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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cough While Sleeping And Runny Nose?

Hi, may I answer your health queries right now ? Please type your query here... HI, got an 18 motnh old little girl (my granddaughter) with a cold since thursday night. Started coughing on thursday night (a little) and I thought it was because when I gave her some baby paracetamol for her teething pain, she chocked a bit with the medicine. Next day, Friday, she was with more cough and runny nose, bit of fever and. I phoned a Dr to speak with on Saturday afternoon but was attended by a nurse and she told me it s probably a viral thing. Not to worry ( I was worried as baby was fighting during night with phlemgs). Yesterday Monday, she seemed playful and hungry but still coughing and sneesing, had a bad night coughing as well and this morning nose was more wet than before. She had cereals with milk for breakfast ( a bit) and when I was giving her lunck she was coughing and started to vomit, but then the vomiting was been expeled farder away, violently, 3 times. Her temperature 38.4 she wont take medicine(paracetamol) I ve tried my best but she fights and cries and does not want it. Sleeping now and coughing. Should I take her to a Dr? I m worried but Drs. seem to think that I panic at anything too soon when related to my granddaughter. Her mum is working but I can call her if needed. I look after baby since she was born. Please, help. Thank you.
Fri, 31 Mar 2017
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Pediatrician, Pulmonology 's  Response
Hi...Thank you for consulting in Health Care magic.
Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.
For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.

Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,
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What Causes Cough While Sleeping And Runny Nose?

Hi...Thank you for consulting in Health Care magic. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,