Childhood Diseases

Question
Posted by: welcome | 2011-06-09

Q.

reflux/ croup/ antibiotic

In my previous post you advised that my 5month old baby''s reflux should be treated. The paed diagnosed reflux at 6weeks and felt that because baby gained weight he was not going to treat it with losec or antacids as he also could not find antacids suitable for infants. He is also not on an anti -reflux formula. His vomiting has also subsided in volume to a great extent. Of late only small amounts of thickish vomit. I also find that he vomits more when carried around. Do you still think that his reflux should be treated as I had this discussion with his paed many times? Should I get a second opinion?


I have read that there is not much treatment for a croup. My baby does not have difficulty breathing nor does he have a fever and is generally his normal self. He coughs at night but does not wake because of it. Should I still take him to the doc and what more could his doc do for him? It is not that i do not want to take him, but at R600 a visit( been three times in the last two month''s), I want to know if it is needed as I already had to pay for our visit to the silly GP and cash is tight.

You gave me the correct does for the antibiotic in my previous post for babies 1month to 1 year, but what does that amount in ml?

Since my baby has not cried inconsolably for two days since being to the doctor and generally is his normal self, should I still give him the antibiotic prescribed by the doctor at your correct dose? I have been treating him with Sister Lillian earache tissue salts and chamomilla and he no longer cries during the day and early evenings as he did two days ago.
Thanking you.

Expert's Reply

A.

Paediatrician

Your baby's reflux is bad enough for you to still notice it even if it is less than before.It is possible that he is inhaling very tiny amounts of acid stomach contents which is being refluxed back up his oesophagus. This is all the more likely if he is always has a croupy cough.So it would certainly be a good idea for his reflux to be treated.
There is a common condition called recurrent or spasmodic croup where it is not always necessary for treatment unless the child becomes distressed and has difficulty in breathing.If it becomes necessary treatment is always highly effective.
Amoxil comes in different strengths,usually 125mg or 250mg per 5ml dose. You will have to do the rest of the maths based on the doses I gave you previously. This will all depend on the strength of the Amoxil Syrup per 5ml given to you by the pharmacist.
Your baby seems to have largely recovered from his latest highly probable ear infection for now.It may still be a good idea to ask your GP or clinic sister to check your baby's ears.

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user comments

C.

Posted by: mommy | 2011-06-10

I''m not a dr, so please don''t bargain on my advice......I just know from experiencing this with my 2 boys...my first one did well regarding the reflux, when I changed his milk and took him of dairy....also changing his bottles to Dr Brown''s so that he doesn''t swollow so many wind!
my second son suffers alot from rhinitis and a bit of an asthma cough...he usually developed croup and started with this the last week again...His pead prescribed adrenalin to nebulize and Prelone(strong cortisone) for his croup...but he is already 3 yr old.

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