Thanks for writing to health care magic.
Your nephew requires urgent medical attention.
This is because you mentioned two important points one should be concerned in a baby with cough
.The bluish coloration of fingers is not normal and may indicate hypoxia
. A baby who is working harder to breath is also not normal. So you should be proactive with your baby and take him to the emergency for immediate medical attention.
Please note that in a child with cough the following indicate that the child requires medical attention immediately.
1. Fast breathing
2. chest indrawing
3. Nasal flaring ( The lateral walls of the nose move laterally with respiration)
4. Bluish discoloration of fingers
5. Poor feeding
7. Not accepting feed
or increased irritability
You may contact me with further details on the following URL...........
In such scenario the questions are directly forwarded to me .............. and I can answer your queries regarding your kid online regularly.
Hope this helps.
Dr Y V Siva Sankara Murty
Associate Professor of Pediatrics