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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Child, Cough, Nasal Discharge, Fever, Low Appetite. Prescribed Anti-allergic Medication. Treatment?

My 2 year 11 month old boy has cough from 6 days which disturbs his sleep, runny nose and mild fever 39 degree celcius which is on and off, low appetite and soft stool , doc here told it is viral and we have to wait for 7 days, and has given some antiallergetic medicine. and asthalin for cough but cough does not seem to come down even after 6 days, please help!
Mon, 11 Feb 2013
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

In acute viral illnesses , the coughing may be due to the dripping of mucus to the back of the throat or mucus in the passages of the lung itself or sometimes hyperactivity or inflammation of the airways. Since he has a runny nose, it is likely that the secretions are going back into his throat and contributing to his cough.This would be treated by: propping him up if possible when he is lying down, use of topical nasal decongestants such as otrivine for 3 to 4 days, oral decongestants. You can also consider the use of children vapour rubs which would also help to clear his nose. A cough suppressant can be used along with the decongestants.
If he has a wet cough then a mucolytic with a beta agonist medication is indicated- these medications can often be combined into one syrup.

So - prop up, childrens vapour rub, oral and topical decongestant, keep environment warm (if he is cold he will cough more), cough suppressant.
If wet, mucolytic can be used.

Hope this helps
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Pediatrician Dr. E Venkata Ramana's  Response
Hi,
Thank you for your query on Healthcare Magic,
You continur the medication as prescribed by your doctor.
Foe fever you can give paracetamol in prescribed dosage.
As you told the cough is not coming down, usually cough will take time to subside.
If you feel the cough is increasing or the fever continues, consult your Pediatrician again for the examination including throat and kungs and for modifications in the treatment if required.
Hope I have answered your query.
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Small Child, Cough, Nasal Discharge, Fever, Low Appetite. Prescribed Anti-allergic Medication. Treatment?

Hi, thanks for using healthcare magic In acute viral illnesses , the coughing may be due to the dripping of mucus to the back of the throat or mucus in the passages of the lung itself or sometimes hyperactivity or inflammation of the airways. Since he has a runny nose, it is likely that the secretions are going back into his throat and contributing to his cough.This would be treated by: propping him up if possible when he is lying down, use of topical nasal decongestants such as otrivine for 3 to 4 days, oral decongestants. You can also consider the use of children vapour rubs which would also help to clear his nose. A cough suppressant can be used along with the decongestants. If he has a wet cough then a mucolytic with a beta agonist medication is indicated- these medications can often be combined into one syrup. So - prop up, childrens vapour rub, oral and topical decongestant, keep environment warm (if he is cold he will cough more), cough suppressant. If wet, mucolytic can be used. Hope this helps