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Child has chest cold, wheezing and congested nose. Remedy?

I have a fourteen month old with a chest cold , my grandson-parents are on vacation. Wondering about some appropriate over the counter meds and what signs to look for to determine whether a trip to the clinic is necessary. He s happy, playing. congested in the nose ,head yesterday and today less nasal but now wheezing sound is loud and I can hear inside when I put my ear on his back.
Asked On : Tue, 12 Mar 2013
Answers:  3 Views:  36
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

If he is wheezing then it may be best to visit his doctor for nebulisation.
In some cases congestion of the nose may result in noises that may be misinterpreted as wheezing because of the noise created expelling the air through the nostrils. If this is the case then he may require the use of a decongestant.
Decongestants can be topical or oral. The topical decongestants would be normal saline drops and otrivine pediatric drops. The normal saline can be used as needed however the otrivine should be used up to 3 days because it can cause rebound congestion.
Both are available over the counter in some places. You can use the normal saline drops first and see if this is effective for him.

Oral decongestants can also be used. There are different ones available and they are normally combined with cough medication. If his cough is wet , you can look for a medication that combines the decongestant with a mucolytic for example some types of mucinex medication, though there are others.

Again , if he is wheezing, he would need to be seen.

I hope this helps
Answered: Tue, 12 Mar 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Thank you for your query on Healthcare Magic.
For cold and nose block, you can give nasal saline drops one or two drops into each nostril and clear the nostrils with soft cloth.
Before feeding and sleeping nostrils should be clear and patent so that the discomfort will not be there for child to take feeds and to sleep.
Check his temperature.
As there is wheezing child needs examination by a doctor to auscultate the lungs.
Watch for cough, rapid breathing, his acitvity, and rise of temperature.
Therefore I advise you to consult the Pediatrician for the examination and for prescription of medication.
Hope I have answered your query.
Answered: Tue, 12 Mar 2013
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Welcome to HCM,
Among children from upper respiratory tract infection spreading into lower respiratory infection is common giving rise to problem some times.
So without doing self medication, consult doctor and get examined.
Respiratory complications like pneumonia is common.
Ok and bye.
Answered: Tue, 12 Mar 2013
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