<s>[INST] My 5 year old daughter had fever for last 3 days , I was giving her meftal syrup and cepodem 100 for her cough. Today, though she doesnt have fever, the cough seems worse and she is not able to sleep with the constant coughing. In fact she puked twice and took out a lot of phlegm. She also has a runny nose. Please advice what can I give her for the cough , will sinerest help? [/INST] Hello, Has she ever had wheezing earlier? I think with the upper respiratory tract infection still laryngeal edema and other upper airway edema has not settled. That is why she is having severe cough. Only having antibiotic is not enough. She needs bed rest, an antihistamine like loratadine, small about of bronchodilator like terbutaline, and a steroid like dexamethasone. Plenty of warm water and gargling throat using pinch of salt added warm water will also help relieving cough quickly.  If your daughter is a wheezing better to nebulize once and give child the loratadine, terbutaline and a steroids.also. It is ok to give sincerest to relieve nasal congestion. Hope TTI s helps. Thank you. </s>