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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Wheezing And Persistent Cough In An Infant?

Hello I have a 4 month old it sounds like she is wheezing at times, has a persistent cough, sneezing, runny nose but no fever. Shes having trouble sleeping n eating cuz of it. Should i her in to the emergency or can I wait till Monday ? It s already been 3 days
Tue, 18 Sep 2018
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Pediatrician, Pulmonology 's  Response
Hi,

From what you quote, I put forth these possibilities -

1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise).

But the child will not struggle to breath and there will not be fast breathing and in-drawing of chest wall. The sound will be more heard during sleeping and feeding.

2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall indrawing.

But both are associated with a recurrent cough and cold. But these might not always be bacterial infections which require antibiotics and usually are predominantly viral and are self-limiting.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sumanth Amperayani, Pediatrician, Pulmonology
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What Causes Wheezing And Persistent Cough In An Infant?

Hi, From what you quote, I put forth these possibilities - 1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in-drawing of chest wall. The sound will be more heard during sleeping and feeding. 2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall indrawing. But both are associated with a recurrent cough and cold. But these might not always be bacterial infections which require antibiotics and usually are predominantly viral and are self-limiting. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology