I have a 6 week old child with a VSD. He has had nasal congestion for over a week and developed wet cough 3 to 4 days ago. Since then, it has alternated between being wet and dry. His nasal mucus has continued to be present. He grunts or yells sometimes when he coughs and coughs 3 or 4 times in a row. Due to which his face turns red. He is presently taking Lasix. He has been to urgent care who diagnosed him with a URI. I would like to have a second opinion regarding the same. Please help.
Children who have ventricular septal defect (VSD) are more prone to infections. If the size of VSD is large, then a small infection like cough for few days can also result in lower respiratory tract infection (LRTI). Since your child grunts sometimes and his face turns red due to coughing, we have to rule out LRTI. I suggest you to get a chest x-ray so that we can rule out lower respiratory tract infection. If there is infection identified on x- ray, then child should be put on antibiotics. Most VSD closes as child grows but, sometimes it persists. Taking regular echocardiogram will tell the status of VSD.
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