Question

A one-month-old baby is snoring during her afternoon nap and shows difficulty breathing while feeding, occasionally holding her breath while nursing. This situation has been present since the third day after birth. Initially, one doctor diagnosed it as bronchitis, while another believed it to be a growth and development issue. The first doctor prescribed sodium chloride injection and a nasal spray with physiological saline. How should I use these? I want to understand the underlying reasons and why there is such a discrepancy in the diagnoses from different doctors.

Answer

  1. Underdevelopment of cartilage, possibly caused by leg cramps during pregnancy, may affect the baby’s breathing sound during sleep and difficulty breathing while nursing. 2. Pneumonia could be the cause of these symptoms. It is recommended to ensure that the baby’s neck is kept relaxed during sleep, not compressed, and a small pillow can be used to support the head and neck. Additionally, provide the baby with appropriate vitamin D and calcium supplements. If the baby has coughing up milk, foaming, fever, or breathing more than 50 times per minute while calm, an immediate visit to a pediatrician at a large hospital is advised for a detailed examination to rule out pneumonia.