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Dr. Andrew Rynne

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Suggest Treatment For Bronchitis In A Toddler

my son is 2 years and 10 months old. As per doctor he is suffering from bronchitis. This is second time he had this problem. He will start counghing and during night he will get breathless and breeze as well. I have consulted couple of doctors. One suggestted steriod others anti-boitics. Nothing improved by this. latest attack is going on from last two weeks. Please suggest. I do neubulize hime with budecort and livolin twice a day.
Fri, 3 Jan 2020
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Pediatrician, Pulmonology 's  Response
Hi,

By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -

1. How many days per month does your kid cough or feel breathless?

2. How many nights per month does your kid's sleep get disturbed due to above symptoms?

3. Does your kid feel breathless when running around or playing 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?

If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a pediatric pulmonologist who is near your place. No point in using antibiotics every time.

It will do more harm than good by increasing bacterial resistance.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Sumanth Amperayani, Pediatrician, Pulmonology
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Suggest Treatment For Bronchitis In A Toddler

Hi, By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you - 1. How many days per month does your kid cough or feel breathless? 2. How many nights per month does your kid s sleep get disturbed due to above symptoms? 3. Does your kid feel breathless when running around or playing 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? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a pediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology