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4 month child having fever, congested nose. Given calpol drops and started vomiting. Any advice?

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my 4 month old baby has got slight fever, the body was hot (temp 98.8) and congested nose since 2 days, we gave CALPOL drops for fever and used Nasoclear for the congested nose, the CALPOL seems to do its work as the fever is gone now, the temperature remains at 98.4 degrees but the body isn't that hot now but she still got blocked and irritable nose which is disturbing her sleep. she is not that active and looks a little tired and often wakes up disturbed and cries in her sleep. apart from that we had 2 instances where she vomited after using nasoclear drops, but was fine after it was over. so we are kind of afraid to use nasoclear drops again. we tried to take steam but the child is too irritated to give in for the same, hence this idea was dropped. She is feeding normal, body weight is 6.45 kgs, latest taken temperature reading is 96.8 degree Fahrenheit. still got congested nose. please advice.
Posted Tue, 14 Aug 2012 in Child Health
Answered by Dr. Raju A.T 17 minutes later

Thanks for your query.

The symptoms the baby has appear to be due to Viral infection.

The fever in viral infection is well controlled with paracetamol, the nasal congestion needs a better attempt with an antihistaminic medication.

The best and safest considered would be FEBREX PLUS drops which contains both Paracetamol and chlorphenamine.Given 2 ml in the morning ad 2 ml in the night would serve the purpose.DO NOT give CALPOL while giving Febrex plus to avoid double dosage of Paracetamol.

The other best solution would be the steam inhalation.

You can continue the DIGIFLEX.

Hope I answered your query.

Wish you good health.
Above answer was peer-reviewed by
Follow-up: 4 month child having fever, congested nose. Given calpol drops and started vomiting. Any advice? 22 minutes later

Thanks for the prompt response.

Because of the climate of the place I live in, the temperature keeps changing from as high as 45 degree Celsius in the summers to as low as 9 degree Celsius in winters. Besides this the temperature in and out of the house too changes often, and the area is pretty much dusty, because of which she often gets blocked/congested nose which affects her sleep and causes discomforts.

I am quite allergic to dust and pollen grains myself, which often causes me sneezing and blocked nose in the mornings. Can I spread this allergy to my child as well? What to do in such case as she is only 4 months old now.

Can you advise some NASAL SPRAYS which can be used as and when she has a congested/blocked nose (WITHOUT FEVER) on a regular basis? Is it safe to use it often? Any other remedy for these situations? please advice
Answered by Dr. Raju A.T 18 minutes later
Hi again,

Thanks for writing back.

The chances of the baby having allergy now is less.The antibodies needed for such a hypersensitivity reaction are seldom formed this early .

I still consider the infection being the root cause here and fever the child presented with supports my theory.

Saline drops are the one and only nasal drops advised in a baby of 4 months.Do not use any sprays or decongestants which can have adverse effects on the child.

Steam , nasal drops and oral antihistaminics are the only safe modalities to treat the child of this age. Sprays of generic medicines are safe after 9 months only.

Wish you good health.
Above answer was peer-reviewed by
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