How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. A. Clark Your Own Question

Dr. A. Clark
Dr. A. Clark, Pediatrician
Category: Pediatrics
Satisfied Customers: 4437
Experience:  33 years of experience as a general pediatrician in private practice and in pediatric urgent care.
Type Your Pediatrics Question Here...
Dr. A. Clark is online now
A new question is answered every 9 seconds

My daughter (nearly 6) has the following symptoms: - Persistent

Resolved Question:

My daughter (nearly 6) has the following symptoms:
- Persistent cough - usually in the morning (cold + ducted heater on) - to the point of having to vomit.
- No pain, except throat she says, but no pain/discomfort in chest nor tummy area.
- Was quite sick (high fever), but no more fever now. Cough persists.
- Has seen doctor several times, things tried; cough syrup, puffer (Ventolin), 3 days of steroids (corticosteroids; Prednisolone medication)
- Cough was at night, but now mostly in the morning (still to the point of vomiting) and some at night (but less, likely due to the steroids which have reduced coughing a bit in general/at night, but not in the morning)
- The whole family (mum, dad, 2 other children) have had the same, but recovered in a few (3-5) days.
- Serious/concerning cough persists in daughter even after 2 weeks
- Doctor in one of the earlier visits mentioned "some [light?] wheezing" present. Not sure if that remains.

What could this be?
Submitted: 8 months ago.
Category: Pediatrics
Expert:  Dr. A. Clark replied 8 months ago.

Dr. A. Clark :

I'm happy that you have asked me to assist you with your child and hope that you can benefit from my many years of helping parents like you.

Dr. A. Clark :

Hi. I'm sorry to hear that your daughter has not made a recovery as quickly as the rest of the family.

Customer:

Thanks

Dr. A. Clark :

I suspect one of two problems is going on. Either she has a sinusitis or bronchitis, which is a bacterial secondary infection common after a viral upper respiratory infection, or she might have a common bronchial infection called Mycoplasma that causes chronic cough, little or no fever, and general malaise but they don't feel that sick, just not well.

Dr. A. Clark :

If sinusitis/bronchitis she will need an oral antibiotic to get over it and I would recommend something like cefdenir (Omnicef) or cefixime (Suprax). If she has mycoplasma the Zithromax is indicated to clear it up.

Dr. A. Clark :

I would ask her doctor about these two possibilities.

Customer:

Understood. How would one know the difference between the two (sinusitis or bronchitis)?

Customer:

Btw, she also coughs after being active

Customer:

Also, how concerned should I be about this situation? It's unsettled both me and my wife seeing her cough so intensely.

Dr. A. Clark :

The fact that she coughs when active leads me to think she has mycoplasma and needs Zithromax.

Dr. A. Clark :

I completely understand as my daughter has it right now and is on day two of Zithromax and already improving.

Customer:

The Ventolin puffer made nearly no difference at all. The steroids did, but only to a certain extent during the day/night (given in the morning), but not in the morning hours before receiving it with breakfast.

Customer:

I am in Australia, not sure if Zithromax is available here

Dr. A. Clark :

Albuterol (Ventolin) only helps if they also have asthma but since this is a bronchial infection and that part of the airway has no muscles in its wall the medicine cannot relax the airway.

Dr. A. Clark :

Azithromycin (Zithromax) is widely available all over the world, including "down under"!

Customer:

She has had no previous signs of asthma

Customer:

:)

Dr. A. Clark :

It is the infection I'm sure and the antibiotic will clear her.

Customer:

Ok, thanks for your help Doctor.

Dr. A. Clark, Pediatrician
Category: Pediatrics
Satisfied Customers: 4437
Experience: 33 years of experience as a general pediatrician in private practice and in pediatric urgent care.
Dr. A. Clark and other Pediatrics Specialists are ready to help you
Expert:  Dr. A. Clark replied 8 months ago.
I hope your child is doing well but if you ever have any other problems for which you'd like my advice please feel free to reply here or with a new question, asking for me by name. Have a great day and my best to your family.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Yogindra Vasavada's Avatar

    Dr. Yogindra Vasavada

    Pediatrician

    Satisfied Customers:

    2507
    M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr. Yogindra Va/2012-6-10_2618_DSC0039.64x64.JPG Dr. Yogindra Vasavada's Avatar

    Dr. Yogindra Vasavada

    Pediatrician

    Satisfied Customers:

    2507
    M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
  • http://ww2.justanswer.com/uploads/GA/GauravMD/2012-6-9_62959_gaurav.64x64.JPG Dr. Gupta's Avatar

    Dr. Gupta

    Pediatrician

    Satisfied Customers:

    1442
    MD, practicing Pediatrician with 19 years of experience. Member American Academy of Pediatrics.
  • http://ww2.justanswer.com/uploads/edkulich/2010-08-17_171809_doctor.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified Pediatrician

    Satisfied Customers:

    819
    Board Certified, Ivy League educated Pediatrician.
  • http://ww2.justanswer.com/uploads/cbellmd/2009-11-19_013247_CB_PHOTO_2.jpg Raymond B., M.D.'s Avatar

    Raymond B., M.D.

    Doctor

    Satisfied Customers:

    422
    I provide medical care for newborns, children, adolescents and young adults up to age 21 years.
  • http://ww2.justanswer.com/uploads/DA/davhill1/2012-6-6_17340_DLHSittingCropped.64x64.jpg David L. Hill, MD, FAAP's Avatar

    David L. Hill, MD, FAAP

    Doctor

    Satisfied Customers:

    414
    Adjunct Assistant Professor of Pediatrics, UNC Medical School. Vice President, Cape Fear Pediatrics.
  • http://ww2.justanswer.com/uploads/josho33/2009-12-16_0435_php4n8fiy_c2PM.jpg Dr. Davidson's Avatar

    Dr. Davidson

    Board Certified Pediatrician

    Satisfied Customers:

    408
    Board Certified Specialist in Pediatrics, Allergy, Asthma & Immunology
  • http://ww2.justanswer.com/uploads/FA/fabiola.caracseghi/2012-4-12_204829_foto2.64x64.JPG Dr.Fabiola.MD's Avatar

    Dr.Fabiola.MD

    Pediatrician

    Satisfied Customers:

    118
    Pediatric Immunology. General Pediatrics