W.H. asks from Dallas, TX on June 19, 2009
Hello. My daughter is 4 months old and has wheezed, coughed, and been hoarse almost since day 1 and with varying degrees. She got bronchiolitis (RSV onset) at 2 months, we gave her Pulmicort (5 days) and Xopenex (3 weeks) through a nebulizer with little long term success. The pediatrician finally diagnosed her with asthma after a second major bout of coughing/wheezing in conjunction with a cold. She had more Pulmicort and Xopenex again but did not get much better. She also has had chest xrays and her lungs are clear. We finally took her to a pediatric pulmonologist, had a Cystic Fibrosis test (negative, whew!) and an upper GI and they said she showed some silent reflux. She is still wheezy and coughing and hoarse, but no longer on Xopenex or Pulmicort because it does not seem to help much. Through all this, she is very chunky (18+ pounds)and thriving and happy. As a matter of fact, we think she might eat more because it soothes her throat. We are experimenting with upping her Zantac which she's been on since 2 months old and changing her formula but she is mostly breastfed. Sorry for the lengthy history, but I'm frustrated that we can't seem to get her better after many many doctors visits, tests, medications, and xrays. I don't want to keep giving her medicines that don't work. Has anyone had this experience with their babies and had any luck "treating" it? I guess I'm still not sure if it is just reflux or allergies (or both) and what we can do to help her. Any suggestions would be much appreciated.
B.S. answers from Dallas on June 21, 2009
Hi W., I don't have much experience with this. My daughter had more of the typical colic reflux that went away around 4-5 months. My cousin's baby had silent reflux really bad and his mother said that putting him on Prevacid is what finally did the trick. It works differently from Zantac, so you might look into it. Good luck!
C.H. answers from Dallas on June 21, 2009
We went through some similar situations when my daughter started daycare at 4 months old in December. Same meds and didn't really seem to help. Finally, the doctor advised on Zyrtec (2 ML) at bed time at 6 months old. This seemed to help for a while and then wore off. Now we are doing Benadryl (2 ML) at bed time (she is 10 months). I think most of this is allergy related but not certain. I can sympathize with you. I do not know if there is any treating it as it is common cold/allergy and they seem to get well and then recatch it at daycare.
R.H. answers from Dallas on June 19, 2009
My daughter is 4 years old and had the exact same thing. She kept getting sick and had been sick with a cold/cough every month since she was 18 months old. The peditrician would just say, kids get 10-12 colds a year and she would develop and ear infections with it because of the cough/drainage. I finally went to a allergist, no allergies. But they did stick a camera down her nose and her adneoids were covered in mucus and that was making her cough all the time. We had them removed, she did get some better for about 6 months. Then she got a cold again/then the cough started again. She was coughing for about 6 weeks and I took her to pedi again. They said estachitis, use nasonax spray for 2 weeks, didn't help. Got feed up again, and took her to the ENT office that took her adneoid out. I saw a different doctor in the office and told him all of what had been going on since she was 18 months old and the sickness. He stuck a camera down her nose again and saw that her larynx was bright red and mucus was coming out of her stomach and hit the camera. He said she had acid reflux, I could not believe him, as she has had no symptoms of that ever. He said that are learning more and more that it causes ear infections, resporitory infections, adneoids removed, etc. I had a hard time believing it and did not internet reseach, and found that it was true. We gave her prevacid for 6 weeks and after 5 days the cough went away. I still give her some for a few days when she gets a cold, to keep the elevations down. As the doctor said it can get elevated when a cold happens. I hope that any of this helps, I just went though a lot with her being sick and they could never figure out what was wrong. If she had been diagnoised right, she would not have had to had her adneoids removed the first time.
K.H. answers from Dallas on June 20, 2009
Hi W., I know what you're going through it's very upsetting when you don't know for sure. My grandson had simular problems. We thought he had lung problems as well as stomach. He wheezed & coughed & threw up all the time. We finally after 2 yrs took him to a gastric Dr.
Not sure about the spelling but it's Dr. Olganmola assco. with Cook's children in Ft. Worth he is wonderful.
He had a scope done & the found the valve in the lower part of his stomach was to small so he dialated it & in a very short time he was fine. With acid reflux of any kind the acid sometimes gets in the lungs & it can cause wheezing. I hope you will take to a gastic specialist & have her checked out further. I know its a tough spot to be in as a Mother, just know you & your family are in my prayers. Take care.
L.M. answers from Dallas on June 23, 2009
To decrease the reflux, have her in a upright position for 30 minutes after eating. My sister had this problem as a baby and my grandma put small amount of rice in her food. Babies at this age are still developing and the flap that leads to the stomach is weak. My friend is a pedi nurse and she says sometime it takes a kid awhile to get over RSV, so keep watch over her. You could always seek the opinion of another pedi as well.
A.G. answers from Dallas on June 20, 2009
Have you talked with your doctor about thickening her food and milk? That would be the first thing I would ask. Then I would ask if she is lactose intolerant. We struggled for a year with one of my twins to only find out on top of relux he was lactose intolerant. Does she sleep upright? Mine slept in a swing or carseat for the first year. Hope this helps!
M.C. answers from Dallas on June 24, 2009
Have you tried breathing treatments whenever it flairs up?
J.M. answers from Dallas on June 20, 2009
Ahh, reflux. What a pain to deal with. Both my kids have this as does my husband. I would recommend Dr. John Fewins in Ft. Worth if you are anywhere close. I am not sure he sees little ones that small, but he got both my kids as well as hubby on the right track. He is really good and smpathetic. As a matter of fact, he also suffers from bad reflux.
L.C. answers from Dallas on June 20, 2009
PLEASE be careful with vaccinations! Read Dr. Sears vaccine Book or Stephanie Caves book on Vaccines. Homeopathy is a great natural way to help. Dr. Dan Cook in Dallas is great.
M.L. answers from Dallas on June 20, 2009
I would take her to a chiropractor. My chiro specializes in Pediatric care and has had some awesome success with Reflux, as well as Allergies. Dr. Haggerton in Hurst - trust me, it's worth the drive! Good luck to you!