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How to clear phlegm?

This is a discussion on How to clear phlegm? within the Baby, Toddler, Child Health Concerns forum, part of the Growing Up & Parenting category; My baby is having a fever again. He is super congested with phlegm. I've seen a pediatrician and he has ...

  1. #1
    Moderator diymummy's Avatar
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    How to clear phlegm?

    My baby is having a fever again. He is super congested with phlegm. I've seen a pediatrician and he has prescribed some meds.

    I'm wondering if there's any other way to help baby clear off phlegm?

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    Re: How to clear phlegm?

    that time dear son has LOTSA phelgm that pediatrician also shocked. he taught us to use hand to pat his back and chest few times a day, each time around 5-10min.. but the hand must make a 'mountain' shape... then when you pat, got a 'pok pok' sound.. but cannot pat right after milk, around 1hr after milk then you pat.. it helps alot for dear son, after 1-2 days, he will slowly vomit out the phelgm.. =)

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    Moderator diymummy's Avatar
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    Re: How to clear phlegm?

    Sigh I so worried.. He's so congested until he milk also dont't want to drink. I use syringe then he choke on the milk...

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    Re: How to clear phlegm?

    Quote Originally Posted by diymummy View Post
    Sigh I so worried.. He's so congested until he milk also dont't want to drink. I use syringe then he choke on the milk...
    did you bring him to pediatrician? what pediatrician said? cos my pediatrician said if a baby's feeding is affected, must bring him to see doctor...

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    Re: How to clear phlegm?

    Hi diymummy,

    My boy (20 months old) perpetually has phlegm issues coz of the muscle relaxant & tranquiliser that he has to take. What really helps him to clear his phlegm (either by coughing it out or swallowing it & it comes out in his poop) is a combination of advice from his neuro, nurses & osteopath:

    1. To avoid vomitting out milk, do chest taps 1 hour after the end-time of the feed. Chest taps are what reginakoh has recommended - cup your hand and tap on your boy's chest to create vibrations to loosen the phlegm so that it's easier for him to clear. For his front, position him at 45 degrees recline and tap 5 minutes on each side of the chest (right lung & left lung). For his back, you can choose to drape him over your shouder & do the same for both sides. Can do chest taps a few times thru'out the day and esp before bedtime so that he can sleep better without the congestion bothering him.

    2. Give him water regularly to thin out the phlegm ... makes it much easier to clear.

    3. If he's extremely congested, ask your paed if he could prescribe Fluimucil or Rhinatiol which thins out phlegm. Fluimucil is better coz it's non-drowsy. Give him a sachet of Fluimucil then follow up with chest taps ... he'll cough quite a bit coz of the effect of Fluimucil to get him to expel the phlegm.

    My boy has very thick, sticky phelgm which he clears regularly with chest taps. I only need to use Fluimucil when he's sick coz that's when the amount of phlegm increases exponentially! When he really can't clear it despite both methods, we suction it out ... it's an invasive procedure and he hates it so that's the ultimate last resort.

    dont't worry, your boy will be able to clear his phlegm and congestion with your help coz children have a strong sense of self-preservation
    Special needs children are not about grief; they are about hope.

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    Moderator diymummy's Avatar
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    Re: How to clear phlegm?

    Quote Originally Posted by reginakoh View Post
    did you bring him to pediatrician? what pediatrician said? cos my pediatrician said if a baby's feeding is affected, must bring him to see doctor...
    Hi Regina,

    Yes I brought him to see the pediatrician. The pediatrician gave him meds but they seem to be working very slowly?

    Actually when I brought him to see the pediatrician, he wasn't that congested yet... sigh....

    Quote Originally Posted by epicurean View Post
    Hi diymummy,

    My boy (20 months old) perpetually has phlegm issues coz of the muscle relaxant & tranquiliser that he has to take. What really helps him to clear his phlegm (either by coughing it out or swallowing it & it comes out in his poop) is a combination of advice from his neuro, nurses & osteopath:

    1. To avoid vomitting out milk, do chest taps 1 hour after the end-time of the feed. Chest taps are what reginakoh has recommended - cup your hand and tap on your boy's chest to create vibrations to loosen the phlegm so that it's easier for him to clear. For his front, position him at 45 degrees recline and tap 5 minutes on each side of the chest (right lung & left lung). For his back, you can choose to drape him over your shouder & do the same for both sides. Can do chest taps a few times thru'out the day and esp before bedtime so that he can sleep better without the congestion bothering him.

