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View Full Version : How to treat whizing in an infant?



asha
12-09-2007, 02:17 AM
DS2 is now 11 months old. He started whizing last night. He has been coughing for a while now. The night of Nov 13th, he got croup. It was a really severe attack. Where he was starting to turn black and blue. So, I called 911 and we ended up spending the night in the ER. The cough was still not completely gone.
Monday DS1 started coughing, then got a bad viral infection with cough, fever, bad stomach etc. He did not go to school all week and is just getting better now.
I guess DS2 caught the bug from DS1. His cough started increasing two days ago. He started running a fever. last night he started whizing.
To give you a little more info, he had RSV when he was 2 weeks old, caught some other infection when he was about 3 months old. He had whizing then also, but it was soo mild that I could hardly tell. His ped gave him Proventil and we used it for a week and we have not used it since then.

He has been falling sick very often since September. This is just the second time he has had whizing and I am not very sure how to treat it. I have spoken to his doctor about it and she suggested that we start using the inhaler (Proventil) if he started whizing again. We have been doing that every four hours. In between, we have also been doing some shower treatment. The humidifier is going full blast.

Proventil does not seem to be doing much this time. However, I remember the doc telling me that if I did not start the inhaler at the first sign of trouble, it might take a few times before we see much difference. The after hours clinic suggested to continue what I am doing and make him sleep elevated.
I have also been doing some saline treatment along with everything else.

His appetite has gone down considerably. He has only had 10 ozs of formula/breast milk and one bottle of pureed squash. He did eat about the same amount of apple sauce this afternoon, but ended up coughing and threw up everything he ate. He has been having enough wet and dirty diapers, so I know he is not dehydrated.

What else can I do? I have to get through tomorrow. The on call doctor is now some one that I am happy about. She is very intimidating and thinks that she alone can be right. I have seen her in the past when my ped was too busy and I really do not want to see her if I can get by.

Thanks in advance ladies.
Asha

egoldber
12-09-2007, 09:53 AM
I'm sorry you guys are still having such a rough time. :(

At this point I would ask for a referral (or just go) to a ped pulmonologist. I think your DD is beyond the care of your ped, who may not be up to date on the most current literature on RAD in infants.

marit
12-09-2007, 04:49 PM
I am sorry you're going through this. And welcome to the croup club :(
My suggestion is (as you have probably heard before) to dress them up really warm and have them sleep with the window open (for cold air) and a cold humidifier. In Israel, where I grew up, the weather is warm, so opening the window doesn't help. They used to open the freezer door and stick the baby's head in there for a few minutes...
I would second the PP suggestion to ask for a referral to a specialist, for the meantime, just do your best today with cold a humid air.

Hugs to you,
Marit

mom_hanna
12-09-2007, 11:06 PM
In response to how to treat wheezing in an infant, my ds is now 12 months old, had rsv at 3 months, and wheezes whenever he has a pretty bad cold. We treat it with a nebulizer with albuterol and pulmicort. It usually takes about 5 days for the wheezing to disappear - albuterol every 4 hours and pulmicort 2x a day. Maybe you could ask your ped about a nebulizer. We were told that infants can get the medication better through a nebulizer than with an inhaler? Don't know if that is true or not, but it works for us. HTH.

Jennifer

bubbaray
12-09-2007, 11:57 PM
In response to how to treat wheezing in an infant, my ds is now 12 months old, had rsv at 3 months, and wheezes whenever he has a pretty bad cold. We treat it with a nebulizer with albuterol and pulmicort. It usually takes about 5 days for the wheezing to disappear - albuterol every 4 hours and pulmicort 2x a day. Maybe you could ask your ped about a nebulizer. We were told that infants can get the medication better through a nebulizer than with an inhaler? Don't know if that is true or not, but it works for us. HTH.

Jennifer


Yeah, that. We do albuterol & pulmicort 2x/day at the first sign of a nighttime cough. We can go up to 3x/day for the pulmicort and up to 4x/day for the ventolin, if that d/n work, we have to go back to DD#1's specialist or the ER (depending on her condition and whether the dr's office is open).

Wheezing can be serious in a baby, so I'd get it checked out. If the dr wants you to use albuterol (ventolin) and pulmicort, ask about a nebulizer b/c the drugs are delivered better via this method (even for adults).

You could google "wheezing infant" too.

asha
12-10-2007, 02:02 AM
I'm sorry you guys are still having such a rough time. :(

At this point I would ask for a referral (or just go) to a ped pulmonologist. I think your DD is beyond the care of your ped, who may not be up to date on the most current literature on RAD in infants.

Hi Beth,
We have recently changed pediatricians. I am pretty happy with the current one. This is the first wheeze DS has had after we switched doctors. I spoke to her last night and she saw DS today. She suggested continuing Albuterol every four hours and added Pulmicort twice a day for a week. I am seeing here again this week for a follow up. I will talk to her about seeing a specialist.

Thanks,
Asha

asha
12-10-2007, 02:09 AM
In response to how to treat wheezing in an infant, my ds is now 12 months old, had rsv at 3 months, and wheezes whenever he has a pretty bad cold. We treat it with a nebulizer with albuterol and pulmicort. It usually takes about 5 days for the wheezing to disappear - albuterol every 4 hours and pulmicort 2x a day. Maybe you could ask your ped about a nebulizer. We were told that infants can get the medication better through a nebulizer than with an inhaler? Don't know if that is true or not, but it works for us. HTH.

Jennifer

Yup,
I got the same prescription too.

Doc said that studies show that inhaler as well as nebulizer both are equally effective. So, for now, we are doing the inhaler.

What do you all think? Should I just get a nebulizer? They had run out of all their nebulizers at the ped's office. How does this work? Does one typically rent it from the ped's office??

Asha