Hi
Welcome to the HCM
I have gone through your question and understand your concerns. I see such cases routinely in my clinical practice. Most common reason for such cases is an allergic tendency of child leading to cough,
nasal congestion and enlarged adenoids leading to breathing problems especially in lying position.
I usually recommend the following measures to help such cases:
1. If possible, avoid allergens responsible for the episode. It can be airborne, insects, soaps and detergents or food products.
2. Start her on Syp. Benadryl or
Chlorpheniramine for antihistamine effect. It will also help her sleep peacefully.
3. For nasal congestion, you may use
Azelastine spray which has local antihistamine effect.
It helps to relieve nasal congestion and
post nasal drip.
4. Use a room humidifier while sleeping if the weather is dry.
5. Continue with Zithromax as many a times atypical bacterial infections lead to such episodes.
In case the problem continue, take an
ENT specialist opinion.
Hopefully this will help you. For further questions, you may contact me.
Take care