Suggest Treatment For Cold And Blocked Nose In Child

Posted on Thu, 26 Mar 2015

Question: Hi Doctor,
My daughter is 5 months old. She has been suffering from cold, phlegm and nose block for the last 15 days. The pediatrician suggested XXXXXXX drops and Ascoril. But after 10 days of medication, she still has cold, running nose and phlegm, while cough has subsided.
Do you recommend that we continue with the same medicines or do you suggest something else?

Thanks,
XXXX

Answered by Dr. Sumanth Amperayani (13 minutes later)

Brief Answer:
I have a few questions - kindly get back with answers

Detailed Answer:
Hi...Thank you for consulting in Health Care magic. Greetings from XXXXXXX

I have a few questions for you -
Questions:
1. How many days per month does she cough or feel breathless?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she runs around or plays with other kids?
4. Are the symptoms when there are seasonal changes?
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
6. Is the cough always associated with fever?
7. Which is the most prominent symptom - cough/ running nose / sneezing / noisy breathing / blocked nose / breathlessness.

Kindly get back with answers.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (14 minutes later)

My answers are below:

Questions:
1. How many days per month does she cough or feel breathless?

As i said, she got cough and breathlessness 2 weeks before.

2. How many nights per month does her sleep get disturbed due to above symptoms?

2-3 nights in the last 2 weeks.

3. Does she feel breathless when she runs around or plays with other kids?

She is just 5 MONTHS old. She does not run around or play with other kids.

4. Are the symptoms when there are seasonal changes?
I dont think so.

5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
No

6. Is the cough always associated with fever?
In the last 15 days, she got fever for 3 days.

7. Which is the most prominent symptom - cough/ running nose / sneezing / noisy breathing / blocked nose / breathlessness.

running nose, sneezing, blocked nose and to some extent noisy breathing. Cough was there; it subsided.

Answered by Dr. Sumanth Amperayani (31 minutes later)

Brief Answer:
Medications suggested

Detailed Answer:
Hi...first of all sorry for the question about running around.

By what you quote I feel that she has an allergic tendency now due to seasonal changes and hence got wheezing.

I suggest the following -

1. Oral anti-wheezing medications - Levosalbutamol and if needed based on severity - oral steroids Prednisolone.

2.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.

3. 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.
Dr. Sumanth MBBS., DCH., DNB (Paed).,

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar