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Suggest Treatment For Cold, Cough, Vomiting And Fever

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Posted on Mon, 16 Nov 2015
Question: My 2 and half year old has been suffering from cold, cough, vomiting and fever from past 3 months. Various medicines (timinic/coriminic /maxtra, crocin/meftal p, cepodem 100 ) were given and does help but it reoccurs in 10-15 days again. Please suggest good treatment or medicines.
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Please answer the questions

Detailed Answer:
Hi...Thank you for consulting in Health Care magic. Greetings from XXXXXXX

By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -
Questions:
1. How many days per month does he cough or feel breathless?
2. How many nights per month does his sleep get disturbed due to above symptoms?
3. Does he feel breathless when he runs around or plays with other kids?
4. Are the symptoms when there are seasonal changes?
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
6. Is the cough always associated with fever?

Please get back with abs to above questions.

Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Sumanth Amperayani (1 hour later)
here are my responses,
1. there is as such no breathless XXXXXXX but has cough (mild as doctor does not advise nebulizer) most days.
2. in general he sleeps well, just once, he seemed chocking and woke up crying, after this it was noticed that bad cough had developed.
3. he is normal otherwise
4. this has been mainly in law 3 months and yet there has been change in season from summer to rain and now getting cold in XXXXXXX
5. no asthma history
6. yes, the cold and cough starts and then he gets fever. the fever comes down with cepodel Ds 100, antibiotics supported by crocin for few days.
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Looks like viral associated wheeze with frequent episodes

Detailed Answer:
Hi...I have gone through the history points you have provided - by what you quote I feel that your kid is having viral episodic wheeze but with frequent episodes.
This is an allergy related hyper reactive airways problem. Kids may grow out of it as age progresses.

Suggestions:
1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and allergy is 100% controllable.

2. Inhalers are the newest management strategies for this. If I were your paediatrician I would have suggested the use of Budecort metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever the kid is having severe cough in spite of regular usage of Budecort. The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your paediatrician for this.

3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sumanth Amperayani (3 hours later)
please confirm if the above inhaler is for immediate relief as well or you recommend to go with some antibiotic now and then continue with inhaler? if yes, which antibiotic? do you also think inhaler and than requires breath in would be possible for 2 and half year old?
doctor
Answered by Dr. Sumanth Amperayani (2 hours later)
Brief Answer:
No antibiotics - only inhalers

Detailed Answer:
Hi...

1. No antibiotics at all. Only inhaler.

2. To overcome the difficulty of synchronization only I suggested the use of spacer.

3. Budecort is for prevention and Levolin is for immediate relief.

But the technique has to be taught hands on.

Regards - Dr. Sumanth
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. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Suggest Treatment For Cold, Cough, Vomiting And Fever

Brief Answer: Please answer the questions Detailed Answer: Hi...Thank you for consulting in Health Care magic. Greetings from XXXXXXX By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you - Questions: 1. How many days per month does he cough or feel breathless? 2. How many nights per month does his sleep get disturbed due to above symptoms? 3. Does he feel breathless when he runs around or plays with other kids? 4. Are the symptoms when there are seasonal changes? 5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? 6. Is the cough always associated with fever? Please get back with abs to above questions. Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,