Brief Answer:
Kinldy get back to me with answers to my questions

Detailed Answer:
Hi...Greetings from XXXXXXX .I remember me answering you about the Cheston Expectorant in out last interaction. None of the anti cough and anti cold medicines you have used are licensed to be used in this age group. Babies less than 3 months age are not to be given combination medicines like this.

Gudcef (Cefpodoxime Proxetil) is an antibiotic and I would think twice before starting an oral antibiotic like this in a baby less than 3 months of age without proper indication and investigation.

I have a few questions for you -
1. What do you is the main problem for your kid?
2. Is there any fever and if so how high?
3. Is the cold which is most disturbing or cough?
4. How is the baby feeding?
5. How is the baby's urine output?
6. How is the baby's general activity?

My suggestions -
1. Stop all the medicines which you are currently using.
2. If there is fever - Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
3. For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.

I suggest you get back to me with answers to the above questions and I will be glad to guide you further.

Regards - Dr. Sumanth

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Brief Answer:
Suggestions on cold and wheezing

Detailed Answer:
Hi...if there is no fever, you need not worry. I expect that the wheezing was diagnosed by a doctor. But wheezing is very unlikely in this age group unless the kid is having initial symptoms of acute bronchiolitis. This is a viral infection of the lower respiratory tract it causes fast breathing and sometimes it may also require nebulisations and oxygen therapy.

The danger signs in this age group include -
1. Fast breathing with respiratory rate more than 60 breaths per minute.
2. Retractions of the chest wall and upper part of tummy.
3. Inability to feed.
4. High fever above 100F.
5. Obviously breathless baby.
6. Bluish discoloration of the nail beds and lips.

If these are not there you need not worry. Many times in babies of this age the airway of the breathing tube will be soft and when air flows through it there will be a fluttering noise which is commonly mistaken as wheeze. If the noise is more during feeding and more during night when everything else in the vicinity is calm, then it is not wheezing and most likely it is due to the soft breathing tube.

Even if it is wheezing, in this age oral medications for wheezing are not indicated and nebulization is the best option. But as you quote feeding is fine and urine output also fine and general activity also is fine I don't think the baby might require nebulization.

I suggest you get back to your local paediatrician and if he suggests that there is no need to nebulize now, you can be rest assured.

Regards - Dr. Sumanth

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