Please take your sweet little boy to a pediatrician today. With a week-long cough, new fever, and watery stools, a professional physical exam is very important to ensure he stays well-hydrated and gets the correct treatment. Since he is not vomiting right now, you can temporarily hold Eternal (ondansetron), but you may continue paracetamol for his fever and Spoorlac (probiotics) for his tummy. Because he is on multiple medications like Levolin and Histakind (fexofenadine), a doctor must review his chest and determine the correct, safe dosages. Please offer plenty of fluids or oral rehydration solutions to keep him hydrated.

This rattling, especially when worsened by dry, cold air conditioning, suggests her airways are highly sensitive. Since she already uses Budecort (budesonide) and Levolin (levosalbutamol) for colds, this may indicate underlying airway hyperreactivity or asthma triggered by environmental changes. Avamys (fluticasone furoate) targets nasal swelling but won't address deeper chest congestion. To help, try using a humidifier in her room and keep the AC at a moderate temperature. Please consult her pediatrician to evaluate if her asthma management plan needs adjustment or if a sleep evaluation is warranted.

It is quite common for children to vomit during intense coughing fits, but being unable to keep water down can lead to dehydration. Since you just started Levolin (levosalbutamol) today, it may need a bit more time to help open the airways. However, because your child cannot retain fluids, I highly recommend having them evaluated by a pediatrician today. In the meantime, try offering tiny, frequent sips of water or an oral rehydration solution instead of large gulps. Please seek immediate care if they have any difficulty breathing.

However, for his safety, I cannot issue a new prescription for Solvin Decong syrup or Levolin rotacaps (levosalbutamol) without a proper medical evaluation or seeing his original prescription. Because these medications can affect his heart rate and blood pressure, a doctor must examine him first, especially at age 63. Please consult his prescribing doctor or visit a nearby clinic for a quick checkup and a safe refill.

It is generally safe to use your nebulizer with Levolin (levosalbutamol) and Budecart (budesonide) alongside steam inhalation to help soothe your cough. However, because you are awaiting COVID-19 test results, please take special care. Nebulizers can release tiny droplets into the air that may spread the virus to others. For safety, please use your nebulizer in a private, well-ventilated room away from family members. You can continue with the steam vaporizer, but space it out from your nebulizer sessions to avoid over-sensitizing your airways.

Since the cough happens mostly in the morning and hasn't responded to antibiotics or Levolin (levosalbutamol), it might not be a bacterial infection. Instead, it could be triggered by environmental allergies, post-nasal drip, or mild airway sensitivity, which are very common in toddlers. Keeping his room free of dust and using a cool-mist humidifier can help soothe his airways. I gently recommend having his pediatrician evaluate him again to see if an allergy treatment or a different controller medication is more suitable.