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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Mucus In Lungs, Wheezing, Cough, Constipation, Heart Burn. On Lactogen. What Is Wrong?

Good morning

I have a 10month old infant. He has a continuous problem with mucus on his lungs, wheezing and coughing since December (when I started with formula- Lactogen). He was on antibiotics for December and January plus 'aspelone' and other cough medication (currently). The last few days he woke up in the evenings, screaming and crying a lot for about an hour. Coughing and vomiting accompanied this. I changed from Lactogen to NAN a month ago to try to establish whether the milk may be the problem. He is also experiencing constipation quite regularly. I am suspecting that he may have heartburn. I've been to several doctors without a solution.
Mon, 8 Apr 2013
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Pediatrician 's  Response
Hello, if your child is having frequent chest infections giving antibiotics alone may not be good enough.For wheezing sometimes a trial of salbutamol via inhaler may be given for a few days and then tapered off.The technique of giving salbutamol via a spacer has to be taught by the doctor.If the wheezing persists a preventer in the form of a chewable,/ mouth dispersibile tablet or a inhaler may be given.I would advice breast feeding and formula feeding if necessary only.Formula by itself will not cause chest infections but can cause constipation.After 12 months i would switch from formula to cows milk via glass/cup.Bottle feeding is not a great idea.In summary a trial of bronchodilators via spacer may be given for wheezing,minimal antibiotics, gradual change from bottle/formula to cows milk/cup as well as continue breast feeding if possible.After one year it is better to give more of solids than milk products.thanks
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Mucus In Lungs, Wheezing, Cough, Constipation, Heart Burn. On Lactogen. What Is Wrong?

Hello, if your child is having frequent chest infections giving antibiotics alone may not be good enough.For wheezing sometimes a trial of salbutamol via inhaler may be given for a few days and then tapered off.The technique of giving salbutamol via a spacer has to be taught by the doctor.If the wheezing persists a preventer in the form of a chewable,/ mouth dispersibile tablet or a inhaler may be given.I would advice breast feeding and formula feeding if necessary only.Formula by itself will not cause chest infections but can cause constipation.After 12 months i would switch from formula to cows milk via glass/cup.Bottle feeding is not a great idea.In summary a trial of bronchodilators via spacer may be given for wheezing,minimal antibiotics, gradual change from bottle/formula to cows milk/cup as well as continue breast feeding if possible.After one year it is better to give more of solids than milk products.thanks