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Suggest remedy for severe cough and cold in a chid

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Posted on Wed, 25 Nov 2015
Question: my daughter (2 years) is having cold and cough since Sunday. Doc has recommended CZ3 for cold and ventorlin for cough and nebulization with levalbuterol 0.31 mg 2 times a day but it seems she is not having much improvement in cough. My daughter has a background of hospitalization due to chest congestion when she was 5 months old. She doesn't has runny nose due to which she gets chest congestion very frequently. Not sure what to do next. Please advice.
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Answered by Dr. Pradeep Kumar Jain (25 minutes later)
Brief Answer:
Continue the same and observe the baby

Detailed Answer:
Hello

Thanks for asking on this platform

I can understand your concern.Cough and cold in this age without any history of fever is most commonly due to some allergy/hyperesponsiveness of airways.
It may take 7-10 days sometimes even more to get complete relief from cough with the medication.
CZ3 contains cetrizine which is an antiallergic,ventorlin contains salbutamol which is a bronchodilator(relieves airway spasm) and levalbuterol is also a bronchodilator which provides short term relief.
I won't get worried if cough has not worsened,not associated with rapid respiratory rate,excessive irritability or significant poor feeding.
As steroid helps in decreasing the inflammation and counteracts the hyperresponsiveness,short duration of prednisolone(steroid) in such cases can be added after consulting your pediatrician for better relief.

I hope this helps.
In case you notice any breathing difficulty,excessive irritability consult your physician.
You can ask me further if you have any more doubts.
Wishing for your child's speedy recovery.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Pradeep Kumar Jain (29 minutes later)
Earlier whenever she had chest congestion, she had vomiting and got instant relief from the muscus/phlegm. This time no vomiting, can i give her some medicine to get the relief from the muscus.
doctor
Answered by Dr. Pradeep Kumar Jain (14 minutes later)
Brief Answer:
There is no relation between vomiting and mucus

Detailed Answer:
Thanks for follow up

It a common myth that vomiting provides relief from cough as mucus comes out in vomitus. Mucus is produced in the lungs(in common terms in the chest).Vomiting with cough is due to the irritation in the throat and it is the swallowed mucus which comes in the vomitus from stomach not from the chest(or lung).
You can give combination of mucolytic like ambroxol(mucus thinning agent) with salbutamol(like ambrodil s)instead of ventorlin.

Thanks and Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2056 Questions

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Suggest remedy for severe cough and cold in a chid

Brief Answer: Continue the same and observe the baby Detailed Answer: Hello Thanks for asking on this platform I can understand your concern.Cough and cold in this age without any history of fever is most commonly due to some allergy/hyperesponsiveness of airways. It may take 7-10 days sometimes even more to get complete relief from cough with the medication. CZ3 contains cetrizine which is an antiallergic,ventorlin contains salbutamol which is a bronchodilator(relieves airway spasm) and levalbuterol is also a bronchodilator which provides short term relief. I won't get worried if cough has not worsened,not associated with rapid respiratory rate,excessive irritability or significant poor feeding. As steroid helps in decreasing the inflammation and counteracts the hyperresponsiveness,short duration of prednisolone(steroid) in such cases can be added after consulting your pediatrician for better relief. I hope this helps. In case you notice any breathing difficulty,excessive irritability consult your physician. You can ask me further if you have any more doubts. Wishing for your child's speedy recovery. Regards