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Would you take the baby to the doctor?
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amother




Mistyrose


Post  Wed, Jan 09 2019, 2:43 pm
amother wrote:
(Many doctors wouldn't be able to recognize pertussis unkess they actively see the coughing fit. And even so, not all would recognize it. Doctors are trained to look for horses not zebras and whopping cough is quite uncommon.
When my baby had it, she didn't have any fever or classic cold symptoms. And her pediatrician missed the diagnosis.
Diagnosis is from witnessing the cough and confirmed with nasal swab.)


This. Please please get a swab.

My story.

We were all immunized. I was sick with a horrible cough for 3 weeks. There was a pertussis outbreak at the time. I went to. The primary care doctor at least 3 times, I'm not sure why she didn't do a swab. During that time I took one of my kids to his regular appointment with the Asthma specialist. While he was examining my child hears me cough and tell me that I have pertussis based on the sound of the cough and that I should go back to my doctor immediately and insist on a swab. I did and he was right.
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amother




Beige


Post  Wed, Jan 09 2019, 2:58 pm
amother wrote:
This is precisely my concern. The doctor saw her for 5 minutes when she was asleep and not having a coughing fit. All he did was listen to her lungs and tell me they were clear, which I knew because her cough is not pleghmy or croupy. She also has no cold symptoms or fever. Just coughing.

How long did it take to get results of the nasal swab? Did your baby have to be hospitalized?


It took a few days for the swab to come back positive but based on the cough, the ER doctor diagnosed her right away.
Yes, my baby had to be hospitalized but she was only 8 weeks and had some complications. BH there were no lasting complications.

I would video your baby having a coughing episode and show that to your doctor.

Refuah shleima to your baby!
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cbsdbs




 
 
 


Post  Wed, Jan 09 2019, 3:06 pm
The respiratory pathogen test is a quick test. The lab should have the results the next morning if the specimen is picked up the same day.
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momsrus




 
 
 


Post  Wed, Jan 09 2019, 3:14 pm
Sebastian wrote:
Amother dtap during pregnancy doesnt give a ton of protection to baby. It s more to prevent you from exposing her. Rs!


No, it’s it’s to protect the baby until she’s old enough for shot.
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amother




Violet


Post  Wed, Jan 09 2019, 3:51 pm
Thanks. I just called the on-call pediatrician and described what I was seeing to her. She said it does sound like it could be pertussis, though the fact that she was vaccinated does make it less likely. She said her lack of fever and otherwise appearing fine in between attacks sound consistent with it, as does the vomiting at the end of the attack, though it's possible it's just viral. She put a referral to the ER into her chart. Meanwhile, it's been several hours since her last coughing fit, so I'm inclined to wait a bit and see if it repeats itself.
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dancingqueen




 
 
 


Post  Wed, Jan 09 2019, 6:22 pm
By 4 months she should have had at least 1 dtap vaccine... I hope she has a refuah sheleimah!
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nchr




 
 
 


Post  Wed, Jan 09 2019, 10:01 pm
amother wrote:
Can you explain this? When I got the shot, the nurse told me that it was to protect the baby after birth until she was old enough to get the vaccine.


This is correct. It's still possible your child could develop whooping cough, but is less likely to be serious. Did your doctor swab for pertussis? Refuah Shalaima
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nchr




 
 
 


Post  Wed, Jan 09 2019, 10:03 pm
amother wrote:
Thanks. I just called the on-call pediatrician and described what I was seeing to her. She said it does sound like it could be pertussis, though the fact that she was vaccinated does make it less likely. She said her lack of fever and otherwise appearing fine in between attacks sound consistent with it, as does the vomiting at the end of the attack, though it's possible it's just viral. She put a referral to the ER into her chart. Meanwhile, it's been several hours since her last coughing fit, so I'm inclined to wait a bit and see if it repeats itself.


Go and have her nose swabbed tomorrow so you can find out and get antibiotics if positive. Results are not instant though.
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Cheiny




 
 
 


Post  Wed, Jan 09 2019, 10:46 pm
amother wrote:
Let me preface this by saying that I have many children and am not one who rushes to the doctor, especially for a cough, but I'm not feeling confident right now about what to do.

My baby is 4 months old, healthy and happy. Since yesterday, she's been having coughing fits. The cough sounds dry, not at all phlegmy, and the fits were very infrequent yesterday. During the night, she started coughing and coughing and it just didn't stop. It persisted for about 2-3 minutes with a cough approximately every 2 seconds. She seemed like she couldn't come out of it. Eventually she started crying and I picked her up an she calmed down and was okay.

I nursed her this morning and as soon as I was done, she started another one of those fits. Dry hacking cough one after the other, but this time she continued until she threw up. And then she cried.

In between fits, she's happy and alert and doesn't seem sick at all. Not even a runny nose.

I've never seen anything quite like this in my other kids and am at a loss. Would you go to the doctor for this?


Why would you even have a doubt you need to take her to the doctor?????
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amother




Bronze


Post  Wed, Jan 09 2019, 10:55 pm
Delete

Last edited by amother on Mon, Feb 11 2019, 8:25 pm; edited 1 time in total
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amother




Violet


Post  Thu, Jan 10 2019, 12:41 am
No, the doctor didn't swab her. He didn't seem to grasp what I was describing either. All he heard was cough and then listened to her lungs. The on-call doctor I spoke to last night was a lot more attentive and more concerned.

