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New born baby having upper respiratory infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   hi my son is 10 weeks old and has a nasty cough
Doctor :   Ok
User :   im wondering if i have reason to worry about whooping cough
Doctor :   Since when is he having this cough?
User :   he started coughing about three maybe four days ago, but in the night it gets worse.
User :   he was coughing almost non stop from 5am to 7am yesterday morning
Doctor :   Is he having any other associated symptoms such as fever, nasal congestion or breathing difficulties?
Doctor :   Is he feeding well?
Doctor :   Is your child active?
User :   he is still eating, but his appetite has decreased. he is sleeping more than usual during the day, but i thhought maybe that was due to lack of sleep at night
User :   and, he is active for an hour or so at a time, but he is still very small
User :   and, yes, he has been congested longer than having the cough
Doctor :   Ok
Doctor :   Does he produce noise when he breathes?
User :   i have a two and three year old who are also coughing, but not quite as bad. he only produces noice at night when the coughing gets bad, in the day time he is silent. but when the cough kicks in he does sound a little wheezy, but not enough that i have panicked. it kind of sounds like he has mucas and doesnt know how to cough it up maybe
Doctor :   Ok
Doctor :   Have a seen a doctor?
User :   is it true that he has my immunities? i am nursing only and i am vaccinated, or at least i had all my vaccines as a child
User :   thats another thing, we just went to the doctor yesterday for an unrelated issue and he was coughing there, not horribly, but the doctor listened to his lungs and didnt mention anything about the cough
User :   would he have heard it in his lungs??? can you detect whooping cough just from listening to his lungs?
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Based on your description, the symptoms are consistent of upper respiratory tract inflammation.
Doctor :   The cause could be a viral or an allergic one.
Doctor :   Out of these 2 viral being the most common one.
Doctor :   whooping cough is diagnosed based on the appearance of cough.
Doctor :   A barking like cough is an indicator of a whooping cough.
Doctor :   Since you do not report of such symptoms
Doctor :   I do not think that the present condition can be a whooping cough.
User :   would my doctor most likely have caught it just by hearing it, i didnt mention his cough yesterday cause it wasnt a huge concern yet. would he likely miss it?
User :   is there anything i can do to remedy my baby so he/we can sleep?
Doctor :   A routine lung examination includes auscultation of the lungs where the doctor hears the breathe sounds.
Doctor :   An experienced doctor can pick a major infection by physical examination.
Doctor :   I can understand your concern,
Doctor :   Let me explain to you the measures you need to follow
Doctor :   1. Continue breast feeding
Doctor :   2. Watch out for the symptoms such as an abnormal sound while breathing,
Doctor :   increased/hard breathing,
Doctor :   high grade fever
Doctor :   breathing difficulty
Doctor :   barking sound while coughing
Doctor :   reduced feeding
Doctor :   increased drowsiness
Doctor :   3. If such symptoms occur
Doctor :   then you need to revisit your doctor/pediatrician
Doctor :   for physical examination.
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