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Suggest Treatment For Cold, Cough Along With Running Nose

Posted on Fri, 20 Feb 2015

Question: We are based in XXXXXXX My baby is 60 days old. Her weight is 4.3 kgs. She is suffering from cold and cough with running nose from the past 5 days. She gets choked during feeds and starts coughing. She is not able to take her cough out and gets breathless after which she starts crying. She had been diagnosed with gastro esophageal reflux 3 weeks after birth, but now that problem has resolved.

Do let me know what can I do about this.

Answered by Dr. Dr. Pradeep Kumar Jain (34 minutes later)

Brief Answer:
GER is still there

Detailed Answer:
Hi

Cough during feed suggests gastroesophageal reflux. Gastroesophageal reflux is normal in neonates as sphincters are not strong in this age.
When this reflux causes symptoms like not gaining proper weight,recurrent vomiting, cough during feed or pneumonia due to micro aspiration of liquids from the food pipe to airway then it is termed as gastroesophageal reflux disease.

I assume that you are taking care for GER like upright position of baby after feed and during sleep, burping after feed and anti reflux medication.

The present condition may be due to viral infection also.Anti allergic drops, nasal saline drops, some syrup which decreases the spasm helps in this condition. Coscopin contains cough suppressant and it should be avoided in infants.Syrup containing bronchodilator like salbutamol with ambroxol and antillergic will be more helpful. Omnacortil is a steroid indicated in few upper airway disease and it should also be avoided in this age.

Even nebulisation may be needed if there is spasm of airway on chest examination.
I would suggest you to consult the pediatrician for proper evaluation and discuss the treatment with him.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Pradeep Kumar Jain (38 hours later)

Now doctor has prescribed coscoril drops for cough.. is it safe for my 2 month old baby??

We have been asked to stop all the current medication by our pediatrician and have been asked to give Cosporin drops (4 drops, 3 times a day).

Please suggest if this is fine.

Answered by Dr. Dr. Pradeep Kumar Jain (6 hours later)

Brief Answer:
cosporin or coscoril

Detailed Answer:
Hello XXXXXXX
Sorry but I think it is coscoril not cosporin.
Coscoril contains terbutaline which relievs the spasm,and some soothening agents.
You can continue coscoril syp for few more days.
If he is already on Vit D supplementation then its good otherwise it should be supplemented till one years of age.
I think you should give junior lanzol and domstal drops for few more days as there was history of GER.
Regards

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Dr. Pradeep Kumar Jain (3 hours later)

Thank u doctor.. how many days wil take to cure baby's cough & cold?? now we have changed our doctor and after seeing baby's GER report, she said there is no as such problem of GER.. so there is no need to give medicines.. so what should I do now??

Answered by Dr. Dr. Pradeep Kumar Jain (55 minutes later)

Brief Answer:
cough usually improves in 7-10 days

Detailed Answer:
Hi
Give coscoril drops for next 5-7 days. Cough will get resolve by that time.
Take care about positioning and feeding of the baby.
Follow the immunisation schedule properly.
Check baby's weight regularly so that you can assess the growth.
Continue the vit D supplementation.
Contact your physician if she develops any symptoms.
You can ask me too if you have any doubt in future.
Regards

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Above answer was peer-reviewed by : Dr. Vaishalee Punj