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Suggest Treatment For Cold And Nasal Congestion In A Child

Posted on Tue, 15 Nov 2016

Question: Hello Dr..my baby is 3 years 6 months old. She has cold..congested nose, yellowish thick mucus. Its there for the past 1 month. Initially he suggested augmentil 5ml twice a day for 5 days. After the course she was ok for 1 week.but again same symptoms now. Our Dr has prescribed her celastamine 1/2 tablet 2 tines a day and benadryl chesty syrup 5 ml 3 times a day. Pls advise.

Answered by Dr. Diptanshu Das (3 hours later)

Brief Answer:
Can be given.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. Most often such infections are due to viral cause and antibiotics are ineffective against viruses. Yellow or green nasal discharge does not indicate a bacterial infection. The colour occurs due to the presence of the dead epithelial cells of the nasal mucosa. It is only in cases of the superadded bacterial infections that antibiotics like augmentin work but the underlying viral infection follows its own course.

Such infections are often associated with allergic component and giving antiallergics like benadryl helps. Celestamine (Betamethasone/ Dexchlorphenamine) is a combination of antiallergic and steroid and can help in reducing the nasal congestion. It can be given but in that case benadryl would be no longer needed. Be sure not to use Celestamine on long term basis.

I would insist you to give her steam inhalation. The water in form of vapour reaches deep inside and helps in diluting the cough, thus providing relief.

Let me know if I could help further.

Regards

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

Follow up: Dr. Diptanshu Das (17 minutes later)

ok Dr. Thank you for the update. In this case, how long do you advise to takr celastamine? Also, she have a low grade fever, shall we take doloper paediatric along with celastamine?

Answered by Dr. Diptanshu Das (10 minutes later)

Brief Answer:
Dolopar will help in bringing down the temperature.

Detailed Answer:
Thanks for writing back.

Celestamine can be given. Dolopar contains acetaminophen which needs to be given if and when the temperature rises above 100F. The medicines will not interact adversely. Be sure to give the steam inhalation as suggested.

Regards

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

Follow up: Dr. Diptanshu Das (40 minutes later)

Thank you Dr. for swift update. will revert to you if further query.

Answered by Dr. Diptanshu Das (22 minutes later)

Brief Answer:
I am glad to assist

Detailed Answer:
I will hope for a fast recovery.

Feel free to contact me back directly if you ever have a health related query in the future.

Regards

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

Follow up: Dr. Diptanshu Das (2 days later)

Greetings Dr!!

My Baby is recovering. Her Nasal congestion and Runny nose has reduced now. Still having little runny Nose. We are giving her Steam inhalation also. It's almost 5 days she is taking celastamine. Pls advise if she need to continue the medication or we can stop?

Also, she is having a bad breath. what might be the reason and how do we treat it?

Thanks.

Answered by Dr. Diptanshu Das (5 hours later)

Brief Answer:
Give it for another 2 days

Detailed Answer:
Thanks for writing back.

It is good to hear that she is recovering. Give Celastamine for another 2 days and then stop.

Use chlorhexidine mouth wash and that would take care of the foul breath.

Feel free to write back.

Regards

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Above answer was peer-reviewed by : Dr. Prasad