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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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11 Year Old Taking Cefpodoxime, Montair And Wysolone For Persisting Cough. Permanent Cure?

My daughter aged 11 years have some cough problem for some time i.e., 45 days ; There is also problem for cough 4/5 times in a year. Inspite of taking antibiotics , this time, as prescribed not cured of cough. Doctor said that there is spasm . and advised as the following drugs 1) Cefpodoxime 100 mg twice daily 2) Montair LC 5 mg once daily for 21 days 3) Wysolone 10 mg for 5 days. Chest x ray done-- Normal impression Blood Report ---Hb 11.8 ; WBC- 7600 ; Neutophil 45%, Eosino-5%, Baso-0%, Lympho-49%, Monocytes-1%, ESR-48 mm (1st hr) What is the remedy?
Tue, 4 Dec 2012
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Pediatrician, Cardiology 's  Response
Hello
As there is history of cough 4-5 times in a year and this time also there is spasm, it suggests the possibility of asthma.
A proper workup is needed to make the diagnosis of asthma like serum IgE level and pulmonary function test. If investigation suggests then long term treatment may be needed to manage asthma.

As eosinophil count is against asthma and there is predominant lymphocytosis with raised ESR, proper clinical and laboratory evaluation should be done to rule out other possibilities of cough like tuberculosis and chronic bronchitis.
Regards
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11 Year Old Taking Cefpodoxime, Montair And Wysolone For Persisting Cough. Permanent Cure?

Hello As there is history of cough 4-5 times in a year and this time also there is spasm, it suggests the possibility of asthma. A proper workup is needed to make the diagnosis of asthma like serum IgE level and pulmonary function test. If investigation suggests then long term treatment may be needed to manage asthma. As eosinophil count is against asthma and there is predominant lymphocytosis with raised ESR, proper clinical and laboratory evaluation should be done to rule out other possibilities of cough like tuberculosis and chronic bronchitis. Regards