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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever And Chest Congestion In A Child

Doctor My 8 year daughter is suffering from severe chest congestion and fever recurrence and not able to have easy breathe. Also she has dry cough and wheezing sound in her breathe. She is taking Asthaline syrup 5 ml tds, levicet 5 ml & Montair 5 mg at night but not much relief.Please suggest me that can i give her A B phylline or Omnacortil ds in what doses and how many days as her exams are going on.
Wed, 6 Jan 2016
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
In my opinion, your daughter is having having either bronchitis or asthma.
Her symptoms are more suggestive of post infectious bronchitis.
And best treatment fir bronchitis is inhaled therapy with inhaled bronchodilators and inhaled corticosteroid (ICS).
So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment is based on severity only.
Inhaled bronchodilators like formoterol, salmeterol should be given twice daily.
ICS like budesonide, fluticasone should also be given twice daily.
You can give ABphyllin, but don't give omnacortil (oral steroid). Better to give ICS then oral steroid in children.
So consult pulmonologist and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
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Suggest Treatment For Fever And Chest Congestion In A Child

Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, your daughter is having having either bronchitis or asthma. Her symptoms are more suggestive of post infectious bronchitis. And best treatment fir bronchitis is inhaled therapy with inhaled bronchodilators and inhaled corticosteroid (ICS). So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment is based on severity only. Inhaled bronchodilators like formoterol, salmeterol should be given twice daily. ICS like budesonide, fluticasone should also be given twice daily. You can give ABphyllin, but don t give omnacortil (oral steroid). Better to give ICS then oral steroid in children. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.