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What Causes Cough And Cold In A 4 Month Old?

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Posted on Sat, 25 Apr 2015
Question: My 4 month baby has a cough, and my doctor gave two times nebulizer to her , and gave two syrups to her, ascoril 0.5 ml and deletus bx 1.5 ml . Is it safe to give both medicines and is it safe to give deletus to my baby ?
doctor
Answered by Dr. Pradeep Kumar Jain (2 hours later)
Brief Answer:
Both ascoril and deletus bx has same composition

Detailed Answer:
Hello XXXXXXX

Thanks for the query

The common cause of cough and cold in a 4 month old baby is viral infection(bronchiolitis). In this condition the baby may have increased respiratory rate with retraction of chest and noisy breathing due to spasm of airways.
The main aim of management is to supplement O2 to prevent hypoxia,to decrease spasm and to maintain adequate hydration.
The nebulisation helps in rapid relieve of spasm of airways.
Both the ascoril and deletus bx syrup contains terbutaline(bronchodilator,to relieve spasm and cough) and ambroxol(mucolytic to make the mucus thin).
The terbutaline strength is 1.25 mg/5 ml in both the syrups.The dose of terbutaline is 0.1-0.2 mg/kg/day.
The average weight of a baby at this age is about 5 kg.So the dose will be around 1 ml three times a day.
Although it is a matter of debate that which bronchodilator we should use but we have seen that terbutaline helps in relieving spasm and thus respiratory distress in this age.
You can give one of these syrup safely.Also give nasal saline drop to relieve nasal blockade and paracetamol if there is fever.
Try to feed her frequently.
I would be glad to answer if you have any query
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Pradeep Kumar Jain (8 hours later)
Thank you doctor for your answer and I have one more query related to these medicines that, I have noticed my baby legs tremors after every 20-25 mins. Is it due to medicine . Is there any side effect of giving these medicines?
doctor
Answered by Dr. Pradeep Kumar Jain (6 hours later)
Brief Answer:
The tremor can be due to the medication

Detailed Answer:
Hello

Welcome again

The tremor is one of the common side effect of terbutaline.
The other side effects of terbutaline is very less and it can cause sweating,palpitation or irritability.
I won't be overly worried in the present situation and would like to decrease the dose if the condition persists.
I hope this answers your query.
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Pradeep Kumar Jain (41 hours later)
Is baby doing potty 2 to 3 times in a day due to medicine? I don't know why my baby is doing potty 2 to 3 times in a day because of medicine or because of Dal ka pani which I have started giving her? Before Dal ka pani and medicines she was doing potty only once in a day.
doctor
Answered by Dr. Pradeep Kumar Jain (4 hours later)
Brief Answer:
This is not due to the medicine

Detailed Answer:
Hi!

The bowel pattern can vary.This variation is not due to the medication.
It might be due to dal ka pani that you have started recently.
The baby's bowel pattern can change after introduction of any new cereals/ pulses or other food material.
I won't be worried by this change in pattern of bowel unless it is too watery or too frequent.
The increased frequency may also be due to the current illness(may be viral).
So I would like to continue the feed and medication as usual and suggest you to observe the baby for any increase in frequency,associated vomiting,decreased oral intake,excessive lethargy or irritability.
If you notice any of these consult your pediatrician.
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. Neel Kudchadkar
doctor
Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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What Causes Cough And Cold In A 4 Month Old?

Brief Answer: Both ascoril and deletus bx has same composition Detailed Answer: Hello XXXXXXX Thanks for the query The common cause of cough and cold in a 4 month old baby is viral infection(bronchiolitis). In this condition the baby may have increased respiratory rate with retraction of chest and noisy breathing due to spasm of airways. The main aim of management is to supplement O2 to prevent hypoxia,to decrease spasm and to maintain adequate hydration. The nebulisation helps in rapid relieve of spasm of airways. Both the ascoril and deletus bx syrup contains terbutaline(bronchodilator,to relieve spasm and cough) and ambroxol(mucolytic to make the mucus thin). The terbutaline strength is 1.25 mg/5 ml in both the syrups.The dose of terbutaline is 0.1-0.2 mg/kg/day. The average weight of a baby at this age is about 5 kg.So the dose will be around 1 ml three times a day. Although it is a matter of debate that which bronchodilator we should use but we have seen that terbutaline helps in relieving spasm and thus respiratory distress in this age. You can give one of these syrup safely.Also give nasal saline drop to relieve nasal blockade and paracetamol if there is fever. Try to feed her frequently. I would be glad to answer if you have any query Regards