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Infant suffering from Bronchitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hi Doctor...I want to know that my pediatric doc for my daughter who is 28 months old has prescribed budacort+asthaline nebulization 3 times a day, asthaline puff 4 times a day and duoline nebu 3 times a day on last thursday
User :   and asked to continue till Sunday ( next 3 days)
Doctor :   ok
User :   that is till 19th
Doctor :   it seems that your kid has been diagnosed with bronchitis or childhood asthma
User :   but she is still coughing so I gave budacort+asthaline nebu once and duoline nebu once yesterday
User :   and today duoline nebu once...
Doctor :   ok
User :   so is it OK?
Doctor :   yes that is fine
Doctor :   there is no need to worry at all
User :   I mean if se still coughs today so can I give duoline or asthaline nebu as they r not steroids and stop budacort as its a steroid
Doctor :   yes that is fine
User :   we have done all teh possible tests for my daughter and no one can say correctly what she has since tests are all OK...even x ray ....all d docs say she is allergic
Doctor :   if the cough is persistant , then a cuogh suppresant can be prescribed by your doctor
User :   u mean a cough syrup?
User :   duoline is not a steroid right?
Doctor :   yes
Doctor :   no duolin is a bronchodilator
User :   which cough syrup should I give...its a wet cough....
User :   few questions:and how should we stop budacort told me stop after 3 days but shouldn't i taper it slowly? i mean 3 times 3 days then 2 times 2 days then once daily and stop?
Doctor :   you can give her solvex expectorant
Doctor :   since this is given by nebulisation there is no need for tapering
Doctor :   tapering the dose is given in oral steroids
User :   2. Should I stop budacort nebu and continue duoline, thrice a day for say another 2 days as she still has cough and it won't harm her right?
User :   3. what should be the dosage of solvex expectorant ?
Doctor :   change of dosage and stoppage of meds cannot be adviced online without having a exact knowledge of the condition of a kid, that is without examiing
Doctor :   that would be legally wrong on my part
User :   OK
Doctor :   yes you can continue duolin nebulisation
User :   ok
User :   4. R these inhallations safe? all d doc here says they are the safest as they don't go into the system or blood and since we stay in bangalore doc says its almost common with all the kids in Bangalore...IT WILL TAKE -5 YEARS FOR HER TO BE OK AND DEVELOP it true?
Doctor :   that is not going to harm her in any way
Doctor :   yes thats right
User :   5. does these inhallations cause constipation in any way?
Doctor :   bangalore has a slightly colder climate and a lot of pollen that can cause allergy symptoms
Doctor :   no no chance of constipation
User :   6. she had fever also so was on antibiotics which got over day before yesterday. and since 2-3 days she doesnt want to eat can she regain her appetite?
Doctor :   this is due to post fever and side effects of medications
User :   so will she be normal in next few days?
Doctor :   this will wear off within a few days and is nothing to worry about it
User :   7. Can you atleast advise which medicine can be given to develop immunity?
User :   8. she is on a long term treatment of her allergic condition with Badamate puff twice a day, rhinocort nasal spray once and Montec LC Kids once which I need to continue till my doc is that fine ??...I mean this wont effect her growth or any other problem....
Doctor :   Immunity develops normally in a kid with good nutrition and good health and exposure to the environment
Doctor :   there is no medicine that can produce immunity overnight
Doctor :   infections in kids are fairly common and these infections in turn give immnuuty ove rthe long run
Doctor :   yes the medicine she is on, is fine
User :   and my last question...9 .inspite of all this treatment she still got this cough and fever attack... is this doc says these are preventive medicine so it can it true?
Doctor :   there is nothing to be worried about
Doctor :   this is due to post infective bronchitis and this will wear off soon
User :   thanks doctor
User :   thank u so much
Doctor :   the medicines she has been prewcribed helps to prevent bronchitic attacks
Doctor :   and they have no major side effects '
Doctor :   she can take them safely
Doctor :   thank you for consulting me
Doctor :   bnye for now
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