Patient's question:
Big baby, three weeks ago had a cough with phlegm. The doctor prescribed Oral Liquid for Pneumonia and Oral Liquid for Pudilan. Took it for a week, then took Kleocin for another week. Symptoms improved significantly, so thought it was better. Recently noticed a whistling sound in the throat. Went to the hospital for a chest X-ray, which confirmed bronchopneumonia. The doctor recommended intravenous fluids for 7-10 days, but considering the child is very active and difficult to take medication, and there are no obvious symptoms (no high fever, no cough, good spirits, and good appetite), the doctor first prescribed Erythromycin Ethylsuccinate and Cefaclor to take at home. Now it has been taken for 4 days. Starting this morning, the child suddenly began to cough. When seen by the doctor, it was recommended to take Erythromycin Ethylsuccinate, Cefixime, and Monk Fruit Powder simultaneously. To be taken for half a month, then re-examined.Previous treatment and effectiveness:
- Oral Liquid for Pneumonia and Oral Liquid for Pudilan, taken for a week
- Kleocin, taken for a week
- Erythromycin Ethylsuccinate and Cefaclor, taken for 4 days
What kind of assistance is needed:
Hello, how appropriate is this medication? Is it necessary to receive intravenous fluids? How much Cefixime is appropriate for the dosage? How can I determine when it has improved?
Doctor's answer:
According to the chest X-ray taken of your baby, it has been diagnosed as bronchopneumonia. However, based on the condition, the symptoms are still mild, and medication or intravenous fluids are generally not recommended in this case. Erythromycin and cefixime are two antibiotics with different properties, and there is a contraindication between them. For a 7-month-old child, there is a potential risk of harm to the liver and kidneys, so it is not advisable to use them together.It is recommended that you have your baby undergo a complete blood count. If the blood test results are not elevated, it is not advisable to use a large amount of antibiotics. The dosage of cefixime for children is 1.5-3 mg/kg, taken twice daily. After one week or when symptoms subside, it is recommended to recheck the chest X-ray and complete blood count.