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Our Baby's First Two Years
by Robert M. Selig, M.D., FAAP & Joann C. Cozza, D.O., FAAP

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1.   Waking at night: If your baby's sleeping patterns are changing at night (waking up more fre­quently), his gums may be bothering him (teething). Most babies will usually go back to sleep easily if teething pain has awakened them. Tylenol can be given to give your baby relief from teething. Avoid developing bad habits such as putting your baby back to sleep with a bottle or bringing him into your bed.  Let your baby cry for 10-15 minutes to see if he/she will fall back to sleep.  Avoid feeding your baby at night if he/she wakes up crying.  It is time for your baby to learn how to fall back to sleep without your help.   Please discuss any problems with us.

2.   Coughing,colds,and wheezing:  One cold per month during the fall, winter, and spring lasting up to 3 weeks is normal.  If your baby's sleeping and feeding patterns are normal, no treatment is necessary.  Colds can cause increased mucus in your baby's nose and may make your baby uncomfortable.  When your baby breathes through a congested nasal passage, it may sound like your baby is wheezing.  Salt water drops (OTC) are helpful in loosening any dried mucus in your baby's nose and can be used as often as necessary to keep your baby comfortable.  Mucus normally runs out the front of the nose and out the back of the nasal passage.  As it drips down the throat, it will make your baby cough.  Coughing is a normal reflex that helps prevent mucus from dripping into your baby's lungs. Coughing may make your baby throw up. This is normal and helps the body get rid of this mucus.  Milk does not make mucus unless your baby has a milk allergy.  Babies with a true milk allergy will be congested even when they do not have a cold.  Milk may churn up mucus already in the stomach.  It is not necessary to stop milk unless your baby throws up with each feeding.  Please call if your baby is cranky, not feeding well, or is having difficulty breathing.

3.   Ear Infections: Ear infections are common in babies and will not hurt your baby. Antibiotics are used to treat ear infections.  If your baby is waking at night and is difficult to get back to sleep (crying and irritable), he/she may have an ear infection.  Your baby may have a runny nose, cough, congestion, and/or fever over 101 degrees F.  It is sometimes difficult to differentiate an ear infection from teething over the telephone.  When in doubt, it is better to bring your baby to the office.  Smoking around your baby and putting yout baby to sleep with a bottle have been shown to cause ear infections.


____ Vi-Daylin ADC + Iron Drops-one dropperful daily for breast-fed babies.



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