Childhood Diseases

Posted by: KC | 2010-01-25


Sick Toddler

Hi Dr
Please can you help me, my little boy has a nasty cough which started 6 days ago. It started as a barky/croup cough. His paed diagnosed upper respiratory infection and he was given Augmentin SE. 6 days on, the cough has become really bad and sounds phlegmy. He is vomiting from all the coughing which means a few doses of his antibiotic have not stayed down. He has also not kept much food down over the past few days. If I lay my head on his chest it sounds " squeaky" ? His temp has been around 37.5 which is not high but is higher than his normal body temp which is around 36. I don' t know if I should wait another few days for the antibiotic to start or go back?
My reason for rushing him to the paed when he first became ill was measles as his dad has just had the virus. His paed was certain that it was not measles.

Expert's Reply



You have given an excellent history here but have not mentioned your son's age. I see that your heading indicates that he is a toddler.It is difficult to be sure about the diagnosis.I suspect that your son had croup to start with and now has a bronchial infection called bronchiolitis.This illness is caused by a virus so an antibiotic is unnnecessary. It would help your son to keep his nose clear with Salex drops and to nebulise him with Duovent or Combivent at least twice a day. If his vomiting continues please ask his paediatrician to see him again. His illness will last at least 10 days before you will start to see an improvement.

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