C.H. asks from Fort Worth, TX on November 21, 2006
Is This Mucus Normal? My Doctor Blew It Off.
Last night my eight month old son suddenly became extremely congested. I used the nasal aspirator so he could breath well enough to nurse. All night he snored, choked, and woke because of this nasal congestion. As the night went on the mucus became thicker, darker, and more abundant. We went through several rags through the night and he slept for no more than 30 minutes at a time. He happened to have a checkup this morning so I spoke with the doctor about it. Before even asking any questions or looking at my son he said we shouldn't worry about it at this age because it's probably due to teething. My son has had the "teething" runny nose before but it was thin and clear, mostly due to crying I assume. I pressed the issue so the doctor looked at my son's throat. Again, he said it was not something to worry about. At the time there was not a lot of mucus because I had recently sucked it out. Can the doctor tell by looking at his throat if he has a sinus infection or some other problem? He has a slight fever and his eyes are puffy and red. The mucus is a dark greyish yellow and the consistancy of egg yolks. It replenishes itself within minutes after I remove it. Should I leave it at that, give him some over the counter meds, or go to the trouble of switching doctors? I hate to over-react. Does anyone know more about these symptoms. If it IS in fact teething, I would like to let it run it's course, as I am not usually quick to give my baby meds. But, I hate to see him so uncomfortable and exhausted by this. Some homeopathic solutions or rememdies would be GREATLY appreciated.
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M.O. answers from Dallas on November 22, 2006
My 4.5 month old has the same symptoms that began Monday. Here is how my doctor handled it. My daughter weighs 13 lbs; therefore, the doctor on call recommended 1/2 teaspoon of yellow Triaminic (it is not for infants), suction, saline nose drops, Pedialite, and Tylenol. I added a cool mist humidifier and Vick's Baby Rub. Monday night was a rough one. She slept very little, seemed very hot to touch, had a difficult time breathing and was very restless. Tuesday when we went to the doctor, she added 1/4 teaspoon a Zyrtec to the list and said to call if my daughter began running fever or started coughing. Although she is still congested, she is improving and has begun to smile again. If you live in the east Dallas area, I highly recommend Dr. Andrea Cramer as a Pediatrician.
S.L. answers from Dallas on November 22, 2006
I suggest you get a second opinion. If it is worrying more, I'd rather be feeling good about it rather than wondering.
I hope all works out.
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N. answers from Dallas on November 22, 2006
Does he feel bad? Have a fever? My daughter had RSV when she was only 2 months old. She had a TON of mucus and congestion. I had to bulb her nose 24 hrs a day. I suppose you should keep an eye on it and take him back in if you think you need to.
H.L. answers from Dallas on November 22, 2006
It is terribly frustrating the first couple times you end up with an upper respitory infection at the doctor's office. Unless there's an infection there really is nothing medical that can be done. If he has a sinus infection (which it sounds like he might), the only way to confirm that is with a CAT scan (I had this debate with my own Ped). So you have to decide how comfortable you are with treating with antibiotics as a guess (maybe it's a sinus infection, maybe not) and then find a ped that fits that desire. Most will happily treat after a week or two. Which is just miserable on the mama, but really, it depends on how much antibiotics you want your child to see. If you demand them, most peds will cave.
In the mean time, do you have a vaporizer? CVS sells the Vicks one for like $10.99. I swear it makes a huge difference for Sam. Also, we take showers together on the nights that he's sick. It seems to really open him up before going to bed. I also use either the Vicks Vaporizer liquid or the Pediasure vapors (in the outlet). It always made me feel better as a kid to have that mentholatum stuff floating around. However even a week of cleaning that thing can get old and the filler expensive. I do have to say that I think the decongestants are a joke. I have never noticed them to make a difference with Sam (Tylenol Cold, Pediacare, whatever).
You really only need to get concerned if he is congested (and seems in pain) for more than a week or a cough develops in the lungs. And I have been to the doctor enough times to know that a lot of Sam's coughs have sounded to me like they were in the lungs but it's really just coughing up the phlegm on the back of the throat. (Save yourself a co-pay. Go in after congestion for a week or if there is labored breathing or a real rattle in the lungs)
I am a big fan of Dr. Sears when it comes to his Medicine Cabinet and Childhood Illnesses approach (let's disregard the other stuff for the sake of this conversation). He lays it all out in a really easy to understand format.
See http://www.askdrsears.com/html/8/T081000.asp
Good luck! I know how hard those nights are! Sam (I think) has allergies. Our entire late summer early fall was congested (ages 14-16 months). Sometimes it developed into a cough, sometimes a sinus infection. It sucks! Take care of yourself too! Although you're a SAHM, illnesses call for daddies to pitch in too. If you get sick, who's going to care for you both?
