Baby Growth: Is Coughing Due to Foreign Object or Cold? - Pediatrics

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Baby growth and development


Hello, doctor.
I would like to ask about my eight-month-old baby who accidentally swallowed a sticker a while ago and hasn't passed it.
He is very active, drinks milk without any issues, and doesn't have any unusual sounds.
However, in the past couple of days, he has developed a fever, cold, cough, runny nose, and phlegm, and his voice has a wheezing sound.
Could this sound be related to the foreign object or is it caused by the cold? Thank you.

Wang Ziyun, 0~9 year old female. Ask Date: 2017/08/05

Dr. Xiao Kaiwen reply Pediatrics


It is likely not related to a foreign body, but whether it is related to a cold is uncertain.
It is recommended to consult a pediatrician for an on-site examination and diagnosis.

Reply Date: 2017/08/05

More Info


When it comes to understanding your baby's health, especially regarding coughing and respiratory symptoms, it's essential to consider various factors. Your baby is currently eight months old and has a history of swallowing a foreign object (a sticker) without any immediate adverse effects. However, now you are observing symptoms such as fever, cough, runny nose, and wheezing sounds.
Firstly, let's address the concern about the foreign object. If your baby had swallowed a sticker, it is crucial to monitor for any signs of distress or complications. Typically, if the object has passed through the digestive system without causing any blockage or injury, it may not be a concern. However, if your baby is showing symptoms such as persistent coughing, wheezing, or difficulty breathing, it is essential to consult a pediatrician. These symptoms could indicate that the foreign object is still present in the airway, which could lead to choking or respiratory distress.

On the other hand, the symptoms you are describing—fever, cough, runny nose, and wheezing—are more commonly associated with a viral upper respiratory infection, often referred to as a cold. Coughing can be a natural response to clear mucus from the airways, and wheezing may occur due to inflammation or constriction of the airways, which is often exacerbated by viral infections. In infants, it is not uncommon for respiratory infections to present with these symptoms, and they can sometimes lead to more severe conditions like bronchiolitis or pneumonia.

Given your baby's current symptoms, it is essential to monitor their condition closely. Here are some key points to consider:
1. Fever Management: If your baby has a fever, ensure they are comfortable and hydrated. You can use age-appropriate fever reducers, such as acetaminophen, but always consult your pediatrician for the correct dosage and recommendations.

2. Coughing and Wheezing: If the cough is persistent, or if you notice increased wheezing or difficulty breathing, it is crucial to seek medical attention. Your pediatrician may recommend a nebulizer treatment or other interventions to help ease your baby's breathing.

3. Hydration: Ensure your baby stays well-hydrated. Offer breast milk or formula frequently, as hydration is vital during illness.

4. Observation: Keep an eye on your baby's overall behavior. If they are lethargic, not feeding well, or showing signs of distress, it is essential to contact your healthcare provider.

5. Follow-Up: If symptoms persist or worsen, a follow-up visit to the pediatrician is warranted. They may perform a physical examination and possibly order tests, such as a chest X-ray, to rule out any complications from the respiratory infection or to check for any remaining foreign objects.

In conclusion, while the symptoms your baby is experiencing could be attributed to a common cold, it is essential to remain vigilant, especially given the history of swallowing a foreign object. Always prioritize your baby's health and well-being, and do not hesitate to seek medical advice when in doubt. Your pediatrician is the best resource for addressing your concerns and ensuring your baby receives the appropriate care.

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