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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Persistent Cough And Bronchiolitis Be Treated For An Infant?

My 7 weeks old baby has bronchilitis. We have being nebulizing him with duoline repsules. Xray has been done and he does not have pneumonia or any other lung infection. The problem is that he has a cough which is persistent. He does cough repeatedly. What can we do?
Mon, 3 Apr 2017
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General & Family Physician 's  Response
Hello dear. Bronchiolitis typically lasts for two to three weeks. The majority of children with bronchiolitis can be cared for at home with supportive care. It's important to be alert for changes in breathing difficulty, such as struggling for each breath, being unable to speak or cry because of difficulty breathing, or making grunting noises with each breath.

Because viruses cause bronchiolitis, antibiotics — which are used to treat infections caused by bacteria — aren't effective against it. If your child has an associated bacterial infection, such as pneumonia, your doctor may prescribe an antibiotic for that.

Drugs that open the airways (bronchodilators) haven't been found to be routinely helpful. But your doctor may elect to try a nebulized duolin or albuterol treatment to see if it helps.

A tiny percentage of children need hospital care to manage their condition. At the hospital, your child may receive humidified oxygen to maintain sufficient oxygen in the blood, and perhaps fluids through a vein (intravenously) to prevent dehydration. In severe cases, a tube may be inserted into the windpipe (trachea) to help the child's breathing.

Take an appointment with your doctor. Meanwhile i will suggest you few home remedies

1. Humidify the air. If the air in your child's room is dry, a cool-mist humidifier or vaporizer can moisten the air and help ease congestion and coughing. Be sure to keep the humidifier clean to prevent the growth of bacteria and molds. Another way to humidify the air is to run a hot shower or bath in the bathroom and let it steam up the room. Sitting in the room holding your child for about 15 minutes may help ease a fit of coughing.

2. Keep your child upright. Being in an upright position usually makes breathing easier.

3. Have your child drink. To prevent dehydration, give your child frequent feeding of breast milk

4. Try saline nose drops to ease congestion. You can purchase these drops over-the-counter (OTC). They're effective, safe and nonirritating, even for children. To use them, instill several drops into one nostril, then immediately bulb suction that nostril (but don't push the bulb too far in). Repeat the process in the other nostril. If your child is old enough, teach your child how to blow his or her nose.

5. Use OTC pain relievers. OTC pain relievers such as acetaminophen (Tylenol, others) may help relieve a sore throat and improve your child's ability to drink fluids.

6. Maintain a smoke-free environment. Smoke can aggravate symptoms of respiratory infections. If a family member smokes, ask him or her to smoke outside of the house and outside of the car.

other tips

1. Limit contact with people who have a fever or cold. If your child is a newborn, especially a premature newborn, avoid exposure to people with colds in the first two months of life.

2. Clean and disinfect surfaces. Clean and disinfect surfaces and objects that people frequently touch, such as toys and doorknobs. This is especially important if a family member is sick.

3. Wash hands often. Frequently wash your own hands and those of your child. Keep an alcohol-based hand sanitizer handy for yourself and your child when you're away from home.

4. Breast-feed. Respiratory infections are significantly less common in breast-fed babies.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini

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How Can Persistent Cough And Bronchiolitis Be Treated For An Infant?

Hello dear. Bronchiolitis typically lasts for two to three weeks. The majority of children with bronchiolitis can be cared for at home with supportive care. It s important to be alert for changes in breathing difficulty, such as struggling for each breath, being unable to speak or cry because of difficulty breathing, or making grunting noises with each breath. Because viruses cause bronchiolitis, antibiotics — which are used to treat infections caused by bacteria — aren t effective against it. If your child has an associated bacterial infection, such as pneumonia, your doctor may prescribe an antibiotic for that. Drugs that open the airways (bronchodilators) haven t been found to be routinely helpful. But your doctor may elect to try a nebulized duolin or albuterol treatment to see if it helps. A tiny percentage of children need hospital care to manage their condition. At the hospital, your child may receive humidified oxygen to maintain sufficient oxygen in the blood, and perhaps fluids through a vein (intravenously) to prevent dehydration. In severe cases, a tube may be inserted into the windpipe (trachea) to help the child s breathing. Take an appointment with your doctor. Meanwhile i will suggest you few home remedies 1. Humidify the air. If the air in your child s room is dry, a cool-mist humidifier or vaporizer can moisten the air and help ease congestion and coughing. Be sure to keep the humidifier clean to prevent the growth of bacteria and molds. Another way to humidify the air is to run a hot shower or bath in the bathroom and let it steam up the room. Sitting in the room holding your child for about 15 minutes may help ease a fit of coughing. 2. Keep your child upright. Being in an upright position usually makes breathing easier. 3. Have your child drink. To prevent dehydration, give your child frequent feeding of breast milk 4. Try saline nose drops to ease congestion. You can purchase these drops over-the-counter (OTC). They re effective, safe and nonirritating, even for children. To use them, instill several drops into one nostril, then immediately bulb suction that nostril (but don t push the bulb too far in). Repeat the process in the other nostril. If your child is old enough, teach your child how to blow his or her nose. 5. Use OTC pain relievers. OTC pain relievers such as acetaminophen (Tylenol, others) may help relieve a sore throat and improve your child s ability to drink fluids. 6. Maintain a smoke-free environment. Smoke can aggravate symptoms of respiratory infections. If a family member smokes, ask him or her to smoke outside of the house and outside of the car. other tips 1. Limit contact with people who have a fever or cold. If your child is a newborn, especially a premature newborn, avoid exposure to people with colds in the first two months of life. 2. Clean and disinfect surfaces. Clean and disinfect surfaces and objects that people frequently touch, such as toys and doorknobs. This is especially important if a family member is sick. 3. Wash hands often. Frequently wash your own hands and those of your child. Keep an alcohol-based hand sanitizer handy for yourself and your child when you re away from home. 4. Breast-feed. Respiratory infections are significantly less common in breast-fed babies. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini