Suggest remedies for persistent cough and cold in a child
My daughter is 1 year old. She was having bad cough and cold and we took her to the doctor and doctor said it was barking cough. He had prescribed medicines for 3 days which I had mentioned.
She was little better after 3 days but, not fully ok so we went to doctor again and he suggested to continue with Alerid for 3 more days and prescribed Ventorlin syrup for 3 days. So, in all we had given her medicines for 6 days but, she is still having cough and runny nose though better than before. What shall we do now?
Suggestions on cough and cold
Hi... I understand your concern. I have gone through all the history you have provided including all the prescriptions. You have already used dexamethasone which is a long acting steroid. Cough is a protective reflex in kids of this age. I feel already you have given the appropriate medicines for the appropriate time and appropriate dosage. In fact even steroids have been used which I do not seem appropriate. My suggestion for you is that please try to understand that cause is a protective reflex and not a pathological symptom.
Most of the time this sort of cough and cold is usually viral in origin. It may take totally 7 to 10 days for it to completely settle down. Unless the kid is having fast breathing, respiratory distress or shortness of breath, inability to feed, you need not worry about cough alone. I suggest you stop all the medications and wait for 3 days and your child will settle down completely.
Regards - Dr. Sumanth
Thanks for the reply.
One more query...we feel that her teething process is also happening in parallel as she feels like cutting something by her teeth. She is also having a little bit fever.
Can this fever be because of teething?
Also, she is not having anything other than milk for past one two weeks. What can we try giving her in this scenario?
Suggestions on teething pain
Hi.... thank you for getting back I understand your concern.
Fever during teething can be a possibility because the teeth come out erupting from the gums which are a very soft tissue and this causes some amount of pain which might be the reason for fever.
My suggestion is that you can give her soft teething toys which will be soothing for her to bite. Children very commonly do this to sooth the sensation of erupting teeth.
Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol
Another common notion in the general public is that teething will cause diarrhoea. But it is not so. Diarrhoea occurs because kids during teething months will keep everything and anything which comes in their way to sooth the teething sensation and when the impurities go in there might cause some diarrhoea.
She is having only milk because she will not be able to tolerate solid food during this painful episode. There is no restriction, you can give her anything like very soft vegetable porridges and also ice creams, which are calorie dense. So even if less quantity of diet goes in it will be more energy dense.
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Regards - Dr. Sumanth
Thanks for your reply.
Additionally, we generally have a concern as she doesn't eat anything from past couple of months and push her tongue out for anything we try to give her. It seems impossible to feed her any semi-solid or solid food. Pls suggest what should we do in this scenario as there is hardly anything that she eats. We tried giving her lot of variety but before tasting as well she pushes it out.
Pls advise how and what should we give her.
Please revert back with answers
Hi...I need more information before guiding you further.
1. What is her exact date of birth?
2. What is her birthweight?
3. What is her exact current weight?
4. What is her exact current height?
5. Does she just put the tongue out or does she actually vomit?
6. At any point of time has she been forced to eat?
Please revert back with answers so that I can guide you through better.
Regards - Dr. Sumanth Amperayani
Here are the answers:
1. What is her exact date of birth? - 20 Dec 2016
2. What is her birthweight? - 3.51 KG
3. What is her exact current weight? - 10 KG
4. What is her exact current height? - 76 cm
5. Does she just put the tongue out or does she actually vomit? - She just puts the tongue out. Vomiting is in rare circumstances.
6. At any point of time has she been forced to eat? - When we started giving her things apart from milk, she always resisted and we had to put it in her mouth by force only. In 5% scenarios only, she opens her mouth after having first forceful bite. Basically, first bite is by force only and later on hardly in 5% cases she opens her mouth (like for curd), in all other cases she puts her tongue out without even tasting it and then doesn't take it again or will nod her head in no position waving it sideways. Not sure how shall we make her eat things apart from milk.
Suggestions on food fads and not eating well
Hi... I understand your concern. Coming to the positive things first, your kids height and weight are excellent according to the XXXXXXX standards and percentile calculation.
Coming to the issue of not eating well and forced feeding, this is the most common cause. As parents, in our concern for their nutrition, we start feeding the kids forcefully. Due to this they will develop an aversion towards food, which will make them even more adamant and they will stop feeding completely.
To get a proof for this, if any other person other than the regular person who feeds the kid gives the food, they will accept the feeding.
There is a part in the brain called hypothalamus which will decide how much food intake any human body should be taking in to have a balanced weight and height.
If the kid refuses to feed, stop at that particular point of time and give it later and at the same time try to reduce the milk in her diet which will kill appetite and also is a cause for anaemia.
There are no specific foods which have to be given or avoided at this age. As the kid is already one year of age, you should be following the concept of family pot feeding which means that whatever you cook for the whole family should be fed for the child and you need not make it extra soft for her to swallow it. Encourage her to chew the food and eat it.
Regards - Dr. Sumanth
one last query...her fever is better now but, she is still coughing badly. Shall we give her any medicine?
Diphenhydramine may be used
Hi....I understand your concern. You may use Diphenhydramine at 2.5ml thrice a day for 3 days.
It is available as Syrup Benadryl Cough Formula.
But this is a prescription medicine and you will require a doctor's prescription for it.
This is off-lable use.
To be XXXXXXX with you, I do not use cough syrups in less than 2 years age group and cough is a protective reflex and we should not suppress it.
Regards - Dr. Sumanth
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