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Hello & welcome to Just Answer! If you have any questions after reading my answer, be sure to let me know.
When was she diagnosed with chronic neuteropenia, and have other tests been done ?
she has had this since birth and has regular check ups
ANy chest X rays ? for the cough?
yes when the cough first started 3 ,4 years ago
And any family history of allergies/ asthma,
any h/o allergies in the child ?
there is asthma in the family .and she is on medication for this
What medications is she on for asthma , do you know?
she has blue browm and a darker inhaler
Well from your description, I believe that it is likely that she has uncontrolled asthma, that is causing the persistent / recurrent cough
we have had that diagnosis ,problem is when she has the cough and takes her inhalers she coughs so rapidly that she cant inhale
I would recommend that she be re-evaluated for the same, and more aggressive treatment for it, by increasing the strength of the inhalers, and by using additional medication as needed (like oral steroids) be considered in this situation
In this situation, she may benefit from using a nebuliser for the acute attacks, till the time she is able to use the inhalers effectively,
these can be prescribed by the treating doctor,
she hAS ORAL STEROIDS THAT SHE TAKES 1 EACH NIGHT
has she tried nebulisation treatment ?
her gp will not proscribe one
Here is what I would also suggest,
a chest X ray should be done to confirm the absence of any infection
and I would suggest that the treating doctor be 'convinced' regarding the need for nebuliser treatment
since this would be useful in helping her get relief from cough
is there any kind of cough supresant that could be given
generally speaking, without actually examining her,
it would not be a good idea to give a cough suppressant,
since if this is an exacerbation of asthma, this may make the cough worse ...
I would suggest honey as a good cough medicine,
ok i will ask her mum to ask for a nebulisor
Also there are certain other non specific cough medicines like homeopathic remedies that may assist in this situation
Some of these that are likely available in UK include
Boiron Chestal Homeopathic Cough Syrup,
Finally, post nasal drip can be an important problem,
and using an anti-allergic like cetirizine may be helpful in reducing cough too,
Is there anything else that I can help you with ?
that all thanks
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