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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For RSV

My 13 mo old daughter was diagnosed with RSV about 4 weeks ago. After 2 weeks she was not getting better (coughing, mucus, fever, vomit) so they took a chest xray and said she had walking pneumonia. They put her on an antibiotic, and an abutural inhaler. After another week she was sounding better, and her cold was gone, but she continues to vomit, at least once a day, always immediately following a meal, or after her evening bottle. She is also uncomfortable and irritable. The dr now says she has post infectious gastritis, and put her on Prilosec. She has been on for 3 days, but now the vomit looks like big (some 2 ) chunks of cottage cheese. I m assuming this is from her stomach acid and her milk from her bottles. Are we doing eveything, or the right thing?
Thu, 29 Jan 2015
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Pediatrician 's  Response
RSV is a virus that frequently affects children between 6 months to 3 years of age. The treatment is with nebulisation which basically breaks the water and medicines into fine particles and delivers it deep inside the lungs. Steam inhalation at home could give her some relief if nebulisation cannot be given at home. Also give some antiallergic like cetirizine syrup. It should reduce the irritation in her throat which is the likely cause of her vomiting. You may also give some antiemetic like ondansetron half an hour before feeds. You may continue Prilosec. Otherwise you are doing the right thing.

Our stomach contains acids that are meant for digestive purpose. The milk is supposed to get curdled when it comes in contact with this acid and this is normal. So, the chunks looking like cottage cheese, are not abnormal if she is vomiting out.
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Suggest Treatment For RSV

RSV is a virus that frequently affects children between 6 months to 3 years of age. The treatment is with nebulisation which basically breaks the water and medicines into fine particles and delivers it deep inside the lungs. Steam inhalation at home could give her some relief if nebulisation cannot be given at home. Also give some antiallergic like cetirizine syrup. It should reduce the irritation in her throat which is the likely cause of her vomiting. You may also give some antiemetic like ondansetron half an hour before feeds. You may continue Prilosec. Otherwise you are doing the right thing. Our stomach contains acids that are meant for digestive purpose. The milk is supposed to get curdled when it comes in contact with this acid and this is normal. So, the chunks looking like cottage cheese, are not abnormal if she is vomiting out.