Doctor insights on:
Child Can T Stop Coughing
Needs immediate care: Your description of your child worries me. At that age, he may have inhaled a foreign body into his lungs, he could have an infection, an asthma attack - so many possibilities. Also, are immunizations up-to-date? Concerned about whooping cough (pertussis) with this history. This should not wait the weekend - he needs to be evaluated today! ...Read more
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more
Anything to do for a 3-1/2-year-old child who can not stop coughing (only 2-second pauses in between)? It is a wet cough accompanied with a fever.
Child has strep been on antibiotics since yesterday, taken 2 doses. Should he still have a fever? Its 101.5 plus a mucousy cough. When will fever stop
Treatment failure: Symptoms of an illness that will respond to a particular antibiotic usually start to improve within 3-4 days if the appropriate antibiotic was prescribed, and they were taken as directed. Relapse or persistence of symptoms is generally regarded as a treatment failure or inaccuracy of the original diagnosis (i.e. viral not bacterial). Fever from Strep usually resolves in 2-3 days with antibiotics. ...Read more
Saline: Offer the saline nasal drops or 3 oz spray and instill or mist/spray nostrils before meals, bed and bath. Suctioning may also be performed as needed. Upright positioning with head higher than body may facilitate drainage. See your pediatrician if the cough is worsening to determine upper vs lower resp. Tract cough. ...Read more
Identify trigger: A cough is a response of the lungs to clear mucus. There are many reasons for a child to cough including infections, inflammation after infections, asthma, acid reflux, allergies, just to name a few. To appropriately treat a cough requires knowing what is causing the cough. An allergist or pulmonologist can assist in identifying the reason for the cough so a specific treatment can be offered. ...Read more
Viral croup: There are many viruses that will invade the upper airway of a kid 6m-8y and trigger an outpouring of mucous & cough that sounds like a seal barking. This is generally a 4-5 day illness with low grade temp but sometimes complicated by an ear infection.Some cases are quite dramatic, marked by late night scary events&trips to the er while daytime brings harsh voice. Have kid seen if signs are worrisom. ...Read more
Cool mist humidifier: May be helpful, especially if in a dry climate. ...Read more
Cough Meds: Cough and cold meds are not safe if you child is under 4 years old. So for that age group you are stuck with warm drinks, a sucking candy, and maybe honey. For the older child, there are many choices of over the counter cough and cold medicines that you can try but don't count on any real effect except that most kids get tired from the medicine, so I would only suggest taking it at night. ...Read more
Many things: Sinusitis, allergy, asthma, exposure to smoke, heartburn, and whooping cough are common causes as dr belilovsky mentioned. Also consider a cough tic, particularly if not at night. Consider chest and sinuses xrys to ru;le out hidden infection. And of course see your pedatrician. ...Read more
If you're concerned: If you are concerned that your child's cough is deep or sounds like it may be in the chest, best to get her checked. Or, if the cough is getting worse after a week or not improving after 2-3 weeks, get her checked. If she has fever or any other concerning symptoms with the cough, do not wait to get her checked. ...Read more
Cold / flu meds: Sounds like viral or seasonal allergies. Antibiotics not likely helpful. Over the counter cold meds may help, but ask your pediatrician. ...Read more
Treat the cause.: Difficult coughs may be triggered by various causes: lung inflammation, allergy, wheezing, sinus drainage, and even reflux. The best way to cope with the cough is to treat the actual cause: anti-inflammatories, inhaled steroids, antihistamines, bronchodilators, decongestants, or anti-reflux medications. One or more of these may be needed to quell that cough--even better than traditional cough meds. ...Read more
Mucus production: The cause of white frothy sputum with cough is due to mucus production in the lungs, nose, and sinus. This is the way our immune system gets rid of unwanted and harmful agents who enter our respiratory system. This defensive mechanism is conducted by the immune cells lining the airway with specific antibodies to protect; mucus contains products to kill the agents as well as to wash them away. ...Read more
My nephew 5yrs old child f weight 24kgs sufferin from wet cough. I gav her syp rexcof 4ml bd which contains codine phosph 10mg n cpm 4mg. Is t ok?
Depends. ..: For children who cough mostly at night, especially if they cough hard enough that they occasionally vomit, and children who cough at night and spend the first hour in the morning after waking up doing "throat clearing" and coughing to clear: I am very suspicious of ger as a factor. Gastro-esophageal reflux. In my practice, I often don't test, but treat them. If they improve, I confirm my diagnosis. ...Read more
No cough syrup: There have been a number of studies showing that children's cough and cold medicines do not help and in some cases, children experience unpleasant side effects. It can be frustrating to deal with a cough, especially at night. Saline nasal spray, humidified air, or sleeping with the head somewhat propped up using extra pillows works for some. ...Read more
Nocturnal asthma?: Respiratory symptoms are more pronounced at night due to the parasympathetic nervous system being active. Consider evaluate for nocturnal asthma and stepwise asthma treatment. Environment optimization change pillow cases 2/week, bedsheets 1/week, remove dust/rugs from bedroom, increase air circulation, fix a/c filters. Ask pediatrician to evaluate these important symptoms. ...Read more
When should I take a child to a dr over a cough? She has a cough for week and half and no sinus issues
Cough in children: Is usually caused either by a viral illness or allergies. If the child is acting normally, eating and drinking well, and does not seem to have trouble breathing, the cough should pass on its own, although it can last 2-3 weeks. If she develops high fevers, uncontrollable vomiting, or is not acting right, it is time to see a doctor. Hope this helps! ...Read more
I use a nebulizer anytime my child gets a cold or a cough. Is this advisable? Will it bring health issues in the future?
It should not: Bring any health issues if used properly for asthma / reactive airway disease which are triggered by cold virus, allergies etc. A lot of times parents misuse it for just a cough and cold! Your child needs to be followed on a regular basis anyway if indeed diagnosed with asthma. Length of treatment, frequency, concerns regarding meds prescribed can then be addressed at your visits. ...Read more
My1 month and 2 wk old child has cough and colds even aftr taking meds, it has been 2wks since it started, what would I do?
Bronchitis or Nose: Bronchitis is usually the most common cause of coughing up blood (hemoptysis). However, they may also have a small bleed at the back of their nose, which is dripping down their throat and subsequently being coughed up. The most common cause of nose bleeds in children is what we call "digital trauma, " a.K.A. Nose picking. ...Read more
I have given citralka syrup 5 ml by bymistake instead of cough syrup for 3 and half year child. Is there any pr?
Cough: Age of the child and presenting clinical condition are important factors to consider before answering this question. Is your child having breathing difficulty, fever, could he/she have swallowed a small object, how long has the cough been going on, is your child less than 2 years old, does he/she have asthma.Cough is a protective reflex of your large airways, a prolonged cough could be bad. Call your md. ...Read more
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