Childhood Diseases

Posted by: Nas | 2011-03-31


4month old with wet cough

Hi Doc
My 4 month old daughter has a " phlegmy"  cough for the past two days. She had a bit of a cold last week (which she prob picked up from me), which caused a bit of a blocked nose and cough due to the post nasal drip..the cough she had then sounded more like just an irritation. I treated this with Sterimar.

She coughs a bit during the night but it does''nt wake her and she''s been drinking normal (breast at night and Nan1 during the day). She has no fever.

She is at a daycare since begin March and i''ve noticed that her clothing at the neck/chest area is often damp when she gets home due to the milk that runs down the chin. Could the dampness be causing the " phlegmy"  cough?

She is probably too young for meds that treats a wet cough, can i rub her chest, back and feet with some puma balm mixed with some vaseline?

Should I be giving her a multivitamin/immune booster seeing that she''s at a daycare and only 4mths old? I have not giving her anything yet, which is best for her age? I have been giving my 3½  year old creche guard for the past year.

Thanking you in advance

Expert's Reply



It is autumn and the start of the coughs and colds season. Children who attend a creche are especially vulnerable to the many kinds of virus infection causing coughs and colds. Your baby started off with a cold and now her chest has been affected. Fortunately she is still feeding well and does not have a fever.You are treating her blocked nose correctly.You can use the Puma balm but do not put any near her nose.You will need to wait until she is 6 months old before giving her Creche Guard.You can give her a probiotic such as Reuteri drops 5 drops daily for 10 days per month until she is old enough to start on Creche Guard.

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Posted by: Nas | 2011-04-04

Hi Doc.
Thanks for your advice, greatly appreciated.

Her cough has not really subsided yet and it seems that her throat actually hurts now and then when she coughs..this is actually causing her to drink her milk a bit difficult and sometimes she refuses her milk feed completely. She drinks fine from my breast and she will drink her water (i''ve been putting in some honey to losen the phlegm, she''s brought up quite a bit already)..

I''m just worried that she''s not getting enough milk..I only give her breast at night so my milk flow unfortunately is not all that much.

I took her temp during the night because she was a bit restless, it was 37.8 more than her norm temp - the slight rise in temp was probably due to the sore throat. I treated it with panado and will continue doing so if and when necessary. I don''t suppose there''s anything else I can give her to soothe the sore throat?

thanks and regards,

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