D.M. answers from Dallas on November 26, 2006
It sounds like you have recieved lots of good advice. The only thing that I can add as a mom of a kiddo who had bronchitis 6 times in the last year is to get a nasal saline spray called ENT-SOL. It is over the counter, but has a higher concentration of sodium which binds to the molecules of mucus and you can actually suck more out this way. I didn't believe it at first when our pulmonologist told us this, but the difference between aspirating with regular saline and the ENT-SOL is huge! You have to ask the pharmacist for it, but it is not something you need a prescription for!
M.O. answers from Dallas on November 22, 2006
My 4.5 month old has the same symptoms that began Monday. Here is how my doctor handled it. My daughter weighs 13 lbs; therefore, the doctor on call recommended 1/2 teaspoon of yellow Triaminic (it is not for infants), suction, saline nose drops, Pedialite, and Tylenol. I added a cool mist humidifier and Vick's Baby Rub. Monday night was a rough one. She slept very little, seemed very hot to touch, had a difficult time breathing and was very restless. Tuesday when we went to the doctor, she added 1/4 teaspoon a Zyrtec to the list and said to call if my daughter began running fever or started coughing. Although she is still congested, she is improving and has begun to smile again. If you live in the east Dallas area, I highly recommend Dr. Andrea Cramer as a Pediatrician.
H.C. answers from Dallas on November 22, 2006
C.,
I work in the hospital and have lots of experience with this. I would recommend finding another doctor. It sounds like to me your son has a sinus infection (which is always green/yellow snot) If his muous is white/clear thick and stringy,your son probably has RSV or broncholitis. Any doctor who "blows a parent off" is NOT A GOOD DOCTOR! You know better than anyone in the world what is normal and not normal for your child. Email me if you any ____@____.com
H.
L.C. answers from Dallas on November 22, 2006
C.,
I would ALWAYS listen to your gut. I have a six year old and have had many problems with doctors. My son has autism and if I hadn't listened to my gut we would not have progressed like we have. I have a homeopathic doctor we LOVE and my son has only been on antibiotics once in his life. If I were you I would change doctors immediately to someone who will listen. That much congestion is NOT teething!!!! If you would like a referral of a new pediatrician email me and I will give you some names I know to be good and compassionate. You are a good mommy and always listen to what your heart is saying!!!!!
L. ____@____.com
M.F. answers from Dallas on November 22, 2006
We've been dealing with a persistent sinus infection with my son since the end of Sept. I've looked up a lot of info, been to the pediatrician about 8 times, seen an allergist, now on our way to an ENT. I feel like a sinus expert. Let me share what I've learned! Thick, cloudy stuff could just be a cold ('tis the season for that) or it could be a sinus infection. It is no fun at all to deal with, but should run it's course in about 10-14 days. At our pediatrician's office, the rule of thumb seems to be that sinus drainage/congestion that doesn't get better after 14 days, or it includes a fever over 101 for 3 days, is worthy of antibiotic treatment. It's been a pretty good way to assess the problem. Before we entered this "chronic sinusitis" hell, those rules have always held true with both our kids. During those times when no antibiotic was needed, it really did take at least 10 days to run its course. This stuff seems to get worse before it gets better, but, typically, after 5 to 7 days we would see it start getting better (at least you should be using fewer tissues than when it all began.)
As far as relieving his symptoms, I also try to avoid OTC medicines. Most decongestants, which are often stimulants, don't actually do much for the congestion and leave me with a very irritable toddler with mild insomnia. If the congestion is affecting night-time sleep, we'll use Benadryl at night. It helps dry it up and it helps them sleep. During the day we try to stay drug-free. The absolute best thing you can do is use saline nose spray, wait about 10 minutes, then use the nasal aspirator. Do it as often as you can -- I usually do it in the morning, before and after nap, and before bed time. You may also need to do it before meals if he's having trouble breathing while he eats. Increase his fluid intake -- water, pedialyte or gatorade -- as much as possible. Let him nurse more often since he's not likely getting a full feeding because of his stuffiness. A cool-mist humidifier should help in his room. Sitting in a steamy bathroom in the mornings might help too. His mucous will be thicker and darker in the mornings from having sat in his head all night while he was laying down.
I know it's frustrating when your kids aren't feeling well, and you feel like you should DO something to help it, but as with most things in life: Less is more.
Good luck!
A.R. answers from Dallas on December 20, 2006
First of all u have alot of great advice.. im not to experience since im a first time mom but i had the same prob. w/my daughter when she was smaller! Do not let your Dr blow u off! (he will just keep on doing it! Well atleast in my case!) I learned that instead of salien drops use lukewarm water and instead of putting him flat on the bed, prop him up almost as he was sitting up. This will let the mucus drain instead of building up and making things worse! I used a swinging toy and her carseat to prop her up! IT MADE A BIG DIFF UNTILL SHE GOT BETTER!!! GOOD LUCK!
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