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Suggest Remedy For Cough And Mild Wheezing While Treating Bronchiolitis

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Posted on Thu, 7 Jan 2016
Question: Hi , My son is 5 months old and has been diagonised with bronchiolitis .Doctor has prescribed for adrenaline nebulisation with ambrolite-s for 5 days .

He has cough n mild wheezing .how long does it take to cure completely from wheezing n cough and will wheezing come back again when he gets cold , also I have read babies having bronchiolitis are more likely to get asthma is it true ?
doctor
Answered by Dr. Pradeep Kumar Jain (3 hours later)
Brief Answer:
complete recovery may take 7-10 days

Detailed Answer:
Hello, Welcome to HCM.

Thanks for asking on this platform

I have gone through the details and do understand your concern well.

Bronchiolitis is an acute self limiting viral infection of respiratory tract.It is more common in children between age of 3 months to 2 years.

In this condition viral infection causes damage to the respiratory epithelium and recovery starts with healing/regeneration of epithelium which starts after 3-4 days.

In most of the cases complete recovery usually occur within 7-10 days,longer in few cases.As it is of mild mature in your baby I hope he should recover within 7-10 days.

Management is conservative and same as advised by your doctor.

Repeated viral respiratory infection/bronchiolitis is common in this age and it is difficult to predict the future outcome or whether there are chances of asthma in future.

Some of babies who recover from acute bronchiolitis may have an increased frequency of wheezing in future.

Presence of positive family history,atopy and raised serum IgE level;all these are predictors of long term outcome with increased chances of recurrent wheeze.

I suggest you to continue with the same treatment,give frequent feeds to the baby and consult your pediatrician in case of worsening in general or respiratory condition.

I hope this helps.
Please let me know if you have any more query.

Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Pradeep Kumar Jain (18 hours later)
Thank you doctor, nebulisation for 5 days is complete but wheezing is still there though the cough has reduced and it's now 10 days that my baby got this infection .

I am afraid that wheezing may get worse /not go .
doctor
Answered by Dr. Pradeep Kumar Jain (12 minutes later)
Brief Answer:
I wont get worried if there is no breathing problem

Detailed Answer:
Thanks for follow up

I wont get worried if there is no rapid breathing,baby is accepting feeds well and is active/playful.
You may continue nebulisation for few more days.
Ambrolite S contains salbutamol and it is a bronchodilator which helps in relieving wheeze.
I hope he would recover with these treatment in next few days.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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Suggest Remedy For Cough And Mild Wheezing While Treating Bronchiolitis

Brief Answer: complete recovery may take 7-10 days Detailed Answer: Hello, Welcome to HCM. Thanks for asking on this platform I have gone through the details and do understand your concern well. Bronchiolitis is an acute self limiting viral infection of respiratory tract.It is more common in children between age of 3 months to 2 years. In this condition viral infection causes damage to the respiratory epithelium and recovery starts with healing/regeneration of epithelium which starts after 3-4 days. In most of the cases complete recovery usually occur within 7-10 days,longer in few cases.As it is of mild mature in your baby I hope he should recover within 7-10 days. Management is conservative and same as advised by your doctor. Repeated viral respiratory infection/bronchiolitis is common in this age and it is difficult to predict the future outcome or whether there are chances of asthma in future. Some of babies who recover from acute bronchiolitis may have an increased frequency of wheezing in future. Presence of positive family history,atopy and raised serum IgE level;all these are predictors of long term outcome with increased chances of recurrent wheeze. I suggest you to continue with the same treatment,give frequent feeds to the baby and consult your pediatrician in case of worsening in general or respiratory condition. I hope this helps. Please let me know if you have any more query. Regards