Hello sir, I have twins of 3.7 years they are getting cold and cough frequently and even one dose of antibiotics given but still they are having cold and cough..we are giving Ascoril D for cough and Budesal with hyperneb both half half solution for nebulizer. what is the reason why there cough is not getting cured. please suggest

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Accepted Answer

Frequent cold and cough in toddlers, even after a dose of antibiotics and medication like Ascoril-D, can be frustrating. Here are a few potential reasons and suggestions:

Possible Causes:

Viral Infections: Colds and coughs in young children are often caused by viral infections, which antibiotics cannot treat. These infections can last longer, sometimes for a week or more.

Allergies: Dust, pollen, or pet dander could be triggering allergic reactions in your twins. Allergies often present as a recurring cough, cold, or runny nose.

Environmental Factors: Exposure to cold, dry air or pollutants (like smoke or chemicals) can make the symptoms worse.

Weak Immune System: If your twins have a weakened immune system or are frequently exposed to others with colds, they may catch infections more often.

Post-Viral Cough: Sometimes, after a viral cold, the cough may linger for a while, even though the infection has resolved. This is common and may take a few weeks to clear.

Asthma or Respiratory Conditions: If the cough is persistent and gets worse at night, it could be due to conditions like asthma, which is more common in children.

What You Can Do:

Hydration: Keep them well-hydrated with warm water, clear soups, or herbal teas. Proper hydration helps thin mucus and soothe the throat.

Humidity: Use a humidifier in their room, especially at night. Dry air can irritate the respiratory tract and worsen coughs.

Honey and Warm Water: For children over 1 year, giving honey mixed with warm water or herbal teas can help soothe the throat.

Nasal Saline Drops: Use saline nasal drops to help clear blocked noses, especially if they are congested. This will make it easier for them to breathe, especially at night.

Avoid Smoke and Pollutants: Ensure they are not exposed to smoke, strong odors, or allergens like dust or pet dander.

Comfort Measures: Make them comfortable with a little pillow to keep their head elevated while sleeping. This helps with breathing if they have nasal congestion.

Medication:

Ascoril-D: This is a combination medicine that helps with cough, congestion, and breathing. However, it should only be used as per a doctor's recommendation and for a limited time, as overuse of medications like these can have side effects.

Follow-up with a Doctor: If their symptoms persist for more than a week or if they are having difficulty breathing, it's best to follow up with your pediatrician. They may recommend a more targeted treatment plan or check for underlying conditions like asthma or other respiratory issues.

Monitor for Red Flags:

Difficulty Breathing: If they are struggling to breathe, wheezing, or having shallow breaths, seek medical help immediately.

High Fever: If their fever does not subside with medication or becomes high, it's important to see a doctor.

If they continue to have recurrent symptoms despite the medications, your doctor may suggest allergy tests or other evaluations to rule out underlying issues like asthma.