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What Causes Coughing And Vomiting In An Infant?

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Posted on Mon, 23 Oct 2017
Question: Hi,

I have a question regarding my Baby aged 7 months. Since a week, my baby has been coughing especially in the night and tends to vomit out the milk/food consumed hours back. Any suggestions on this please?
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:
Is the child formula fed? Proper burping is important

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. I would need to ask you the dietary habits of the child. I mean to ask if the child has been weaned off to semisolids and whether the child is otherwise on breast milk/formula feeds. Such problems often occur especially when on formula feeds. In such a case switching back to breast milk should provide relief. You should burp the baby for at least 15-20 mins after each feed. All you need to do is to hold the baby head end elevated for this duration. Proper burping will ensure that the milk will not regurgitate back from the stomach to the food pipe.

The cough could be due to a viral infection. Irrespective of treatment it usually spontaneously resolves in 5-7 days. You need to give steam inhalation to your child. It helps in reducing the congestion. Just sit with your child on your lap and place the source of steam before you. The water vapor will be in the air and automatically the child will breathe it in. Water vapor will reach deep inside and would help in diluting the cough and thus would provide relief. Use Nasoclear Saline Nasal Drops in case of nose block.

Hopefully that would help. Feel free to write back in case of further queries.

Regards
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Diptanshu Das (2 hours later)
Thanks a lot doctor for the reply.

My baby is still breast fed. My wife resumed office since 3 weeks so she pumps her breast milk into bottles which is fed to the baby over the course of the day. In between, mashed "dal" is fed every day with water at the end. No formula feeding started yet.

The baby is 9.25 kgs after 7 months FYI. Feeding is done with her sleeping, and a pillow under her head for elevation. She does not intake food in a sitting position.
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:
Proper burping is possibly lacking.

Detailed Answer:
It is really good to know that no formula feeds have been introduced. In such a case problems due to formula feeds gets ruled out. Can you please confirm if the burping is being properly done? The child needs to be held upright for at least 15-20 mins after each feed. Unless that is being done, regurgitation can occur and lead to vomiting.

The weight gain is extraordinarily good and so overfeeding could be a likely cause. I would insist on reducing the amount of feeds and observing if the complaint persists.

It is not a good thing that she is not getting used to feeding in sitting position. This cannot continue and the lying position is simply increasing the likelihood of regurgitation and vomiting.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3871 Questions

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What Causes Coughing And Vomiting In An Infant?

Brief Answer: Is the child formula fed? Proper burping is important Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through your query and understand your concerns. I would need to ask you the dietary habits of the child. I mean to ask if the child has been weaned off to semisolids and whether the child is otherwise on breast milk/formula feeds. Such problems often occur especially when on formula feeds. In such a case switching back to breast milk should provide relief. You should burp the baby for at least 15-20 mins after each feed. All you need to do is to hold the baby head end elevated for this duration. Proper burping will ensure that the milk will not regurgitate back from the stomach to the food pipe. The cough could be due to a viral infection. Irrespective of treatment it usually spontaneously resolves in 5-7 days. You need to give steam inhalation to your child. It helps in reducing the congestion. Just sit with your child on your lap and place the source of steam before you. The water vapor will be in the air and automatically the child will breathe it in. Water vapor will reach deep inside and would help in diluting the cough and thus would provide relief. Use Nasoclear Saline Nasal Drops in case of nose block. Hopefully that would help. Feel free to write back in case of further queries. Regards