The baby slept well and didn't cough much at all during the night, but she's only been up for half an hour and has already had 2 coughing fits. I think I'm going to take her in once I get the kids out.
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amother




Mauve


Post  Thu, Jan 10 2019, 1:13 am
Did she also run a fever?
we had a weird coughing fit every now and then that turned out to be RSV.
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amother




Violet


Post  Thu, Jan 10 2019, 1:51 am
No fever. She's perfectly healthy between attacks.
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caza




 
 
 


Post  Thu, Jan 10 2019, 5:45 am
My baby had terrible coughs from 7 weeks old and doctors always said her lungs are clear (people in the road were shocked but this cough they used to stare and tell me 'are you sure it's not whooping cough?) but at the age of 11 months she started having hospital admission, wheeze, pneumonia, RSV bronchiolitis but the still dismissed it as bad luck (all of this was only in the winter and in the summer she was perfect) next winter in Nov she had another hospital admission and I went to a new respiratory consultant and they right away said her swallow needs to be checked (FYI she was developing and growing perfectly and was pretty advanced in her skills) they straight away put her on stage 1 thickener and she still kept on have chest infections but no hospital admission. The swallow study was done and she was diagnosed with aspiration on thin and stage 1 thickened fluids! she was put on stage 2 thickened and even then was not allowed to drink with a straw as there was trace penetration.
It might sound like something rare but I have now met 2 kids in my local area that have been diagnosed with this and both are otherwise (physically and mentally perfect). and they have never had any hospital admissions just a constant cough.
If you need any info PM me
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dankbar




 
 
 


Post  Thu, Jan 10 2019, 9:02 am
It could possibly be a walking pneumonia.
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amother




Violet


Post  Thu, Jan 10 2019, 11:54 am
We just got back from the ER. In case I was still having doubts about going, she had her worst attack so far just before we left. We stopped in the bank and while we were on line, she had an attack that lasted about 4 minutes and ended with her throwing up. It was bad enough that 3 tellers came over to help.

The doctor diagnosed her with....a throat infection. He checked her over and said everything seemed fine except for a red and infected throat. He said that at this age it's always viral so there's not much to do about it. He said the cough is due to whatever's going on in her throat. (???) He claimed that whooping cough doesn't present as a cough in a 4-month-old but rather as apneas, which she hasn't had. He also said that based on her family history of asthma, this could be asthma related as well, as in babies her age, it sometimes presents this way.

In short, he felt no need to swab for pertussis and expects her to be better within a couple of days.
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amother




Jetblack


Post  Thu, Jan 10 2019, 11:57 am
In case you haven't done so yet, please take a video of the next couple of episodes. Then make an appointment with the best pediatrician in your practice and show them the video.
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amother




Violet


Post  Thu, Jan 10 2019, 12:22 pm
Pediatrician is a bit of a sensitive topic right now. We had an incredible one, but he left and the new one is....well, not that great. He's incredibly nice and helpful, but he's misdiagnosed my kids twice already (he diagnosed my son's ear pain as an ear infection when it was really a rotten tooth--ENT said there was no sign of infection at all), so I don't feel comfortable with him right now. And he's the only one in our clinic. I tried to make an appointment at another clinic, but the doctor said it wouldn't be "ethical" for her to see us since our doctor had already given his opinion. Whatever. Hopefully we won't need any of them.
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amother




Papaya


Post  Thu, Jan 10 2019, 12:49 pm
amother wrote:
Pediatrician is a bit of a sensitive topic right now. We had an incredible one, but he left and the new one is....well, not that great. He's incredibly nice and helpful, but he's misdiagnosed my kids twice already (he diagnosed my son's ear pain as an ear infection when it was really a rotten tooth--ENT said there was no sign of infection at all), so I don't feel comfortable with him right now. And he's the only one in our clinic. I tried to make an appointment at another clinic, but the doctor said it wouldn't be "ethical" for her to see us since our doctor had already given his opinion. Whatever. Hopefully we won't need any of them.


It wouldn't be "ethical"? Isn't that exactly what a second opinion is??
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nchr




 
 
 


Post  Thu, Jan 10 2019, 12:56 pm
amother wrote:
Pediatrician is a bit of a sensitive topic right now. We had an incredible one, but he left and the new one is....well, not that great. He's incredibly nice and helpful, but he's misdiagnosed my kids twice already (he diagnosed my son's ear pain as an ear infection when it was really a rotten tooth--ENT said there was no sign of infection at all), so I don't feel comfortable with him right now. And he's the only one in our clinic. I tried to make an appointment at another clinic, but the doctor said it wouldn't be "ethical" for her to see us since our doctor had already given his opinion. Whatever. Hopefully we won't need any of them.


"Hi. We're between pediatricians now and my baby has been coughing a lot. I'd like to tour your office and meet with the doctor to see if s/he is a good fit for our family, but for the time being would you please take a look at CHILD's NAME since we are concerned about the cough?"
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