Skip to main content

common cold: Treating running nose!

common cold: Treating running nose!
caring for kids, their health and illness: Child health specialist pediatrician Mumbai
Treating running nose is no big deal... but treating its complications and PNDrip (postnasal drip) is a headache for the practitioner. In fact, I had seen pediatricians admitting and sedating for 3 days to get rid off. combination decongestants for patient and family.

tricks:

Running nose:

A very common problem; watery or thick.. continuous or intermittent..
with fever or without fever, yellow white.. (pardon the allergic once, they come with paroxysmal sudden sneezing and are more easy to treat... oral atihistaminics or nasal antihistaminics and or steroid inhalors.. but you too pls do read below)

watery or thick.. :


Clean nostrils with ear buds/bulb ( no ENT will advice, but i do, by cleaning I mean cleaning the alae nasae- the outer part), periodically, if its thicker.. use saline drops (nasomist spray) : no of drops + no of months of age till 8 months.. then 10 drops for all, wait 2 seconds after each drop.. then clean with ear buds once the drops are over. why more drops? - Bcos you want to douche the whole nasopharynx and clean the nose; the sticky secretions along nasopharynx will be dragged to oropharynx and then swallowed.
If its running continuously, one may prefer putting decongestant nasal drop like flucold drops.. or nasovion mini drops, ( i will avoid xylometazoline and oxymetazolien drops in children as much possible ) use only 2 to 4 drops at any age.. nose will dry within 20 minutes provided drops are put after drying the nose with ear buds.. small dose bcos we want local action. Dont keep it TDS ( 3 times a day), can be used SOS (as and when required). TDS use makes nose dry.. and the worst nose block will happen and child will be very irritable crying refusing to feeds etc. (discuss with your doc in details).


Treatment of noseblock:

commonest cause; inadvertant or TDS use of decongestant or sleeping in front of / facing fan.... stuffy nose.
Treatment:
saline drops: I use nasomist /normal saline drops/spray procedure as above. But keep it TDS, keep nose wet, avoid drying by air/drugs. Stop decongestant drops. If child is cranky, do a mechanical nasal suction tiding over the crisis.. the thick secretions may be difficult to suck by syringe. Give A soothing nebulisation following suction, Clinical indicator: Irritability settles, child sleeps.

Treatment of Any of above with fever ; with or without PND: combination cold syrups
Add a simple antipyretic, paracetamol: regular dose, round the clock for 2 days. If running nose, give combination with decongestant TDS orally, I find syp xxxx more effective. (though many parents complain that the taste isnt good.. let me teach you feeding medicines without having taste of it)
For PND: a good saline nebulisation with prior nasal suction and saline drop wash of nose. continue oral PCM and decongestant drops combination for 3 days.
At times a short course chemotherapy with azithromycin may help if it lasts more than 72 hrs.

The risk in any common cold or flu is the chance of it spreading down to cause bronchitis or pneumonia or bronchiolitis, though not so common. keep a watch on refusal to feed , breathless ness and worsening cough. Discuss with your doc accordingly regarding further plan.           

Persistant runny nose for more than 10 days.. suspect adenoids.
Unilateral runny nose is often due to foreign body in nose or sinusitis.
Stuffy nose with headache is due to sinusitis/allergy very often.
Runny nose with itching .. and eye itching.. is allergic, if it is aproxysmal and sudden.
Throat pain, ear pain may be a part of bacterial complications.
PND may cause burning in throat and best tackled by gargling and nebulisation.


Comments

  1. repeated cough cold causes reduced intake that makes the child thin. these kids need to be given more frequent calorie rich semisolid diet, to build weight. age. The tonic or drinks are not required if you can take adequate efforts on feeds and diet. be liberal with ghee, butter, curds, eggs, potatoes.

    ReplyDelete
  2. Your question : Can i give mucolite - amproxol hydrochloride syrup for severe cold to my 5 yr old kid. pls...

    ReplyDelete
  3. Having runny nose is such a hard thing happen in our life. Anyway,you definitely right dr pediatrician just blow it out.

    nose lift Philippines

    ReplyDelete
  4. One of the don’ts on how to get rid of a cold is to self-medicate. Do not ever increase the dosage of your cold medicine unless you have checked it with your doctor. Medicines can have chemical ingredients that may bring serious complications to your body. Instead of cure, it may lead to unwanted, serious complications.

    ReplyDelete

Post a Comment

if you are a parent, please post query at www.kondekar.com
डॉं कोंडेकर संतोष वेंकटरमण@मुंबई

Popular posts from this blog

Basic sample medicine and doses

Medicines and dosesCLINIC ADDRESS MAP  CALL FOR APPT 8693893295 OR WHATSAPP 9869405747WHAT BLOOD TEST TO ASKIS IT URGENT?WHAT ARE DANGER SIGNS?  WHY ONE SHOULD NOT ASK MEDICINES ON WHATSAPP OR PHONE?  WHEN DOES MY CHILD NEED ANTIBIOTICS?FOR TOPICWISE INFORMATION CLICK KONDEKAR.COM
ये रहे कुछ sample प्रेस्क्रिपशन
ये सलाह डॉक्टर के सामान्य प्रेस्क्रीपशन के नमुने दाखल है. अपने लोकल डॉक्टर से वैयक्तिक लिखित  प्रेस्क्रीप्शन लेकर ही मेडिकल स्टोअर जाये. टेंपोरेरी एकबार डोस लेने से भी अॅलर्जी या रेअक्षण का खतरा हो सकता है.
Please visit a doctor with the patient before you take/give any medicine.

बुखार/सर्दर्द
Fever बुखार  syrup flexon or combiflam 5ml two times a day for a child of 10 kg and half tablet two times a day for a child of 20kg weight. For child less than 10 kg use crocin drops, no of drops equal to weight in kg of child. जूलाब
Loose stools जुलाब syrup riniclausi or syrup darolac 5ml two times a day for child below age five years and three times a day for age above five years उलटी
Vomiti…

Why cant your doctor tell medicines on text/ call/ whatsapp?

Its very natural to understand that u dont wish to go to doctor  even if you or your child ja having serious problem for following reasons: 1. Its an added burdeon to time, travel and money
2. You dont feel the problem is serious enough to go to dr at the given moment.
3. You may feel that visiting doctor for a problem is not worth in a given  situation.
4. You may feel medical service should be free and all dr should give free service without examining patients.
5. Some one may feel that things can be managed at home without visiting a dr and one should go to dr only when things get serious or out of hand.
  Please read below 1. Read my article on your topic at kondekar.com all illnesses are not same each time. U may start that medicins but it may not work may work depending on diagnosis. And may have its adverse events.
2.Legally giving prescription without examining patients iis recently made a punsihable act. No prescrpition is valid 2 weeks after issuing it. All illnesses are no…