Question of the Week

Question :
Posted On : 10 May 2026
A month-old newborn and his mother have had a cough for more than 7 days. The newborn has a cough and a runny nose, but no fever. His chest is clear, he was put on Paracetamol drops and nasoclear nasal drops, but without any response. Otherwise, can we try any role of phenargan?
5
Expert Answer :
A cough in the newborn is not a common presentation and should not be ignored. It should be considered as a sign of serious respiratory illness unless proved otherwise by investigations.
The most common cause would be a pulmonary infection of any etiology, most likely from the mother. Other causes would include structural airway abnormality, pleural irritation, bronchial involvement from any mass, etc.
Fever may not be a common presentation in newborns, and they should not be treated symptomatically without further investigations.
I think a chest radiograph and blood investigations, including culture, would be necessary. Maternal progress and diagnosis would be extremely helpful in this case.
Phenergan has no role in such cases. It is an antihistaminic and should be used in allergic cases only.
Answer Discussion :
S
Semion Plotkin
Profile
phenargan below 2 years must be avoided
viral cause seems likely
supportive therapy (salt water nasal drops) and ensure adequate nutrition

5 hours ago
D
Dr
Profile
no role of phenergan,
also check cause of cough in mother, it may cross infect newborn.

2 Days ago
H
hizbullah khan
Profile
phenargan below 2 years must be avoided
viral cause seems likely
Do nothing

4 Days ago
S
Shafqat Sayeed
Profile
no role of Phenargan. Must cover with Macrolides particularly if the newborn has eye discharge also
5 Days ago
A
Alexis Guevara
Profile
No role.And it's use before 2y of age most be evoided.
5 Days ago




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