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What is the treatment for cough with mucus?

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Practicing since : 2004
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for the past six months my daughter is suffering from cough with mucuous .the cough is so severe sometimes that shes releived after vomitting everytime i show her to doctor they prescribe xyzal tab and mild anibiotic. after the course of 7 days shes fine again the problem starts within 3 days. what should i do. moreover this has affected her throat a lot. shes has very dry skin and hasm tough time in winters.her throat problem is not seasonalshe takes precaution in food itams ,being south indian our staple diet is rice. i live in delhi
Posted Mon, 3 Feb 2014 in Child Health
Answered by Dr. Sudha Shree Venkataraman 28 minutes later
Brief Answer: Further details needed. Detailed Answer: Hi The details I would like to know are - Does she have fever too along with cough? - Does this sort of cough happen with every season change? - Did she need any medications like Levolin/ Asthalin/ Bricanyl/ Deriphylline or Nebulization? - Since which age she has been having this sort of cough? - How long have you been in delhi? Is this the first winter for her in Delhi? - Is there any family history of Asthma or Allergy? - Did she have Eczema of skin in her childhood? Usually cough followed by vomiting indicates that she has wheeze. Cough that is usually with out fever, that gets aggravated with seasonal change, seen more during winters is most likely due to wheeze- Allergic Bronchitis. What she needs is - During the episode: Bronchodilator (Medications like the one I have mentioned above) and an antiallergic like Xyzal. - To prevent such attacks: Medications like Monteleukast. If very frequent she might need steroid inhalers too. Common triggers like dust, smoke (Cigarette/ Vehicle), Strong smells from perfumes/ agarbathis etc, pet animals inside the house, house molds, Cold air, food (Nuts/ Preservatives/ wheat) should be avoided. Usually rice does not act as a trigger. For the throat issue- do not use Blowers during winters. It might dry up the throat and aggravate the cough. You may use Oil Heaters. You may give her plenty of warm liquids and some lozenges like honeytuss. For the skin dryness- apply moisturizers liberally. Vaseline/ Atogla/ Oilatum/ Restoraderm all are good moisturizers. Use good moisturizing soaps (dove) and not drying ones. Hope I have answered your query. Please do get back if you need further assistance. Best wishes.
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Follow-up: What is the treatment for cough with mucus? 1 hour later
answer for ur questions 1. she has fever sometimes but subsides with crocin 1-2 dose 2. it was at random before but for the past six months its recurring and frequent irrespective of season. 3. at present shes taking bricanyl and singulair 5mg .bricanyl shes taken for 20 days then ventrolin. she is born in delhi .no family history of asthma as far as i know .in fact will be going for IGE and complete blood profile test 2morow will upload the result. ihave tried all medications and even consulted doctors for dry skin she was adviced vita tab/ seven seas and many other no effect .do i need to check for eczeema
Answered by Dr. Sudha Shree Venkataraman 20 minutes later
Brief Answer: It is Allergic Bronchitis (Asthma) Detailed Answer: Hi Thanks for getting back. It is Allergic Bronchitis or Asthma. If she has problematic cough now, she might need nebulized medications or a short course of oral steroids along with the oral medications. To prevent further such attacks, Singulair should be given for a minimum of 3 months. If she does not respond to that, she must be put on Steroid Inhalers. Contrary to the normal fear of people, steroid inhalers are quite safe and it is the best way to keep the disease under control. You may go for the blood tests. You may also go for spirometry after discussion with your doctor which will help not only in diagnosis but all in monitoring the treatment. You need not check for eczema. Usually childhood eczema and asthma go together. It supports the diagnosis of childhood asthma. Try regular moisturizers I have mentioned before. After bath you may also try glycerine with XXXXXXX water (mixed in equal proportions). Hope my answer helps. Please do get back if you need further assistance. Best wishes.
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Follow-up: What is the treatment for cough with mucus? 24 hours later
thank you doctor her results for cbc are normal .shall let u know the results of ige which is due on i need to close the discussion as i would be needing ur advice again thanks XXXXXXX
Answered by Dr. Sudha Shree Venkataraman 12 minutes later
Brief Answer: You can get back any time Detailed Answer: Hi Thanks for getting back. You need not close the discussion. You can get back to me with the results. Serum Ig E is likely to be high in Allergic Bronchitis. It is not going to be much informative. If you wish a detailed allergic analysis can be done after discussion with your doctor. If any specific allergens are found, she can undergo desensitization procedures for that. But a spirometry would be more informative to assess the lung volumes. As I said before it will help us confirm that she has Asthmatic Bronchitis and guide us to manage in the right track. Please do get back with reports. I would be happy to assist you. Best wishes.
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Follow-up: What is the treatment for cough with mucus? 3 days later
dear doctor surprisingly her IGE test are within range 25.1. HIGH RANGE Absolute Monocytes are 1046, platelet count 459, monocytes 12.3. the doctor has given MAXITHRAL 250MG TWICE FOR 6 DAYS.MINT LINCTUS 7ml three times .these are to be taken for 6 days .he will review again,at present the diagnosis is relief in her cough. shes normal but whenshe starts coughing its continuous till she vomits. running nose and thick mucous what test do i need to do. your advice please. are u nearby delhi so that i can come and show her to u thank you XXXXXXX
Answered by Dr. Sudha Shree Venkataraman 37 minutes later
Brief Answer: You may follow the Advice. Detailed Answer: Hi XXXXXXX Thanks for getting back. Since Rhinosinusitis if coexistant with Asthma, has to be treated completely for a full relief, you may try with the full course of antibiotics as advised. But for her cough, as I have opined before, she will need good bronchodilators and if needed Nebulization/ Short course of steroids. As I said before spirometry will help in confirmation of diagnosis of asthma and she will need inhalers for some time to prevent such episodes. It's your wish to decide when to get second opinion. You may check other details in the Profile Information. Best wishes.
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Follow-up: What is the treatment for cough with mucus? 14 hours later
thanku .saw that ur clinic is in gurgoan . shall try to meet u this saturday or next week when she has holiday. can i get get the spirometry test done. does it need doctors slip.are there any speciall clinic for it. i would like to get the test done before coming to u. thanks XXXXXXX
Answered by Dr. Sudha Shree Venkataraman 1 hour later
Brief Answer: Spirometry will be done in hospitals Detailed Answer: Hi Spirometry or Pulmonary Function Test will be done in hospitals. You may enquire about it and have it done. Doctor's slip will not be needed. Best wishes. Dr. Sudha Shree.V
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