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Suggest Treatment For Severe Cough In Children At Night
Question: 3 year daughter..first had a viral cough..waited for 1week with home treatment,than doctor ask for nibulisation with asthline & budacot,at almost 7 week..now she is coughing on night .first with mucus for someday..than dry cough.looks like again mucus coughing from today. Went to doctor ,he suggest to give montair lc kid for 10days and report back to again. Now waiting for 10 days.but no improvemnets on night/evening couging.
Any specialist can have second thought here???
Any specialist can have second thought here???
Brief Answer:
May be a multi triggered wheeze or eisodeci viral wheeze
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 she cough or feel breathless?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she 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?
Kindly get back to me with answers to the above questions. It will be helpful for me to diagnose you kid's condition and suggest appropriate treatment.
Regards - Dr. Sumanth
May be a multi triggered wheeze or eisodeci viral wheeze
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 she cough or feel breathless?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she 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?
Kindly get back to me with answers to the above questions. It will be helpful for me to diagnose you kid's condition and suggest appropriate treatment.
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
1-Its not per month,per quater might be she has cold and cough started with viral.this is the first time lasting for so long almost 7 -8 weeks.she has cough but does not feel breath less.right she has mostly night coughing.
2-Never,this Is first time..night cough..
3-not yet noticed any breathless
4-yes mostly when banglore weather change,viral and sometime bacteria
5-no asthma on family..her morher had fungal skin infection which is no more now..but baby has skin itching problem.she has make her leg wounded with iching if any insect or mosquote bites.
6-no ,she has cough but no fever
Thank you..
3-
.
2-Never,this Is first time..night cough..
3-not yet noticed any breathless
4-yes mostly when banglore weather change,viral and sometime bacteria
5-no asthma on family..her morher had fungal skin infection which is no more now..but baby has skin itching problem.she has make her leg wounded with iching if any insect or mosquote bites.
6-no ,she has cough but no fever
Thank you..
3-
.
Brief Answer:
This seems to be severe persistent asthma
Detailed Answer:
Suggestions:
1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and not asthma 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.
Regards - Dr. Sumanth
This seems to be severe persistent asthma
Detailed Answer:
Suggestions:
1. There are certainly alternative management therapies in allopathy now-a-days. Medicine has advanced a lot and not asthma 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.
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What are test and treatment you recommand to confirm asthma.and can you suggest good doctor at banglore ?
Brief Answer:
Asthma is clinical diagnosis
Detailed Answer:
Hi...asthma is a clinical diagnosis. There are no tests which can conclusively prove asthma at this age. Above 6 years pulmonary function testing or Spirometry can performed. But for this test, kids if this age will not cooperate.
Asthma is clinical diagnosis
Detailed Answer:
Hi...asthma is a clinical diagnosis. There are no tests which can conclusively prove asthma at this age. Above 6 years pulmonary function testing or Spirometry can performed. But for this test, kids if this age will not cooperate.
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
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