Brief Answer:
Suggestions on cough and cold

Detailed Answer:
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

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Brief Answer:
Suggestions on teething pain

Detailed Answer:
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.

Hope my interaction has been satisfactory to you and hope i have earned a 5 star rating.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth

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Brief Answer:
Please revert back with answers

Detailed Answer:
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

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Brief Answer:
Suggestions on food fads and not eating well

Detailed Answer:
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

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Brief Answer:
Diphenhydramine may be used

Detailed Answer:
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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