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Suggest Treatment For Dry Cough And Nasal Congestion In A Child

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Posted on Thu, 18 Aug 2016
Question: Dear doctor,
My son aged 2year 7 months suffering from dry cough and nasal congestion from last 3 days. We are staying at remot place of Saudi Arabia where I checked yesterday local government hospital . The doctor with out checking properly suggested ZITHROMAX oral suspension ( azithromycine). I am little bit scared to give these antibotic as there may be side effects.
However I am continuing with MAXTRA syrup .
Kindly advise should I go for antibiotic or continue maxtra.
Thanks /Regards
XXXX
doctor
Answered by Dr. Pradeep Kumar Jain (51 minutes later)
Brief Answer:
You may wait for next 2-3 days to start antibiotic

Detailed Answer:
Hello

Thanks for asking on this platform

I can understand your concern.
Most common cause of cough/cold in this age is some viral infection or allergy.
Infection with some atypical bacteria can also cause cough in this age.Azithromycin covers these atypical bacteria very well.Still as viral infection or allergy is more common and antibiotic is not needed in such cases,I would like to continue with the maxtra (contains anti allergic with decongestant) for next two to three days.You may also give nasal saline drop 1 drop in each nostril 3-4 times a day for 3-4 days to relieve nasal congestion.
Azithromycin can be given if cough persists longer.
Watch for any breathing difficulty or poor feeding as these are signs of pneumonia and need to be treated properly.

I hope this helps.
Please let me know if you have any more query.
Regards
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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 Treatment For Dry Cough And Nasal Congestion In A Child

Brief Answer: You may wait for next 2-3 days to start antibiotic Detailed Answer: Hello Thanks for asking on this platform I can understand your concern. Most common cause of cough/cold in this age is some viral infection or allergy. Infection with some atypical bacteria can also cause cough in this age.Azithromycin covers these atypical bacteria very well.Still as viral infection or allergy is more common and antibiotic is not needed in such cases,I would like to continue with the maxtra (contains anti allergic with decongestant) for next two to three days.You may also give nasal saline drop 1 drop in each nostril 3-4 times a day for 3-4 days to relieve nasal congestion. Azithromycin can be given if cough persists longer. Watch for any breathing difficulty or poor feeding as these are signs of pneumonia and need to be treated properly. I hope this helps. Please let me know if you have any more query. Regards