instruction: hi doctor my year old daughter was diagnosed with pneumonia eight days ago examination and ray she was put on amoxicillin six more days and placid supply finished today although she is tired during the day and breathless trying to climb out stairs she is lots better in the last day or two she has come out with a red rash all over her face and for the past two nights she has been constantly coughing as soon as she lays down to sleep I have to hold her upright on my lap to control her cough is this a normal stage of recovery
output: hi as per your description the child seems better but since the child has gone through so many problems the recovery may be prolonged what you are explaining does not exactly fit the picture of a recovery as the child is breathless and a new rash has developed the rash may be a drug induced rash but there should be no breathlessness I would strongly advise nebulizing the child with dublin every four hourly and budecort every six hourly also I think a repeat ray film should be obtained to find out if the patch of pneumonia is still the same or it has increased if it remains the same it is fine since the time of two weeks to up to one to two months may be required before a complete radiological clearing also you have not mentioned if the child was given an iv medication or oral in the current scenario I would have preferred iv intravenous medications also sometimes one of the complications of pneumonia is an effusion which will lead to breathlessness but since your child does not have fever currently that is ruled out another important point I want to know is if there is a history of asthma in the family because if there is then this phenomenon that you are describing may be completely different from pneumonia and may actually be the start of asthma