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Cough with no fever. What is the rattling in heart?

My 3 year old has had a cough for a week. No fever . We took him to the doctor a week ago because the cough would make him choke. No phlegm being coughed up. Now, a week later, his cough is worse. It is definitely loosening up, but causes him awful choking episodes. He still has no fever, but he isn t getting much sleep. I can hear a rattling sound in his chest now.
Asked On : Thu, 13 Sep 2012
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Diseases and Conditions
General & Family Physician 's  Response

He may have bronchitis which can be caused by a virus or bacteria, in the absence of a fever it is more likely a viral bronchitis. Bronchitis simply means inflammation or infection of the bronchi. It usuallly presents with a wet cough which may be persistant and worse at night.
Your son may benefit from the use of a mucolytic to break up the mucus, a bronchodilatory medication (some of the coughing in bronchitis is because the airways are closing, if they are reopened then the coughing may decrease- mucolytics and bronchodilators are often combined into one cough syrup. Some children , if the above do not work and the airways are significantly inflammed, may need a short 3 day course of oral steroids to reduce the inflammation.

If he has a runny nose or nasal congestion, the mucus may be running back into his throat and contributing to his coughing when he lays down, you can use a decongestant (either oral or topical) to treat any nasal symptoms.

I hope this helps
Answered: Fri, 14 Sep 2012
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