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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Cough With Phlegm In A 2 Year Old?

My 2 year old has had this persistent phlegmy cough for about 8 months now and I m worried I m not getting the right diagnosis from her pediatrician. The first time we went to the doctors they said its allergies and prescribed zyrtec. That didn t work so we went back and she said it could possibly br brpncht. So then she prescribed an antibiotic. Still has the cough and I m not sure what else I can do to get rid of it. I can hear it in her throat when she breaths which makes me extremely worried. What is this cough and how do you get rid of it??
posted on Fri, 14 Mar 2014
Twitter Fri, 23 Oct 2015 Answered on
Twitter Fri, 23 Oct 2015 Last reviewed on
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Pediatrician, Pulmonology 's  Response
Hi...Thank you for consulting in Health Care magic.
By what you quote I put forth these possibilities -
1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in-drawing of chest wall. The sound will be more heard during sleeping and feeding.
2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall in-drawing.
But both are associated with recurrent cough and cold. But these might not always be bacterial infections which require antibiotics and usually are predominantly viral and are self-limiting.
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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What Causes Severe Cough With Phlegm In A 2 Year Old?

Hi...Thank you for consulting in Health Care magic. By what you quote I put forth these possibilities - 1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in-drawing of chest wall. The sound will be more heard during sleeping and feeding. 2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall in-drawing. But both are associated with recurrent cough and cold. But these might not always be bacterial infections which require antibiotics and usually are predominantly viral and are self-limiting. 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).,