    2. Give him water regularly to thin out the phlegm ... makes it much easier to clear.

    3. If he's extremely congested, ask your paed if he could prescribe Fluimucil or Rhinatiol which thins out phlegm. Fluimucil is better coz it's non-drowsy. Give him a sachet of Fluimucil then follow up with chest taps ... he'll cough quite a bit coz of the effect of Fluimucil to get him to expel the phlegm.

    My boy has very thick, sticky phelgm which he clears regularly with chest taps. I only need to use Fluimucil when he's sick coz that's when the amount of phlegm increases exponentially! When he really can't clear it despite both methods, we suction it out ... it's an invasive procedure and he hates it so that's the ultimate last resort.

    dont't worry, your boy will be able to clear his phlegm and congestion with your help coz children have a strong sense of self-preservation
    Hi epicurean,

    Thanks for your post! It really helps.

    I started doing back taps last night and just, this morning. And yeah, it helps. He was coughing more and it "sounds" like the phlegm is coming up along with his coughs. He didn't spit it out though, so I think he swallowed it?

    I will do the chest taps later today.

    My boy hates water so I'm trying to down more milk. But his intake is really little because he can't breathe so he gets tired of sucking from the bottle. I tried to feed him from a spoon and a syringe but both were rejected by him.

    I've tried using Rhinathiol but my pediatrician said it's weaker than Solmux. That's the med that he prescribed to my son. Will ask him about Fluimucil if my boy doesn't get better by Monday and I have to bring him to see the doc again.

    I also tried to suction the phlegm out through his nose and my boy hates it too. He hates it so much that I was wondering if it is ok to do the suction thing a few times a day?

    Also, when you say that your boy poos out the phlegm because he swallows it, does his poo looks phlegmy?

    Thanks!!!



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    Re: How to clear phlegm?

    dearie, medi wont wk so fast for babies, cos their medi are mild. my pediatrician told me phelgm needs 1-2 week to recover AFTER cough has recover... so whenever dear son down with cough, he will take around 1week+ to fully recover from cough and ANOTHER 1-2 weeks for the phelgm to go away..

    as for the patting chest, maybe he will vomit out the phelgm 2-3 days after you started patting him. continue to do until his phelgm is fully cleared =)

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    Re: How to clear phlegm?

    Hi diymummy,

    Sorry! I didn't make it clear in my post that by chest taps, I'm referring to both front & back taps coz the overall vibrations created are more effective at loosening phlegm. If your boy's nose is also congested, you can give him infant nose drops and add in nasal taps. Our osteo taught us this routine:

    1. Nasal taps - place 3 fingers over cheekbones & tap 10 times on those fingers with 3 fingers of your other hand. Repeat for the cheekbones. This action creates vibrations in the nasal cavity to loosen phlegm to move down the throat.

    2. Then do chest taps, can start either with front or back but do both. The whole process takes around 20 minutes. I usually distract my boy with some music or TV during the process.

    You can check if your boy has indeed swallowed his phlegm by looking at the consistency of his poop ... there'll be 'gooey' parts compared to his usual poop consistency.

    If your boy is resisting feed coz bothered by his congestion, try to aim to do the tapping process in between feeds so that he'll clear some phlegm to feel better to feed. The nose drops also did help my boy when he struggled to drink when his system was so clogged up. You do need to be patient coz it takes time for your boy to learn to clear his phlegm, to recover & for the phlegm situation to revert back to normal.

    Btw, nasal suction doesn't work for my boy coz his phlegm is so sticky & thick. The suctioning I was referring is the process of putting a thin tube into his nose or mouth, down his throat & using the suctioning machine to get the phlegm out. It's traumatic to say the least, for me & him. He so hates it!
    Special needs children are not about grief; they are about hope.

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    Re: How to clear phlegm?

    Quote Originally Posted by reginakoh View Post
    dearie, medi wont wk so fast for babies, cos their medi are mild. my pediatrician told me phelgm needs 1-2 week to recover AFTER cough has recover... so whenever dear son down with cough, he will take around 1week+ to fully recover from cough and ANOTHER 1-2 weeks for the phelgm to go away..

    as for the patting chest, maybe he will vomit out the phelgm 2-3 days after you started patting him. continue to do until his phelgm is fully cleared =)
    Wow.. That's along time... Sigh...

