Childhood Diseases

Posted by: Karen Le Grange | 2012-03-15


Plethora of queries

Hi Doctor

My baby is turning 2 months on Saturday, and is exclusively breastfed. I worry about him though, as he chokes during and after every feed. He has done this throughout the 2 months. I don''t know if he has reflux that is bringing up ''hard'' bits of milk into his mouth that makes him do this. Could he be allergic to my milk?

One other question is, he recently developed a cold and is very congested. I have used Sterimar nose spray and it doesn''t really seem to help as it seems he has postnasal drip. Can i use a nebuliser with saline drops? Is it safe? What is the best option? Can you help??

Expert's Reply



It seems that your baby is struggling with a reflux problem. He should be seen by his paediatrician and started on the correct treatment for this problem.
I do not think that the nebuliser with saline will help his blocked nose.Try Salex saline nose drops at least twice daily and use this treatment every day. If your baby's nose does not clear up then mention this to the paediatrician as well.Also use a nasal suction device called a Nosefrida to help to clear your baby's nose.

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user comments


Posted by: Purple | 2012-03-19

Sometimes if baby gulps and splutters at the breast it can be from a forceful let down reflex, and not actually from reflux. Some mothers find that lying back while feeding helps - so lie back with your shoulders and head supported by pillows, put baby at your breast with his tummy against yours and his legs towards your legs - and let gravity help.

Some mothers also find that expressing a little bit before a feed can help, others find that feeding from the same breast for two or three feeds helps, as the let down is less forceful at each feed.
You can also latch baby, then when the milk ejects, delatch baby and either let it spray into a cloth nappy or into a sterilised container (if you want to keep the milk) and then latch baby on again.

Also, its best to feed baby from teh first breast until baby comes off by himself and then offer the second breast if baby wants it.

Sometimes a baby with reflux or a baby of a mom with a forceful let down reflex finds it helpful to feed more often so that baby takes smaller amounts more frequently.

Keeping baby upright in a wrap or sling or other soft baby carrier can also help to keep baby more comfortable after a feed if it is reflux, and this has the added advantage of having baby close to mom so that he cries less, and mom has two hands free to get on with other things while still meeting baby''s needs.

Hope baby''s cold clears up soon. Feeding can be difficult when baby has a cold, as they struggle to breathe and feed.

Reply to Purple

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