Have Pediatric Questions? Ask a Pediatrician.
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.
Hi. I'm sorry to hear that your daughter has not made a recovery as quickly as the rest of the family.
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.
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.
I would ask her doctor about these two possibilities.
Understood. How would one know the difference between the two (sinusitis or bronchitis)?
Btw, she also coughs after being active
Also, how concerned should I be about this situation? It's unsettled both me and my wife seeing her cough so intensely.
The fact that she coughs when active leads me to think she has mycoplasma and needs Zithromax.
I completely understand as my daughter has it right now and is on day two of Zithromax and already improving.
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.
I am in Australia, not sure if Zithromax is available here
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.
Azithromycin (Zithromax) is widely available all over the world, including "down under"!
She has had no previous signs of asthma
It is the infection I'm sure and the antibiotic will clear her.
Ok, thanks for your help Doctor.