Hi,I am Dr. Santosh Kondekar (Pediatrician). I will be looking into your question and guiding you through the process. Please write your question below.
Child With Persisting Cough. Not Responding To Calpol And Antibiotics. Advice?
Ongoing cough 3-4 weeks, 1st time gp they say viral give calpol , 2nd time antibiotics even though no infection, had paramedics called out to him due to weasiness, 3rd time at gp prescribed him an inhaler only for when he s weasy. Tonight cough is ridiculously chesty even though they say everytime it s clear! He wakes several times in the night and is up around 4-5am due to him being unwell thus is very unusual as he s slept through from 9 weeks! My gut instinct is they missed sonething
Hi,
According to your reported symptoms, it looks like the patient is suffering from asthmatic bronchitis. He may need a complete assessment from a pulmonologist including ventilatory capacity testing and treatment initiated right away. Meanwhile try to give some steam inhalations and vaporize as much as possible. He may need to be nebulized. Please get further instructions from your doctor. Good luck.
Hello Katie.
Is this about your child as you have not mentioned this!
It is likely he is having bronchospasm (wheeze that you can hear, and asthma if it continues) and manifests as cough in little children.
Gastroesophageal reflux disease is another possibility although unlikely in this setting.
I would suggest levolin (asthalin) syrup (1mg/5ml) 5ml once to twice daily with calpol if he has fever.
Viral induced wheeze is the most likely explanation which is why he is not responding.
Let your GP see him again or take him to A&E.
Thanks.
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Child With Persisting Cough. Not Responding To Calpol And Antibiotics. Advice?
Hi, According to your reported symptoms, it looks like the patient is suffering from asthmatic bronchitis. He may need a complete assessment from a pulmonologist including ventilatory capacity testing and treatment initiated right away. Meanwhile try to give some steam inhalations and vaporize as much as possible. He may need to be nebulized. Please get further instructions from your doctor. Good luck.