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Asking for Mother, Male, 1 years old, Lahore
My son has mild cough since 2 weeks but few days ago due to high smog it became severe and congested chest. He often vomits all secretion after steam and nebulization.He also had fever and nasal discharge. Me and my husband both r doctors so we gave him cefixime and acefyl cough amd britanyl for 6 days. He is better but not completely recovered. When he coughs it seems thst his chest is filled with secretions. Especially at night diring sleep he has a spell of cough. Kindly tell me should we change antibiotic (azithromycin) or continue same.
u can change antibiotic to azithromycin 5-7mg/kg in OD dose for 5 days
it's not due to infection. it's due to chemical induced bronchitis/bronchospasm. No role of antibiotics . see a nearby physician.
Continue britanyle and acefyle start Syp rigix half spoon daily for another 5 days no need of antibiotics if problem persists contact child specialist
This looks like hyper reactive airway or seasonal Asthma/allergy.....
in such conditions nebulizations are always helpful in these children along with some bronchodilators ....
you can add long acting bronchodilators like bambuterol along with ipratropium bromide nebulizations, avoid powders, perfumes, smog, dust, carpets, smoking and kitchen stuff...
This will settle in few days and if not continue nebs and add Montelucast 4mg sachet daily before bed.......
wait and see will be settle and there is no role of any antibiotics in such episodes, warm liquids like vegetable soup, tahini, qehwa and supportive treatment is always recommended.......
dont worry
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Respected sir/colleague we should always avoid suggesting our patients antibiotics on any forum or via sms to avoid rational use of antibiotics.....
jazakAllah
1 year ago