My 10 yr old dd was seen by the doctor for a chest infection last friday. She's completed her amoxicillin and he'd given us the option of either taking her seretide 50 up to 3 puffs twice a day or to give four hourly ventolin. We went with the ventolin which she is still taking 4 hourly.
On Monday with lots of coughing and breathlessness (even with the four hourly ventolin) we spoke with another doctor who gave her a five day course of 60mg pred. The surgery were kind enough to arrange to have another doctor check her over the following day because, they said, by then she'd have almost finished the antibiotics and have two doses of the pred on board. The doctor that saw her checked her weight and height and told us that her peak flow should be around the 340 mark but she'd be happy if we can get it to 300 in the next two weeks. At the moment it is hovering at 250. She listened to her chest and said it sounded clearer but, because she is still needing the ventolin between the four hourly does to take the seretide up to three puffs twice a day too.
So now we are on day four of the pred but only saw any noticable improvement yesterday. She is still coughing a lot (night and day) and breathless climbing the stairs from time to time (once of twice a day). But she seems much brighter in herself though she's very tired. Her cheeks have pinked up a bit and she's no longer got that white, almost translucent palour of recent days.
However, we've only got tomorrows pred before the course is finished. I expected the cough to be gone and the breathlessness to have stopped by now. Am I expecting too much? It's only been a day or so on the increased Seretide:~/ Perhaps it just needs a little longer? She describes her chest as still feeling gunky (""stuff feels like it's moving when I breath"") and it feels a tiny bit tight ""But not tight like I need my inhaler."" I've said to take the inhaler regardless. Tight is tight!
Should I give it another day or two and see how she goes?