Childhood Diseases

Posted by: Racoon | 2012-11-19


2 yo post-croup coughing

Dear Prof

Last weekend (10 days ago) my 2 yo son had a bout of croup, which started the Sat evening with fever and then the typical croupy cough. Sunday morning the croup worsened and he was becoming a bit distressed so we took him to MediClinic for an adrenalin neb which helped quite a bit. He also was given 2 days of corticosteroids (I think Pulmisone) which helped tremendously. The only problem is that he has been coughing conintuously since then with a greenish nasal discharge. I started him last Monday already on his Inflammide and Duovent again of which he gets 1 puff of each twice a day. It certainly helps the really bad chestiness and wheezyness, but the horrible cough continues? I am thinking that the Inflammide yet has to kick in, but I am also concerned that something else may be going on? He is eating and happy otherwise. Should I wait until next Monday, or is a visit to our paed rather on the cards? Many thanks as always for you input and advice!!

Expert's Reply



You are welcome.It seems to me that your little son has been left with tracheitis [inflammation of his trachea] following his recent croup episode. The main thing is that he is happy and is eating well. You do need to clear his nose with regular nasal saline use to stop any post nasal mucous drip.It is a pity that he only had 2 days of the short-acting cortisone as this is the only treatment that really helps for tracheitis. The cough in tracheitis is very irritating and may last for up to 6 weeks. Nebulising him will certainly help to relieve his cough to some extent. He does not need to see the doctor as long as he is happy and seems well and does not have a fever.

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