Can a child be frequently nebulized for cough?

Question

Hello doctor,

My child is 4.5 years old and very often he suffers from coughing problem which increases as the days passes. This time doctor has given Atarex syrup 5 ml twice a day. I have given one dose but he was coughing badly whole day. Then he has suggested to nebulize him with Budecort 1 mg and Asthalin repsule twice a day and with Asthalin only twice a day. In all four times a day of nebulization. My son is not asthamatic. So is he being given high dose? He has not given antibiotic and said if my son has fever or not eating anything then only he would suggest antibiotic. Please explain whether nebulizing child after 1 month or 15 days is dangerous or not as he suffers from cough very often.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concerns. If your child has cough for so long time and he is also requiring nebulization, it means that your child has infection. Also, we need to rule out tuberculosis. I suggest you to do CBC with ESR, X-ray chest, Mantoux test to rule out tuberculosis.

In my opinion, you should give:

1. Syrup Augmentin duo (Amoxycillin and Clavulanic acid) 5 ml three times a day for 3 days.

2. Syrup Chericof (Chlorpheniramine Maleate (2mg), Dextromethorphan Hydrobromide) 5 ml three times a day for 3 days.

3. Syrup Monticope (Levocetirizine, Ambroxol, and Montelukast) 5 ml three times a day for 3 days.

Nebulize with Budesal (Levosalbutamol andBudesonide) 0.5 mg three times a day for 2 days followed by two times for 1 day.

Review after 2 days.

Take care.