Childhood Diseases

Posted by: E. | 2010/06/21


Wheezing chest &  Prelone

Hi dr
My 7.5 month old daughter started wheezing over the weekend - she also has a very phlemy cough. I first tried the nebuliser a couple of times (Dualin), but it didn''t make much of an improvement. I had Prelone in the house &  gave it to her (3 ml) after which she improved greatly. I wasn''t too keen on taking her to an emergency dr, since most of the times they end up prescribing antibiotics unnecessarily (I suspect my daughter has a viral infection since her nose / chest is clear, not green).
I have a couple of questions:
1. Should I continue with the Prelone for 5 days, or can one just give it for 2 days or so?
2. I know that too much cortisone can cause growth retardation, so I avoid giving that to my children at all costs. This will be the 3rd time this year she''s using it (last time was beginning May). How much is too much cortisone? I just felt the benefit outweighed the risk in this instance.
3. Could my child have some sort of baby asthma? I find she generally coughs quite a bit during early evening / early hours of the morning. What can I do to help her? I give her saline drops in her nose regularly &  keep her very warm. She eats / drinks very well &  does not otherwise appear ill.
Thanks so much for the advice.

Expert's Reply



Is your baby at a creche as she is getting ill rather frequently? She certainly does appear to have a virus infection, probably one called bronchiolotis which is caused by the RS virus. There is no need to give her cortisone if she can feed well and sleep well.This means that she is not distressed.So stop the Prelone.Prelone can usually be given safely at 6 weekly intervals but only if it is really required.Continue with the saline nose drops and nebulise her with the Duolin twice daily especially if you can hear her wheezing.This illness takes at least 10 days and often as long as 3 weeks to clear up.

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