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Suggest Treatment For Persistent Cough And Cold In A Child

Posted on Fri, 16 Oct 2015

Question: Dear Doc,

My Child is 4 years now, is suffering from persistent cough and cold since early this month. was under medication and there was signs of relief. but for the past 3 days the same symptoms have resurfaced. i am giving ascoril 3 times 3.5 ml each. will that do?

Answered by Dr. Pradeep Kumar Jain (1 hour later)

Brief Answer:
Montelukast/cetrizine combination would help

Detailed Answer:
Hello

Thanks for asking on this platform

The most common cause of repeated cough/cold in this age is allergy.
Ascoril contains terbutalin(bronchodilator,which relieves airway spasm)with ambroxol(mucolytic,mucus thinning agent).
Adding montelukast(long acting antiallergic)with cetrizine(short acting antiallergic) like Montina-L/montair LC for 2-3 weeks,will help in early recovery and would also prevent recurrence.Giving steam inhalation also provides relief.
I wont get overly worried if child is active and there is no breathing difficulty.

Please let me know if you have any more query.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Pradeep Kumar Jain (19 hours later)

Dear Doc

During the time, the prescribed medicines are given, a great amount of relief is experienced. my child is active as usual.... once the medication stops, the symptoms resufaces in the form of cold and cough and gets severe in due time. what next needs to be done? this has been ongoing since 1 month.

Answered by Dr. Pradeep Kumar Jain (5 hours later)

Brief Answer:
Check for enlargement of tonsil,Give montelukast/cetrizine combination

Detailed Answer:
Thanks for follow up

I would like to get him evaluated for any enlargement of tonsil(chronic tonsillitis).
Chronic tonsillitis is a common cause of persistent/recurrent cause of cough and cold in this age.Giving montelukast/cetrizine combination for 2-3 weeks would help in prevention of recurrence.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar