nuffnang

15 Dec 2011

Your baby's health


One minute your baby's the picture of health, the next she's not herself at all. Our articles will help you to cope when your baby's unwell. From colds to colic, from earache to eczema, we have all you need to know. Find out how to recognise illnesses such as chickenpox and when to call the doctor. We also answer your queries about immunisations and have information on conditions that may affect your baby at birth.

Common cold

It can be heartbreaking to watch your baby suffer his first cold. He will be uncomfortable, snuffling and may have trouble feeding. But there's a lot you can do to ease your baby’s discomfort. And rest assured it's called the common cold for a reason – it’s very common and it's usually not serious. Your baby will probably get about eight colds in his first year alone. That's a lot of tissues and long nights.

What causes colds?

Colds are infections of the mouth, nose and throat (upper respiratory tract) caused by one of many different viruses. Babies tend to get a lot of colds because their immune systems are still developing and gaining strength.

They spread when someone with a cold sneezes or coughs, unleashing a cold virus into the air to be inhaled by someone else. They can also be transmitted through hand-to-hand contact. So always cover your mouth when you cough, and wash your hands after blowing your nose.

How do colds affect babies?

If your baby has a common cold, you may notice some of the following:
  • fever of up to 38 degrees C;
  • cough;
  • reddened eyes;
  • sore throat;
  • stuffy, runny nose;
  • loss of appetite;
  • irritability and restlessness;
  • swollen lymph nodes (under his armpits, on his neck and the back of his head).
Your baby may be having trouble breathing through his nose if he’s all stuffed up, so feeding will probably be difficult. Children can’t usually blow their own noses until about the age of four, so you'll have to help your baby clear the mucus. (See our tips in How to treat a cold, below).

If your baby has been sleeping through the night, you'll be reminded of those first few weeks of life. He'll probably wake up several times because his nose is stuffy. Expect to be up with your baby, comforting him and wiping his nose.

Your baby’s cold should be gone within 10 days or so. In very young babies a cold may last up to two weeks.

How do I treat a cold?

Your baby’s cold will go away on its own. But there are a few things you can do to ease his discomfort:
  • Make sure your baby gets plenty of rest.

  • Encourage your baby to take extra breast or bottle feeds. If your baby is formula-fed or on solids he can have water too. This will keep him hydrated and bring down his fever if he has one.

  • Your baby will be too young to blow his own nose. So help him to breathe more easily by wiping his nose for him. You can also dab a little petroleum jelly to the outside of your baby's nostrils to reduce any irritation.

  • Give your baby infant paracetamol or ibuprofen to bring down his fever, but only if he is three months or older. Check the dosage information on the packet, or ask your doctor or pharmacist if you’re unsure about how much to give your baby. You may have heard about a link between paracetamol and babies developing wheezing or asthma. Be assured there is no evidence paracetamol causes these problems.

  • If your baby is having trouble feeding with a stuffy nose, nasal saline drops may help to unblock his nose. You can buy these from a pharmacy. Apply the drops to each nostril 15 minutes before a feed.

  • A vapour rub may help your baby to breathe more easily. You can buy one from your pharmacy. Apply it to his chest and back – don’t put it on his nostrils as it could restrict his breathing.

  • Breathing in steam may help to loosen your baby’s stuffy nose. However, don’t put your baby close to hot, steamy water as there is a risk of him being scalded. A safer option is to take your baby into the bathroom with you. Turn on the hot water or shower, close the door, and sit in the steamy room for a few minutes. Remember to change him into dry clothes afterwards.
If your baby has a stuffy nose without any other symptoms, check that he doesn’t have something stuck in his nose. Even young babies are capable of putting things up there.

Don't give your baby any over-the-counter cough and cold medicines. They should not be given to children under six because of the risk of side effects.

When should I take my baby to the doctor?

If your baby is under three months, take your baby to the doctor at the first sign of illness.

For a baby over three months, you may want to take him to the doctor to confirm that it is a common cold.

Also take your baby to the doctor if:
  • his cold hasn’t improved after five days;
  • his temperature climbs above 38 degrees C;
  • he is having trouble breathing;
  • he has a cough that won't go away;
  • he is rubbing his ears and seems irritated – this could signal an ear infection;
  • he is coughing up green, yellow or brown mucus, or it’s running from his nose.

Can I help prevent my baby from getting colds?

Breastfeeding is one of the best ways to protect your baby's health. It passes your antibodies, chemicals in your blood that fight infections, to your baby. This isn't a foolproof way to protect your baby's health, but breastfed babies are better at fending off colds and other infections.

You can also protect your baby by trying to keep him away from anyone with a cough or a cold. Or ask them to wash their hands thoroughly before handling your baby or his things.

If you or your husband smokes, give it up and don’t take your baby to areas where people are smoking. Babies who live with smokers have more colds, and their colds last longer than babies who aren't exposed to smoke.

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