Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

188 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Infant having frequent motion, congested breath and blocked nose. Given rinifol. Any solution?

Answered by
Dr.
Dr. Hema Yadav

Pediatrician, Infectious Diseases

Practicing since :2005

Answered : 1528 Questions

default
Posted on Thu, 13 Dec 2012 in Child Health
Question: Hi, I am travelling and little concerned with the health of my little one. Baby have been passing motions 10_12 times during the day. Recently we took him to the doctor and the doctor prescribed "Rinifol". It didn't help much then we took him to other doctor and the doctor advised of some infection and prescribed norfloxacin suspension. I was not very confortable about giving norfloxacin but had no other choice We have given 3 doses of same to baby and today we noticed congested breathing and blocked nose ..baby is making sound while breathing also has developed a bit of breathing. i am using nano clear for same but when talked to the doctor he has advised of "Sinarest AF". Nt sure what to do. Would appreciate some good advise please.

Thanks XXXXXXX
doctor
Answered by Dr. Hema Yadav 1 hour later
Hello ,
Thanks for posting your query.
Considering the details provided your baby is suffering from infection most probably viral less likely though possible bacterial .
Now most of the viral infections resolve on its own in a week or two but since your baby has persistent symptoms and now cold and congestion I would recommend the following ,
1. Norfloxacin is not to be given to such young infants unless other medications have failed.
2. Nasoclear or any baby nose drops ( nasivion etc) can be put to relieve congestion every 4-6 hours.
3. Sinarest AF as per prescribed dose twice to thrice daily can be given if breathing difficulty persists despite nose drops .
4. Breastfeeding should be given adequately infact on demand or frequently to maintain good hydration .
4. Zinc and multivitamin drops ( Z&D , Zincovit etc can be given for faster recovery from colds as well as diarrhoea .
5. If loose stools are persistent safer antibiotics like Cefixime or Colistin can be given as per doctors advise
6. Probiotics like enterogermina or nutrolin b can be given as an alternative to Rinifol or the same can be continued.
Kindly consult a pediatrician and discuss the above so that appropriate treatment can be prescribed . If its not feasible due to travel then the previous treatment can be continued ( except norfloxacin ) and sinarest AF can be given for the congestion.

Hope I have answered your query.
Wishing your child a speedy recovery.
Kindly accept my answer if you have no further queries.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Hema Yadav 32 minutes later
Thank you very much doc for the advise and lovely wishes... Just have few follow up queries.

1) 5. If loose stools are persistent safer antibiotics like Cefixime or Colistin can be given as per doctors advise
Correct me if I am wrong. I was asking about this and heard that the above can indeed cause loose motions.
Also if I have to start it then would it matter with the fact that norfloxacin has been give for three doses ..
2) Zinc and multivitamin drops ( Z&D , Zincovit etc can be given for faster recovery from colds as well as diarrhoea _
How many times this can be given
3) norfloxacin - as I mentioned I wasn't comfortable even to give same. Could I ask one thing. The reason for not to give same. It is prescribed by a family doctor and he advised that it is okay to give but when I read it on Internet it wasn't recommended .. What's he actual reason behind same.
doctor
Answered by Dr. Hema Yadav 15 minutes later
Hello,
Thanks for the follow up
Answer1. Yes all antibiotics ( Cefixime or amoxicillin ) etc also kill the good gut bacteria ( normal gut flora) and hence can cause diarrhoea but if the child has bacterial gastroenteritis then Colistin or Cefixime is usually prescribed and it's seen to resolve the diarrhoea in such cases. However probiotics and zinc should be given along with antibiotics . Ideally you should start antibiotics without consulting your pediatrician and since already norfloxacin has been given for three days I would recommend you first get a stool routine and culture test done which will confirm the diagnosis . If the test is positive for bacterial infection only then your doctor might advise a new antibiotic ( depending on the test result)
Answer 2. Any brand of zinc can be given .Zinc 20 mg / day can be given as two divided doses twelve hour apart ( ie drops 0.5 ml twice or syrup 2.5 ml twice )
Answer 3. Norfloxacin is usually contraindicated in minor infections in children as it can cause harmful sideeffects on the growing bones and cartilage of children . In dire situations depending on severity and resistant infections some doctors do prescribe other fluoroquinolones like ofloxacin or even norfloxacin . But it's usually avoided in children.
So please do not worry and do consult your pediatrician for the investigations and prescription.
Hope I have answered your query.
Kindly accept my answer if you have no further queries.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,   ,  

Recent questions on  Bacterial gastroenteritis

doctor1 MD

I have irritation in the anus soft bowels kind of a bloated feeling and when I wipe I see small particles. I also have gas particularly at night but some during the day. I thought maybe because my dog was found to have tape worms maybe I...

doctor1 MD

After I ate yesterday and today I had stomach cramps , diarrhea , noises in my stomach. I take VSL#3 but does not seem to help right now. I was told by another doctor I may have an intestinal infection? I also have been taking bismuth...

doctor1 MD

My torso feels like it's in a tight wrap, or like someone filled my torso with air like a balloon. I've had this feeling off and on for about 2 years. It has been 3 days since this one started. (I have complained to my doctor, but he told me it...

doctor1 MD

I haven't been officially diagnosed, but I probably have IBS. I have no stress & I haven't been able to attribute symptoms to any particular foods. I eat basically the same things but don't have problems all the time. My biggest issue in the last few years is that I will get a sudden "attack" of gas (it feels like a balloon in my guy) sometimes with diarrhea. It can happen at any time out of the blue. What can cause that? If it IS food related how do I know which meal is the cause? The most recent? 12 hours ago? 24 hours?

doctor1 MD

hi Doc, my kid is 9 years old. for the last 5 days she has been presenting with low grade fever. initially i suspected it to be viral and hence put her on crocin syrup. however for the last 3 days she has been passing green stools (3 times a day). Also has fever between 99.4 - 100.6 degree F which is intermittent. cud it be viral or bacterial gastroenteritis. what is the treatment modality that i should be following. she refuses to go to a doc or get investigated.
kindly advise
regards

doctor1 MD

Hi...my name is John and I am being treated for acute gastroenteritis...my gi doc put me on cipro and flagyl for 10 days. This is the 8th day and although I feel better, I still have bad nausea days from the medication...yesterday I took 2 probiotic tablets (20 billion cultures) and my nausea got very bad. Almost nothing worked....today is better but I had to take Zofran. Could the probiotics have exacerbated my nausea?

doctor1 MD

Hi, I am a 42yr old male. For the past few days my muscles have been aching all over, i am weak and fatigued, and every time I try to eat I vomit. I have not experienced any other symptoms, but I do admit that I have recently gone all day with out food for a few days. Thhe first day I experienced these symptoms I had a fever. Can you offer any insight doc?