Hello Doctor, my son who is 1 year 23 days old weighing at 10 kg got fever we did his medication but now from 2-3 days he has started coughing...I told during his checkup but I was told it was normal... from last night he is coughing almost pukes. I can hear cough sounds..I gave him saline drops... but dnt see any changes. please suggest.

A. I'm sorry to hear about your son's condition. It sounds like he's experiencing persistent coughing, which can be distressing, especially if it leads to gagging or vomiting. Here are a few suggestions that might help: 1. **Hydration**: Ensure your son is drinking plenty of fluids, such as water, breast milk, or formula. Staying hydrated can help thin mucus, making it easier to expel. 2. **Humidifier**: Using a cool-mist humidifier in his room, especially at night, can help soothe his throat and reduce coughing by keeping the air moist. 3. **Elevate the Head**: When he's sleeping, try elevating his head slightly by placing a folded towel under the mattress. This can help reduce post-nasal drip and coughing at night. 4. **Nasal Saline Drops**: Continue using saline drops to clear his nasal passages, which can help with post-nasal drip that might be causing the cough. Ensure you're using them correctly and gently suctioning any mucus that comes loose. 5. **Steam Inhalation**: If he's comfortable with it, you can try steam inhalation. Sitting in a bathroom with a hot shower running (not in the shower) for about 10-15 minutes can help loosen mucus and soothe his airways. 6. **Honey (if over 1 year old)**: If your son is over one year old, a small amount of honey can sometimes help soothe a sore throat and reduce coughing. However, be cautious with the quantity. 7. **Monitor for Signs of Worsening**: Keep an eye on any signs of difficulty breathing, wheezing, or if his cough worsens. If he starts to breathe rapidly, has trouble breathing, or his lips or face turn bluish, seek immediate medical attention. Since you've already consulted a doctor, but his cough is worsening to the point of gagging or near-vomiting, it might be wise to follow up with the pediatrician again. There could be a need for a different treatment or medication if the current regimen isn't providing relief. It's always best to err on the side of caution with young children, especially if their symptoms seem to be getting worse rather than better.