    Sorry, can I also ask, I remember you mentioned that your boy got bronchitis from the coughin? How did you know that it became bronchitis?

    Quote Originally Posted by epicurean View Post
    Hi diymummy,

    Sorry! I didn't make it clear in my post that by chest taps, I'm referring to both front & back taps coz the overall vibrations created are more effective at loosening phlegm. If your boy's nose is also congested, you can give him infant nose drops and add in nasal taps. Our osteo taught us this routine:

    1. Nasal taps - place 3 fingers over cheekbones & tap 10 times on those fingers with 3 fingers of your other hand. Repeat for the cheekbones. This action creates vibrations in the nasal cavity to loosen phlegm to move down the throat.

    2. Then do chest taps, can start either with front or back but do both. The whole process takes around 20 minutes. I usually distract my boy with some music or TV during the process.

    You can check if your boy has indeed swallowed his phlegm by looking at the consistency of his poop ... there'll be 'gooey' parts compared to his usual poop consistency.

    If your boy is resisting feed coz bothered by his congestion, try to aim to do the tapping process in between feeds so that he'll clear some phlegm to feel better to feed. The nose drops also did help my boy when he struggled to drink when his system was so clogged up. You do need to be patient coz it takes time for your boy to learn to clear his phlegm, to recover & for the phlegm situation to revert back to normal.

    Btw, nasal suction doesn't work for my boy coz his phlegm is so sticky & thick. The suctioning I was referring is the process of putting a thin tube into his nose or mouth, down his throat & using the suctioning machine to get the phlegm out. It's traumatic to say the least, for me & him. He so hates it!
    Thanks! Will look out for the gooey stuff in his poop.

    Thanks for all the info epicurean!

    For the nose drops, are you using Otrivin?

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    Re: How to clear phlegm?

    diymummy,

    Nope, his paed advised me to get Iliadin (for infants) which is available at pharmacies without prescription.

    Btw if your boy appears to have trouble coughing out his phlegm (eg. he's really struggling, face turning red from coughing or gagging), put him on his side and pat his back. This position helps to clear whatever that is in his airways and minimises risk of aspiration. I put my boy on the sofa which is lined with a piece of incontinence sheet and a nappy cloth to catch the phlegm. Sometimes he's so stubbornly determined to cough out the phlegm, he coughs like those ' peks' at coffeeshops! So that's his vom station
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    Re: How to clear phlegm?

    Hi diymummy,

    If your boy is coughing a long time, and his breathing got the "rrrr" sound, most probably it is bronchitis.....actually bronchitis is "leng ge" or cooling cough that's what my son's pediatrician said.....

    Normally we are told to avoid dusty area or toys for my son, so we dont buy soft toys for him....

    For phlegm right, one of my colleague told me to give my son the pearl powder...he said it works, but bf tht my pediatrician always give my son ventolin to open the airway so that he can cough out the phlegm......

    My pediatrician also told me to do the tapping of the back, but now that my son is big he does not want to keep still for us to do tht.....we only do it when he is younger

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    Re: How to clear phlegm?

    Quote Originally Posted by diymummy View Post
    Wow.. That's along time... Sigh...

    Sorry, can I also ask, I remember you mentioned that your boy got bronchitis from the coughin? How did you know that it became bronchitis?



    from what my pediatrician and nurses told me, if a baby is down with bronchitis, the cough will affect his sleep at nite. which means, in the middle of night he will cough until he WAKES UP, after he is 'done' with his coughing, then go back to sleep. that's what happened to dear son during that few mths.. on and off.. recover and come back again.. hopefully bronchitis will leave him forever.. =)

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    Re: How to clear phlegm?

    Thanks epicurean, Phoebii and Regina mummies for the tips! Will try it out on my son.

    Yeah regina, hope your son will not get bronchitis again!
    Last edited by diymummy; 10-01-2010 at 04:12 PM.

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    Re: How to clear phlegm?

    diymummy,

    You're welcome Really hope that your boy gets well soon ... take good care of yourself too.

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    Re: How to clear phlegm?

