Childhood Diseases

Posted by: Hmom | 2012/05/02



Hi Prof. Thanks for all your advice!
My daughter has had a post-nasal drip since December. It is like a ball in the back of her nose which she tries to get out by making the strangest noises. Her nose is completely clear and clean and when she blows there is nothing. She has been to the paed 3 times to check if there is anything on her chest. Nothing. She coughs at night though - some nights nothing, some nights a bit worse. She is 3years5months. I have used acc200 which helps but doesnt take it away. Mucospect the same. Her paed gave her the combo of saline to clean, illiadin to open and then besenol n to clear. I feel the besenol which she has used about 4 times is too strong, being a contisone.
Yesterday morning i decided to nebulise her with Duoling in the morning and the evening, cleaned (as i do almost every day of her life) with Sterimar, sprayed not lilliadin but the other one that performs the same function (think begins wih O) (sorry!) but oh my word she coughed the entire night literally. When she coughed i put my hands on her back and chest and i couldnt feel any " rattling"  but just before she coughed each time there was a crackling in her throat. Def no wheezing. She was also happy - woke a few times and laughed and skipped to the loo to wee so she isnt sick (excited to go to creche this morning too).

My questions: Is it ok to use Duolin mixed with saline for this purpose
and what exactly is Duolin?
Will duolin have lasting effects like making lungs weak?
Also how will i know when she is sick and that it has moved to her chest and she has bronchiolitis or pneumonia as she doesnt get a temperature very easily and when she does then she is very sick and i dont want to let anything get to that?
Oh and when she had rsv when she was 15 months she was tested for allergies - came back zero allergies.

Expert's Reply



Thank you. It is difficult to know exactly what is going on here. My feeling is that she has allergic rhinitis and asthma, but you mention that her allergy tets were negative. I still think that you need a clear diagnosis of her complaint before any treatment can or should be recommended. It would be best to take your daughter to see a paediatric allergist who will make sure that the correct tests are done.
Duolin is a combination brochodilator used as part of the treatment of asthma in children.

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user comments


Posted by: HMOM | 2012/05/02

sorry Professor - do you think that she started coughing becasue the Duolin nebbing loosed that " ball"  in her throat/ nose causing the post nasal drip?

Reply to HMOM

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