Patient's question:
The baby started coughing with phlegm since early November. It wasn't very serious, with occasional coughing fits lasting 15 seconds to half a minute each time. The baby was seen by a doctor at the children's research institute and was prescribed Xingbei Pudi Lan, Cephalexin, and Azithromycin, among other medications. The baby has taken a lot of medicine, and the grandmother said that taking medicine for too long could lead to drug resistance, so the baby hasn't taken any medicine since last week. Now, there's still some coughing.Previous treatment and effectiveness: After taking the doctor-prescribed medications, the condition improved, but the baby still coughs. During playtime, as well as before bedtime every night and after waking up in the morning, the baby coughs.
Doctor's answer:
From your description, it appears that the child's cough improved after taking azithromycin, which suggests the possibility of mycoplasma or chlamydia infection. The child's condition should also be considered for the possibility of allergic cough.1. Focus on treating with azithromycin.
2. Pu'dilan is a cold-natured traditional Chinese medicine. During this season, it's best to use it sparingly, as most illnesses in this season are related to coldness.
3. Medications such as ketotifen and salbutamol can be used for diagnostic treatment. If the child's cough improves significantly, it may indicate allergic cough, requiring the use of inhaled corticosteroids like (budesonide) and (polidexoral) according to standard treatment protocols.