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Suggest Treatment For Chest Congestion And Cough

Posted on Thu, 30 Jun 2016

Question: my baby is 2.5 months old n weight 4.2 kgs . my lo was born premature with 1.5 kgs. she has now slight chest congestion and persistence khasi. after 10 days of full treatment my baby didnt recover. so i change my pedi n he started various medicine. so i want to know about these medicine i.e. broxum p syrup, vomisave syrup, esole XXXXXXX lasma lc kid tablet. are they harmful to my baby ? and he also given bolax syrup for my baby digestion.. plz suggest are those medicine harmful to baby or i can give these medicine ?

Answered by Dr. Pradeep Kumar Jain (38 minutes later)

Brief Answer:
I won't suggest to give Bolax syrup

Detailed Answer:
Hello

Thanks for asking on this platform

Sometimes cough may persist even for 2-3 weeks even after treatment of underlying cause.This occurs due to persistence of irritants which stimulates cough receptors(called bronchitis).Here one should look for whether this cough is severe enough to disturb sleep,causes vomiting or decreased feeding.Medications like some bronchodilator(prevent spasm of airways)and antiallergic helps in decreasing the cough.
The sphincter(valve)of food pipe in small babies is not tight enough to prevent reflux which also precipitates the cough and cough may persist longer. Cough due to reflux is more after feeds,in lying down position or during night time.
Your doctor has prescribed broxom syrup(contains ambroxol a mucus thinning agent and terbutaline a bronchodilator),vomisave contains ondensetron,decreases vomiting;esole is esomeprazole acid reducing agent and lasma lc contains antiallergic.
All these medications helps in decreasing cough by preventing spasm of airways,allergy and also if cough gets precipitated by reflux.
If given in appropriate dosage, side effects are not very significant.Terbutaline can cause increase in heart rate and irritability if given in high dosage.
I wont suggest you to give bolax which contains bisacodyl a laxative(relieves constipation)in this age,as it may cause irritation of gut mucosa and loose stool.Bisacodyl is not advised in this age(it does not heps in digestion).
Continue other medication and observe your baby.If you find any significant abnormality consult your pediatrician immediately.

I hope this helps.
Please let me know if you have any more doubts.
Wishing for your baby's good health.
Regards

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Pradeep Kumar Jain (31 minutes later)

he prescribed vomisave 0.8 ml-twice a day-15 days, broxum p syrup 0.5 ml- thrice a day-7 days, esole XXXXXXX half-twice a day - 15 days, lasma lc kid tab -half - twice a day - 15 days... is this prescription ok ? he prescribed bolax drop which contain extract of fig, rhubarb and draksha .. he said it does not contain any side effect .. and prescribed to give for 2 months. still bolax drop is harmful ?

Answered by Dr. Pradeep Kumar Jain (7 hours later)

Brief Answer:
You may continue the medication in prescribed dosage

Detailed Answer:
Thanks for follow up

The medications in children are prescribed according to the body weight and each medication has a range of dosing.The above prescribed dose is appropriate for a 4.2 kg's baby.You may continue the medication in above prescribed dosage.
Bolax tablet or syrup contains Bisacodyl a laxative.
Sorry to say but I don't have any idea about Bolax drops and I don't prescribe it to the babies.But as per your description it is an ayurvedic medication (your doctor must has experience of it's good effects)and contains herbs so i don't find any problem in using that.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Pradeep Kumar Jain (2 hours later)

he also giving neublizer for 3 days .. is there any side effect of neublizer?

Answered by Dr. Pradeep Kumar Jain (1 hour later)

Brief Answer:
Nebulisation can be given safely

Detailed Answer:
Hello

Nebulisation with 3% saline or bronchodilator can be done safely if there are signs of spasm of airways.In most of the cases if airway spasm is mild it responds to Nebulisation for 3-5days.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Pradeep Kumar Jain (40 hours later)

my pedi change broxum p syrup to Ab phylline syrup. as broxum p syrup cause vibration in my baby hand and feet. so ab phylline syrup is helpful in bronchitis ? n how many days it will take to cure completely my lo. she still has slight cough and khasi. and also plz tell us what precaution we need to take to avoid infections in baby... i m really getting depressed now about my baby health..

Answered by Dr. Pradeep Kumar Jain (5 hours later)

Brief Answer:
Ab phyllin will also b helpful in bronchitis

Detailed Answer:
Hi
Ab Phylline contains acebrophyllin which is an anti inflammatory agent and also makes the mucus thin.It acts well in case of bronchitis.
The terbutaline component of broxum can cause vibration like movement in babies which is not seen with acebrophyllin.
I suggest you not to get overly worried as symptom of cough has decreased.It may take another 5-7 days for complete subsidence of symptoms.
Respiratory infections are common in infancy & toddler age and it may occur 6-8 times in a year.
The frequency gets decreased with development of immunity as the child grows.To prevent infection avoid contact with persons suffering from cough & cold and also avoid exposure to extreme of temperature.
Regards

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar