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Persistent dry cough
My daughter is suffering from dry cough since the past 2 months. Earlier, the cough lasted only for a couple of seconds, but since the past couple of days she's coughing a lot. There's also a little mucus coming up in her cough. She doesn't have any other symptoms of fever, sore throat or runny nose. Doctor has prescribed Singulair tab 5mg at bed time and gargling with warm water thrice a day for the next 10 days on tele- consultation. I just started her medication today but I'm worried since her cough has suddenly increased. What could be the reason? Kindly advise.
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With such a long duration of cough, a visit to the pediatrician is necessary. Your doctor might require antibiotics & also tests ( if necessary)
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(1) The mostly dry coughing with occasional mucus (esp if most times it is whitish and thick), with these symptoms happening for last 2 weeks, the likelihood of it being a part of allergic manifestation, is higher and hence accordingly the use of a medicine from Leukotriene Receptor Inhibitors Group (Montelukast in this case, to be specific) like Tab Singulair, has been advised which is the right way to go about. (2) The Singulair or Montelukast is a long acting drug and the visible effects of the same may take about 2.5 to 3 weeks to appreciate sometimes, and hence this Medicine has to be continued even if are adding any other drug which may help synergistically with this one for acute relief. (3) For acutely increasing Cough bouts, the most common next symptom would be the present of "Whistling Sound" while quiet noticing of breathing and hearing the child closely or when a Doctor uses and diagnoses this as Wheezing, when he/she examines the child when the child has had recent episode of Bouts of Cough/ or ongoing bouts of Cough episode. (4) If wheezing is present at Home and noted by the Parents, they can either take a video of the same OR notice it very carefully, and informt his point to the Doctor concerned specifically and emphasizing it's timing and predisposing factors, if any which might have helped or triggered this response. Some of the triggers for wheezing in your child (for this age group), can be: (a) pollen inhalation from the kitchen garden, (b) presence of Upper Respiratory symptoms like watery or infective nasal discharge or nose block (which are not present in your child as you noted it), (c) family history of past history of use of frequent use of Monetukast (like Montek+-LC syrups, etc), (d) presence of Family history of Allergic manifestations, be it skin related, drug allergy, pets (dogs/ cats), Or presence of areas nearby where burning of logs of wood is a regular thing, or Pollution produced due to home being adjacent to dusty or polluted main roads, etc, recent travel history to dusty areas, history of keeping mouth open while sleeping Or Presence of Recurrent Adenotonsillits in the Past, any relevant history of exercise induced dry cough Or wheezing, and the Doctor may (and might have prescribed the use of Asthalin or LEVOLIN for the same in the Past too!!!). (Note: Most times, initial dry Cough, especially early morning or late night hours, is a missed clue as the early and most consistent symptom for allergic cough followed by the later observed, wheezing episodes), (5) And to make it a habit to maintain an Allergy Diary for the child to write down those points which may have stimulated in the past and recently the symptoms as above and in future to try and be careful to note these and prevent the exposure to potential triggers Or Allergens. 
Next Steps
To meet an Emergency or OPD based Pediatric Pulmonologist or Pediatrician and to mention about presence of Bouts of Cough episodes INCREASED since the last no of days, and presence Or absence of Wheezing sounds now Or in the Past !!!?
Health Tips
(1) Maintain Allergy Diary, (2) Avoid Cleaning Rooms or Dust off the child's room by Blowing the Dust using Vacuum Blower. AND even if it WAS USED it, the Room must be Cleaned and allowed the Dust to Settle down before allowing the CHILD TO STAY IN THE ROOM IMMEDIATELY...!!!! (3) HAND HYGIENE is utmost necessary at any moment now, due to pandemic presence, (4) Wear Masks covering the face especially NOSE while COUGHING, (5) Take Extreme Precautions, if waiting for THE OFFICIAL RESULTS of bloodwork Or ANY Other Tests.
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Any cough of this much duration should be evaluated in details. What was the provisional diagnosis of the doctor. Many of the patient are not able to convey clearly whether cough was continuously happening for 2 months or it was multiple episodes with normal periods in last 2 months
Next Steps
hemogram PBF ESR total eosinophil count x-ray chest pa view.
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Cough can be due to many reasons. You haven't  mentioned  age. Time of cough. Any stimulating factors. Is the cough recurrent. Family  history  and so . Please consult  a  doctor  .
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Is she having any history of asthma or allergy The cough may be allergic cough Continue singulair 5 mg once a day for 10 days And then see
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Prolonged cough required detailed evaluation and some lab tests.
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Dear parents, To evaluate condition of chest a personal visit to paediatrician in near by is required.
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There can be many reasons for the prolonged cough. She requires complete evaluation. Needs physical examination to be done.
Next Steps
Meet your nearby pediatrician
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.