Childhood Diseases

Posted by: Racoon | 2011-05-23


RSV - urgent please

Dear Prof

My 2 year old is recovering from RSV for which he was hospitalised last Thursday (bronchopneumonia). His 8 month old brother started coughing on Friday and our GP (neither of the paeds were available) prescribed Pulmicort (2x per day), Combivent (inbetween) and Celestamine. His coughing is worsening, but he is still happy and up and about. His lungs sound ''wet'' but no wheeze. When do I need to have him checked by our paed? what are the warning signs that bronchiolitis is developing?

many thanks

Expert's Reply



Your baby has almost certainly also started with an RSV infection and presently he probably does have an infection of his lung airways called bronchiolitis. His symptoms appear very mild and there does not appear to be any need to give such a young baby a powerful cortisone like Celestamine [to say nothing of the old fashioned sedating antihistamine that it contains in addition to the cortisone].He is not wheezing so Combivent is not advised and bronchiolitis does not respond to Pulmicort. Fortunately your baby seems to have this illness rather mildly.Keep his nose clear with saline nose drops. Provided he is happy, feeds well and sleeps well he does not need any additional medicine. This illness should clear up by itself within about 10 days.

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