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Suggest Treatment For Respiratory Tract Infection In A Toddler

Posted on Wed, 29 Oct 2014

Question: My 2 yrs old boy had cough for the last 3 days. The paediatrician prescribed Azithral100 suspension (5ml once a day) and Protussa cough syrup and we started giving him the medicine at 7pm (04.10.2014). From yesterday he had fever with cold feet and hand. We gave him ibuprofen and paracetamol suspension but the fever had been recurring every after 3 or 4 hours. We also gave him suppository (Diclofenac) when he is unwilling to take the medicine orally or is sleeping. Some hours ago I noticed that there were 3 or 4 small white patches in his throat. Is it not safe or too often that we gave him the medicine 4 hourly? He did not like sponging. Will Amoxicillin & potassium clavulanate be a better option since he was cured with it few months back?

Answered by Dr. Deepak Kishore Kaltari (17 minutes later)

Brief Answer:
Continue same antibiotic

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day

Dear Sir

Majority of Respiratory infection are viral in origin and I do not personally recommend any antibiotics.
Antibiotics are to be used only for specific indication.

You can safely give Paracetamol every 4th hourly.

Apart from medicine prescribed by your physician, I would also recommend the following

1. Tepid sponging of body 20 minutes after Paracetamol

2. Steam inhalation Preferably using electronic steamer *do maintain safe distance

3. Decoction : 1 cup of milk + 2 spoon sugar + 1 / 2 spoon turmeric + 20 Tulsi leaves. Bring to boil. Filter it and feed baby warm ththrice a day.
This will have soothing effect on throat

4. As you have started antibiotics, continue giving the same antibiotic. Antibiotics are usually guided by clinical experience of Pediatrician and not by single previous episode of positive results .

Remember in documented infection due to bacterial also , the antibiotics require at least 48 hours to act and decrease the frequency or severity of Fever

4. Honey : To a spoon of honey add 2 drops of fresh lemon juice. Make baby sip it thrice a day.

Wishing your son speedy recovery.

Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best regards
Dr Deepak Kaltari

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepak Kishore Kaltari (4 hours later)

Can I give him the combination of ibuprofen & paracetamol suspension 4 hourly? What about the Diclofenac suppository? It is very convenient for me when he did not want to take oral medication. How long may this episode of fever last? Can it be strep throat?

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer:
Either of the medication can be given

Detailed Answer:
Hi
Good morning

Either you can give combination of Paracetamol +Ibuprofen or rectal Diclofenac. Fever Will usually subside in 2 to 3 days of time. There is no cause of concern if the fever is less than 100.4 °F .

Whether it is streptococcal cam only be attributed on clinical examination and substantiated by throat swab examination (which is not normally required )

Take care

Best regards
Dr Deepak

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. Yogesh D