Doctor:ok
Doctor:ok
Doctor:How many episodes of cough does he get in a day?
User:last 4weeks he suffered by 3 times
User:means curently 3 time
User:from today we are giving neb budesal (1mg)-1ml + 1ml normal saline ...tid
User:only
Doctor:ok
Doctor:My advise is as follows
Doctor:Give him budesal or duolin
Doctor:It is early to give him budecort since it is steroidal preparation
User:plz .suggest qty. and sechdule
Doctor:Even LIMIT THE USE OF AB Phylin to only as needed basis
User:neb..Duolin 0.9ml+budecort (1mg) 0.9ml.....tid
User:can we give ?
Doctor:I think he should get relief with duolin only
User:duoline 2ml ...tid
Doctor:These are inhaler medicines and are given to cause dilatation of bronchi
Doctor:yes
Doctor:either you give duolin or budesal
User:duoline 2ml ...tid ...for 3 days
Doctor:vboth have same compound
Doctor:Yes if he is having cough for three days
Doctor:why give it unnecessarily
User:ok
Doctor:You can also try cetrizine syrup to control the sputum
User:as i told you he has cough only in evening to night
Doctor:It is an antiallergic
Doctor:You can give it during those times
Doctor:Find the trigger
Doctor:If it is cold air then avoid cold air
User:ok
Doctor:Some kids get such symptoms from activity
Doctor:In which case avoid eercise
User:ok dr.
User:now from today we can give budesal 0.5mg...2ml...tid or sos
Doctor:If it is asthma,
User:or instead of 0.5mg 1mg...2ml
User:]plz suggest
Doctor:If it was my kid I would give sos
Doctor:Give the minimum necessary
User:ok
Doctor:Childhood asthma mostly gets better by the time kid grows up
User:ok...
Doctor:The best thing is to avoid the trigger
Doctor:It may be dust pollen weather change
Doctor:Like you are saying
User:ok sure i will take care of this thing.
Doctor:In case the cough does not get better with salbutamol then give budecort
User:albutamol...means budesal
Doctor:Yes
Doctor:Both budesal and duolin have salbutamol
User:ok
Doctor:If breathing difficulty then give ab phylline if budecort does not work
User:now plz suggest the neb sechdule with mg. (concentration of medicine.)
Doctor:ok
Doctor:for example if you are giving him budesal
User:ok ..
User:plz.
Doctor:start with a lower dose
Doctor:may be 0.5 mg in 2 ml once in afternoon and once before sleeping on bad days
User:ok
User:sure..
Doctor:Does he inhale it completely
Doctor:?
User:yes
Doctor:ok
Doctor:good
User:we give him without mask only vapors in front of his nostrils.
Doctor:Does he get better with this mode
Doctor:?
User:yes our dr suggest this..
Doctor:ok
Doctor:If it is working then good enough
User:may be not 100% but can say 60-70%
User:effective
Doctor:ok
User:ok dr thanks for your valuable time & suggestion.....
User:if any suggestion
Doctor:I think your baby will do fine
Doctor:Do not worry and do not put him under stress
Doctor:excessively crying can also induce coughing etc
User:thanks a lot
Doctor:ok
User:dr he had no stress but we have...
Doctor:I know
Doctor:create a positive environment around him
User:ok dr fine
Doctor:ok
Doctor:He will outgrow it with time
User:ok
User:again thaks for your suggestion.....
Doctor:thanks
Doctor:take care
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