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Have severe cold and allergic cough. Breast feeding. Suggest medication? - Online Doctor Chats

Date : 15-Aug-2013
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor:How can I help you?
Doctor:Welcome again.
User:Doctor this is XXXXXXX
Doctor:Proceed with your query.
Doctor:Yes XXXXXXX proceed with your query.
User:I have a quick question, I ve severe cold from past 2 days
User:earlier to that i had allergic cough from past 3 months specially during nights
User:can you please suggest a medicine
User:And i have 14 month old baby
User:i m still feeding her
User:and i do it in the morning and evening
Doctor:Can you describe the type of cough - is it dry or with mucous expectorant?
User:please suggest a medicine which doesnt harm the baby while feeding her
User:its dry and sometimes with very less mucus
Doctor:Does the severity change during the time of day?
Doctor:Do you have breathing difficulty?
Doctor:Are you running fever?
User:yeah i do
User:now i dont have fever
User:but i have body pains
Doctor:Do you mean you have breathing difficulty with body pains?
User:actually ever since after my delivery i had been having body pains...
User:due to cough and cold ihave breathing difficulty
Doctor:May I know your age?
User:nose gets completely blocked and i have to breath thru mouth
Doctor:Do you have history wheezing/asthma?
User:i m 36 yrs old
User:no doctor
Doctor:Let me brief you.
User:wheezing only when i have cold
Doctor:Dry cough is something which cannot be correctly diagnosed easily nor can it be treated easily.
Doctor:In the presence of wheezing however, the symptom may be related bronchoconstriction.
Doctor:If it is due to bronchoconstriction, bronchodilator inhaler can be very effective.
User:ok doctor
User:where can i get it
Doctor:Therefore I think it would be worthwhile to see a doctor who can examine your lung and confirm that you indeed have bronchoconstriction.
User:and how about medicine for cold
Doctor:If confirmed, drugs such as salmetoral are very helpful.
User:for cold which medicine can i take doctor
Doctor:As far as cold is concerned, you can try saline nasal drops three or four times a day.
Doctor:If symptoms are severe nasal decongestant can be used at night.
User:ok doctor
Doctor:In addition to it, you can try steam inhalation thrice a day.
Doctor:Eat healthy and warm food.
Doctor:Have you followed what I suggested?
User:yeah doctor i got it
User:so there is no need for medicine for cold like cz cold, wellcold or citrazine
User:for temporary relief
Doctor:As you said you are breast feeding, I would like to avoid oral drugs unless you need it.
Doctor:You can try the nasal drops and steam inhalation;
User:can i take sinarest
Doctor:if there is not much improvement with topical agents and steam you can use antihistamine.
User:is it a tablet
Doctor:Sinarest contains paracetamol. It also contain antihistamine and caffeine. If you choose to use it, use it after you breast feed;
Doctor:Have you followed?
User:yes doctor
User:thanks a lot
User:and how many hours taking the tablet can i breast feed
User:and how many hours after taking the tablet can i breastfeed
Doctor:I shall answer this question the following way.
Doctor:1. In all my patients who breast feed, I prefer not to use oral medication. If there is an alternative means to treat it, I would choose alternate methods.
Doctor:2. In your case, the cold should respond to nasal drops and steam inhalation.
User:ok Doctor
Doctor:3. If steam inhalation and nasal drops are tried and not effective, then oral drugs can be used.
Doctor:4. Most drugs including cetrizine are ok during breast feedings, since the drug secreted into breast milk is very low; more over you only breast feed twice.
User:yes doctor
Doctor:5. However while on oral medication, prefer to take the medicine after feeding; or you can breast feed the baby after an hour or two after taking the medicine.
Doctor:Hope it is clear now.
Doctor:Do you have any questions?
User:yes doctor
User:that it
User:thank u very much :)
User:its very clear
User:u have been helpful
User:bye for now
Doctor:Thanks for consulting now.
Doctor:bye for now.
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