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Childhood-diseases

Question
Posted by: Oi ve! | 2007/12/10

Q.

Doc, Please help?

Dear Doc,

I'm reaching desperate stages with my daughter. She's just turned 5 months. Some background:

She was breastfed for the first 3 months. She is currently on Nan HA, and has very recently (about 2 weeks ago) started with very small amounts of rice cereal in the morning and some Purity sweet potato or butternut in the evenings. She loves her food and "feeds" herself with her own spoon while I feed her. She also sits compeltely unsupported for about 10 minutes at a time already and while sitting, reaches forward to grab a toy, then puts it in her mouth. So her development is on track a far as I can tell. She goes to daycare and is very happy and content there.
She's generally a very happy and sunny baby.

My problems come in where she's been having a runny nose for about 3-4 weeks on end, accompanies by a phlegmy chest and cough. It got progressively worse until a week ago when I took her to the doctor, who prescribed basically everything I was using anyway (Mucospect, Combivent, Sterimar) and also said I should use Iliadin for 5 days. Which I did. It's slightly better. But she still weezes as soon as the sun goes down and get's these coughing bouts during the night that sound like asthma (I have asthma, she has eczema, so I guess it's possible, although I know it's close to impossible to diagnose accurately under 2 years of age). I gave her the last mucospect yesterday, I stopped the Iliadin after 5 days and I haven't nebulised her since Saturday, because I just felt like it wasn't helping anyway. It's not worse, but it's not better. She doesn't sound short of breath anymore and she's not really retracting anymore. But the weezing, coughing and runny nose continues. I keep using the Sterimar because I believe that stuff helps incredible, even if only for avoiding a sinusitis.

Please note: She hasn't had any fever, she's not really irritable, the phlem and mucous are still clear, not yellow or green and her appetite doesn't seem to be affected.

What should I do? Should I find some other type of specialist? I'm completely hands in hair already. And I need to sleep!!! (and so does she!)

Expert's Reply

A.

Paediatrician

You have given me a very clear description of your baby daughter's problems. You are allergic and allergies are inherited.She already has eczema which is usually the first of the allergic conditions to develop in infants. She also has a clear watery nasal discharge and frequent/persistent wheezing.It is almost certain that young as she is, she is now manifesting allergic rhinitis and asthma. She needs to be seen by a paediatrician with expertise in paediatric allergy [there are experts in all the main centres in SA-let me know if you have difficulty in finding the right person in your area] She needs to be tested for food allergies which can easily be done at her age.I would recommend that you continue with saline only for her nasal allergy. Effective treatment is now available for infants with asthma.

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C.

Posted by: Oi ve! | 2007/12/10

Thank you for the quick response - I will be researching peads in the Centurion area today. I guess early intervention would be beneficial if it really is asthma.

Kind regards

Reply to Oi ve!

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