<s>[INST] HI my son 1.3 yrs old and he is having sever cough. In the nights he coughs too much. My son has this problem of flem from childhood, i tried him giving syrups like ventroline and relent nothing worked. Can u suggest some good medicine for this. What can be done to reduce it? [/INST] Welcome to the ChatDoctorNight coughs with sputum can be a symptom of pulmonary or cardiac wheeze. I would recommend you to take following measures:1. A good pulmonary and cardiac examination by a pediatrician will be helpful.2. In case of pulmonary wheeze, you may start with Spy. Albuterol or leveling. 3. Also use Spy Azithromycin which is an antibiotic. Its empirically for any atypical bacterial infections leading to the symptoms.4. Check for any allergens in the surroundings which may be avoided to help him. Hopefully this will help him. In case of any further questions, you may contact me. Take care </s>