Posted by: Lorinda | 2012/12/05


25 Month Old Post Nasal Drip

Hi Prof

My 25 month old has a post nasal drip for the last 3 weeks. The GP says its from allergies, I have started weening him off breast milk about 4-5 weeks ago. He use to drink parmalat growing up milk at night before bed, and rooibos with full cream milk during the night if he wakes up, and also in the morning. Our GP suggested that he could be allergic to milk. So we have switched to regular soy milk mixed 1/2 1/2 with woolies rice milk. He drinks that now instead of the milk. We have also noticed that if he had to more than 2 small yogurts a day, he would get constipated. He also use to eat cheese, but we have eliminated that from his diet as well.

It has now been 1 week with no milk/dairy products, and giving him loratodine in the morning, and no improvement. In general he battles with tonsils (5 times in the last 5 months  we are seeing the ENT early next year).

The symptoms at the moment are, he coughs to the point of gagging when he wakes up in the morning, and coughs at night, waking up 2-3 times during the night. During the day he is mostly fine, but also has a coughing fit when he wakes from a nap.

He weights 14kg, and is about 89cm tall.

Do we continue with the elimination of the milk/dairy? Do we see the ent earlier? Do I take him to the pead? Do I take him for allergy tests?

I would really appreciate some advice.


Expert's Reply



Your son's cough does not appear to have an allergic cause. Your description of his cough strongly suggests that he has a form of whooping cough.This illness is known by the medical term as"Parapertussis"It is important to treat whooping cough as early as possible otherwise the coughing spells may continue for longer than 3 months.It woulld be best to take him to see your paediatrician.He can go back onto his original milk.

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