    Hi mommies, my gal also have cough, running nose and phlegm. I sometimes can hear the phlegm when she is breathing.
    Today went to doc and was given cough and running nose medicine and ventolin also. Could she be having bronchities also? She tends to cough more at night especially since lying down. These few nights she cry more also and wakes up in the middle of the night.
    When you child is coughing and having running nose, do you mommies still have the room air-con on or the fan? I tried not to use air-con (my temp is usually 28 deg) and use only fan but she perspires in the night. Any thoughts?
    Thanks

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    Re: How to clear phlegm?

    Hi shespice,

    I still on the aircon for my son but I will make it warmer and use the fan to circulate the air a bit. Because when aircon is warmer, the air tends to get a bit stuffy.

    I also let my son sleep on his tummy so that the runny nose will drop out and not clog up in his nose. But in the middle of the night he also flip to sleep on his back.

    If your pediatrician has heard your baby's lungs and said it sounds clear, then she doesn't have bronchitis.

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    Re: How to clear phlegm?

    Quote Originally Posted by shespice View Post
    Hi mommies, my gal also have cough, running nose and phlegm. I sometimes can hear the phlegm when she is breathing.
    Today went to doc and was given cough and running nose medicine and ventolin also. Could she be having bronchities also? She tends to cough more at night especially since lying down. These few nights she cry more also and wakes up in the middle of the night.
    When you child is coughing and having running nose, do you mommies still have the room air-con on or the fan? I tried not to use air-con (my temp is usually 28 deg) and use only fan but she perspires in the night. Any thoughts?
    Thanks
    did pediatrician mention that your girl has bronchitis? if he did not mention, you should trust him =)

    when dear son was coughing very badly, we will not on the aircon.. or on it for 1-2 hours before bedtime and wait until he is aslp or the room is cool alrdy, off the aircon and on the fan.. if he is improving and left those mild cough, we will still on the aircon..

    try to let your girl sleep slightly upright so she can breathe better =)

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    Re: How to clear phlegm?

    We dont't on the air-con most of the time now....and since then we realise that my son has been well even though now I got flu

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    Re: How to clear phlegm?

    Hi mommies, thanks for sharing. My gal seems to be a little better with the medication. The pediatrician gave her cough syrup, runny nose syrup and ventolin. Yesterday when she breathe can hear the phlegmy sound but today slightly better. Will monitor and hope she gets better. I didn't bring her to the pediatrician myself yesterday coz hubby brought her. But the last time when she had cough and runny nose, the pediatrician did say that it could be mild bronchitis so must take care otherwise could develop into asthma. Unfortunately, as advised by the pediatrician, as long as my gal goes to infant care centre, chances of her catching another bug from another kid is high, but until I decide to stop work, we still need the infant care I guess. Last night, I didn't turn on the air con but had the fan on for her.

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    Moderator diymummy's Avatar
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    Re: How to clear phlegm?

    Get well soon Phoebii mummy!!!

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    Re: How to clear phlegm?

    Hi shespice,

    My 2-cents' worth ... you might want try letting your gal sleep on her side if she's coughing at night or during sleep. That's a safer way to cough compared to being on her back. Also try to keep her head elevated by positioning her pillow and/or mattress at a gentle, gradual incline ... makes for easier breathing during sleep esp with all the phlegm.

    My boy has a low tolerance for heat so I use the air-con for his naps & night-time sleep at 25 degrees. I agree with diymummy ... when the temp is too high, the room gets stuffy. When it's too hot, he doesn't sleep well & wakes up perspiring. He's comfortable at 25 degrees coz it's cool & ventilated. I cover him snugly with his light blanket and layer his hands & legs with a warmer blanket coz his extremities get cool quite easily. For night, he wears long pants with socks for added warmth. His hypertone makes his body temperature fluctuate so I monitor by checking on the back of his neck to see if he's cold or over-heated.

    Hope your gal recovers soon!
    Special needs children are not about grief; they are about hope.

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    Re: How to clear phlegm?

    Hi Epicurean
    Thanks for suggestion and concern. She is improving but still with slight cough and can still hear her phlegm at times while she breathe. Will try to let her sleep on her side if she can stay on that position hahah.. She tends to fall asleep in the most awkward positions but I usually will try to position her again after that only to find her in another weird position later. I will try to lower the air con temp and see how it goes so that she wont perspire so much. I was just afraid that the aircon will aggrevate her cold since the pediatrician actually did advise not to use aircon at all.

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