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Suggest treatment for respiratory tract infection

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Posted on Fri, 11 Jul 2014
Question: Hi... my daughter is 4 yrs old n has cold cough very regularly. Almost twice in a month... n doctors normally give some anti biotics. Currently she has again cough n cold n doc diagnoisedit as bacterial infection n gabe an antibiotic course of cepodum 100 for 7 days 6ml twice a day n azee 200 5ml 2wice a day for 7 days. Supported with omnacorte fortil 5m thrice a day n corex 2 ml for 5 days. Pls advise is it ok to give cotex n steroids with antibiotics.
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Answered by Dr. Deepak Kishore Kaltari (48 minutes later)
Brief Answer:
Steroids shoul not be routinely used in children

Detailed Answer:
Namasthe
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms XXXXXXX

I personally don't use steroid in management of respiratory tract infection. Steroid has many disadvantages and is to be avoided in children unless there are specific valid indications.
Corex is okay for control of symptoms.

The cause of repeated infection could be due to
1. Persistent airway hyper-reactivity
2. Allergy
3. Repeated infection

I would advise you the following, which i am sure will definitely help

1. Steam inhalation: It will be a good habit to cultivate. Steam inhalation for 10-15 minutes each session twice a day. Give it regularly even if she is alright. It helps reduce nasal congestion and also clears the nose. You can buy a good quality electronic steamer.
Continue steam inhalation even in between attacks, its good for facial skin as well.

2. Monticope suspension: It has antihistaminic and mast cell stabilizer which will help reduce airway hyper reactivity and reduce the incidence of future attacks. It has to be used for 4- 6 months after which it can be stopped. 2.5 mg of Montelukast once daily.
It will reduce airway hyper reactivity.

3. Wash the bed sheets pillow covers and cloth of baby in hot boiling water: It will remove the dust , mites and allergic substance present in it.

4. Decoction: To a cup of milk + 20 tulsi leaves+ 1 spoon of turmeric + small piece of ginger + 4 black pepper + 2 spoon of sugar. Bring it to boil. Filter it and feed her warm daily. It will reduce airway congestion and also Tulsi will boost immunity

5. Chyawanprash : 1 teaspoon twice a day will be beneficial to build up immunity

6. Himalaya Septilin syrup 5 ml twice a day will also boost immunity. Continue giving her for 3-4 months.

Do get back to me for any further assistance, will be glad to assist you.

Take Care
Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Pediatric Surgeon


Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3193 Questions

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Suggest treatment for respiratory tract infection

Brief Answer: Steroids shoul not be routinely used in children Detailed Answer: Namasthe Welcome to Healthcare-Magic Greetings of the day Dear Ms XXXXXXX I personally don't use steroid in management of respiratory tract infection. Steroid has many disadvantages and is to be avoided in children unless there are specific valid indications. Corex is okay for control of symptoms. The cause of repeated infection could be due to 1. Persistent airway hyper-reactivity 2. Allergy 3. Repeated infection I would advise you the following, which i am sure will definitely help 1. Steam inhalation: It will be a good habit to cultivate. Steam inhalation for 10-15 minutes each session twice a day. Give it regularly even if she is alright. It helps reduce nasal congestion and also clears the nose. You can buy a good quality electronic steamer. Continue steam inhalation even in between attacks, its good for facial skin as well. 2. Monticope suspension: It has antihistaminic and mast cell stabilizer which will help reduce airway hyper reactivity and reduce the incidence of future attacks. It has to be used for 4- 6 months after which it can be stopped. 2.5 mg of Montelukast once daily. It will reduce airway hyper reactivity. 3. Wash the bed sheets pillow covers and cloth of baby in hot boiling water: It will remove the dust , mites and allergic substance present in it. 4. Decoction: To a cup of milk + 20 tulsi leaves+ 1 spoon of turmeric + small piece of ginger + 4 black pepper + 2 spoon of sugar. Bring it to boil. Filter it and feed her warm daily. It will reduce airway congestion and also Tulsi will boost immunity 5. Chyawanprash : 1 teaspoon twice a day will be beneficial to build up immunity 6. Himalaya Septilin syrup 5 ml twice a day will also boost immunity. Continue giving her for 3-4 months. Do get back to me for any further assistance, will be glad to assist you. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH Consultant Pediatric Surgeon