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Cold, difficulty in breathing with snorting noise. Treatment?

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My 6 week baby girl having cold and finding difficulty in breathing by nose. She is making some snoring type of noise intermittently. She does not have a runny nose or sounds from chest. We are giving her Nasoclear drops thrice a day. Please suggest if there is any medication needed for her.

Thanks and Regards
Amit Biswas

Category: Pediatrician

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Category: ICU/ Critical Care Specialist
 23 Doctors Online

Dear parent,
Thank you for your query at DoctorSpring.com

I can understand your concerns.
At 6 weeks, babies are obligate nasal breathers, meaning that they have still not learnt to breathe through their mouth. In this age group, even a minor nose block can produce significant noisy breathing as well as breathing difficulty.
The snoring nose that you have described could be due to secretions in the baby's throat and nose. Based on your description, it definitely looks like a viral upper respiratory tract infection only. Hence, we just need to provide symptomatic therapy.
Please continue using nasoclear drops. This will ensure patency of nares. Some parents report benefit with gentle steam inhalation. However, doing it needs extreme caution as there are reports of hot water spillage and scald burns to the baby. No other medications are needed. Am very glad to know that unnecessary antibiotics are not being given. The current management is appropriate. However, it is important to watch for rapid breathing or chest wall in drawing or poor feeding. These signs could suggest spread of the infection to lungs or rest of the body. This may warrant medical attention.
Regards
Dr. Saptharishi L G


Patient replied :

Hi,
Our Baby got DTP, HiB,Hep B-2, IPV and Rotarix on 6 Week age. The Chart also conatins OPV at 6 Week but Doctor told us that as he was giving Rotarix Oral Vaccine, he will give the OPV later on.
My Question: Can we skip IPV on next session on 10 Weeks and Continue OPV only alongwith other vaccine? Is IPV mandatory?
Thanks and Regards
Amit Biswas


Dear Amit Ji,
Your pediatrician's decision is appropriate.
India is in a transition phase as regards to polio. India has been declared polio-free officially now. So all pediatricians are gradually shifting the focus from oral polio vaccine to the injectable polio vaccine. As of now, children would have to receive both IPV and OPV.
So, at this point, IPV is sort of mandatory. I would urge you to take a look at the vaccination schedule recommended by the Indian Academy of Pediatrics in 2015.


Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
Experience: 
Senior Residency: DM,  Pediatric Critical Care, PGIMER

Residency: MD, Pediatrics, Postgraduate Medical Education & Research (PGIMER), Chandigarh, 2013

Internship: JIPMER, 2009

Medical School: MBBS, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, 2008
Dr. Saptharishi L G and 4 other Medical Specialists are ready to help you

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