Suggest Treatment For Dry Cough In A Child

Posted on Fri, 9 Jun 2017

Question: Hi sir,
My son is 2 years and 9 months old weighing 14 kgs..he is having dry cough and coughing a lot ..he committed twice and there was yellow cough in the vomited food...we were prescribed grillinctus plain pediatric (60ml)...4 ml thrice a day...we have him Duolin nebulistaion and he was fine with it at 5 pm..now at 9 pm we have him prescribed dose of 4 ml...my question is the medication ok? Dose ok?? Any medicine to add...he is coughing a lot...also can duolin nebulistaion and grillinctus go together ?? Or their should be a gap between these two? Please give it expert reply..waiting eagerly for ur answer

Answered by Dr. Deepak Patel (57 minutes later)

Brief Answer:
Gap of 20 minutes will be better

Detailed Answer:
hi, welcome to this forum. Can understand your concerns.

The symptoms that your child have are suggestive of wheeze associated lower respiratory tract infection.

Grilinctus is a cough syrup, it is appropriately given according to weight of child.

Duolin nebulization should be given after a gap of 20 minutes after nebulization. If given immediately after giving drug then vomiting can occur. So, gap should be maintained.

Doses are appropriate for age. If symptoms persists then an X ray chest should be done. Antibiotic also needs to be started based on X Ray report.

Continue both nebulization and cough syrup.

I hope this will help you.
Take care.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepak Patel (4 hours later)

Dear sir ,
I have a pulsoximeter at home..his oxygen levels are 92-93...and heart rate is 130..gets up every 10 minutes in sleep...also his respiration rate is 35-38...what shall we do??? Please suggest

Answered by Dr. Deepak Patel (4 hours later)

Brief Answer:
Acute asthmatic attack or pneumonia

Detailed Answer:
Hi, welcome once again.

This is acute asthmatic attack. Child should be admitted in hospital and nebulization with intravenous antibiotics needs to be given.

Acute asthmatic attack can occur in children who have childhood asthma or require nebulization repeatedly. Also, we should rule out pneumonia. An X ray chest should be done immediately.

I suggest you to get the child admitted in hospital as soon as possible because you are already giving nebulization and cough syrup with no effect.

Take care.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Deepak Patel (4 hours later)

Sir we have changed the medicine to solvin decongestant and ambrodyl s...his chest is clear ...no wheeze..can you Telme one thing..if we use ambrodyl s ..can we use duolin nebulistaion ?? Or both are the same stuff so any one needs to be used at the given point of time??? Please clarify as I think both are the same medication ..

Answered by Dr. Deepak Patel (15 minutes later)

Brief Answer:
Give ambrodil s syrup

Detailed Answer:
hi,

Both solvin and ambrodil s are cough syrup and same. They should not be given together. Give ambrodil s syrup, It will be better.

Nebulization can be given with ambrodil s syrup. Continue nebulization with ambrodil s syrup. Duolin and ambrodil s syrup are both different things.

Take care.

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Nagamani Ng