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Infant has severe cold. On nebulizer. What can help the child? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User:Hello Doctor
Doctor:How can I help you?
User:My Son is suffering from Cold from last 7-8 days and is having very disturbed sleep at nights. I have approached a Pediatrician near my house (Santosh Nagar, Hyderabad). He asked me to put him on Nebulizer tonight. I'm not comfortable doing this as I have see that my cousins sons was also put to Nebulizer and was kind of habituated with it, till he was 4-5 years every time there is a season change he has to be put on Nebulizer. Do we have any other alternative. Please suggest.
Doctor:May I know the age of your son?
User:8 months
Doctor:Let me brief you.
Doctor:Nebulizer delivers medications through aerosol form which is inhaled by patients/children.
Doctor:It is given when the doctor
Doctor:suspects bronchospasm
Doctor:Bronchospams presents as bouts of cough, breathing difficulty or wheezing.
Doctor:If none of these symptoms are present in your son, then I do not think your son needs nebulization.
Doctor:However if any of these symptoms are present, nebulizer is the most preferred choice.
Doctor:Apart from the nebulisation, oral syrup are added for extended benefits.
User:mornings I dont see any of these problems
Doctor:Without an opportunity to examine your son's chest, I am in no position to decide whether the use of nebulizer is recommended to your son.
User:but at night he wakes up and starts crying at time
Doctor:The crying may be a sign of on going bronchospasm.
Doctor:Auscultating the chest gives us more information about what is happening inside the chest.
User:so for how many days should I continue him on Nebulizer?
Doctor:As I said initially nebulizers are recommended if there are evidence of bronchospams.
Doctor:A few children have these occasionally especially during times of infection
Doctor:or during time of cold weather.
Doctor:Some children have it for prolonged time (if there is family history of wheezing/bronchial asthma).
Doctor:The duration of usage is therefore individualized depending on symptoms and signs.
Doctor:Hence at this point of time we can only tell that he needs it.
Doctor:Over the due course of time, you can get back to your pediatrician/chest physician to decide the duration of treatment.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:no.. I will get back to you tomorrow
User:one more question
Doctor:We will be able to assist you further whenever you need it.
User:how serious is bronchospasm
Doctor:Bronchospasm is part of a clinical entity like bronchial asthma, allergic bronchitis, cold weather and respiratory infection.
Doctor:You will need to talk to his consulting doctor to understand which of this clinical entity is causing his symptoms.
User:ok thank you
Doctor:The severity of the problem depends on what we are dealing with.
Doctor:the symptoms are not sign of
Doctor:a XXXXXXX condition.
Doctor:So you do not worry.
User:I will get back to you once I talk to my doctor tomorrow..
Doctor:Discuss with his treating doctor to learn about his problem better.
Doctor:Yes, we will be able to address your queries better after knowing about your son.
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