Wednesday, September 21, 2011

Almost 16 month old son's mood swings after illness?

My son had an ear and throat infection at the end of last week and over the course of 5 days was switched from Amoxcillian for 3 days to Cefdinir for 2 days and then given an injection of another antibiotic yesterday to replace the other 2 antibiotics he was on. (This was due to reactions to the Cefdinir such as high fever, yeast infections in the diaper region, and a rash around his mouth.) The 2 days he was on Cefdinir and the past day on the injected antibiotic, my wife and I have noticed a drastic mood change in our son. He is irritable, cranky, not wanting to be touched, he has a hair trigger about anything you do, he even doesn't want to be talked to or held. I am wondering how much of that is from the ear infection and how much is possibly from the antibiotics. Has anyone ever seen a marked mood change in their child while on antibiotics?Almost 16 month old son's mood swings after illness?
bless his heart! he must be feeling miserable! Gosh, all that he's going through is enough to make anyone cranky! Ear infection, throat infection, yeast infections, and antibiotics can make you feel yucky too, and he's had a lot of them. wow. My son had constant ear infections for 5 months, and was a complete bear to be around. Ear infections are completely miserable in themselves, then add everything else ontop of them. I wouldn't think it's the medicine alone, just the entire situation in general. I would give him some time to recover. Keep a close eye on him, and don't hesitate to call the doctor if you're worried. It's what they're there for!



I hope your little guy feels better soon! Almost 16 month old son's mood swings after illness?
I would be cranky too...This too shall pass. My son got a viral rash that was itchy. He swore up and down that he was still itchy two weeks later, even thoough the rash was completely gone. Just residual effects.



Trust me, he will get over this.
Well if I was on all that medication I would be cranky as well so it's just from switching to all the different medication he is just not happy but as soon as he gets off of the meds he'll be fine...
He may also be upset because he is having a lot of trouble hearing, you can imagine what that would be like for a child too young to understand why.



If you suspect that his ears are still in pain I would suggest you get some anesthetic ear drops (in the US available without prescription as far as I know)



Food sensitivities (which can be caused by drugs as well, particularly the food dye in liquid medicine) can also cause behavioural issues as well.



You also might be interested to know that antibiotics are not considered the best option for most kids:





http://www.drgreene.com/21_1775.html

The consensus, evidence-based 2004 guidelines recommend that children under 6 months of age with red hot ear infections should be treated with antibiotics for 10 days and pain relief for at least the first 24 hours, whether or not the diagnosis is certain. Remember, antibiotics do not help pain during the most painful first 24 hours, and help pain only minimally after that. Kids 6 months to 2 years should receive 10 days of antibiotics and at least 24 hours of pain relief for a red hot ear if the diagnosis of an acute ear infection is certain (it must be an abrupt onset, with physical certainty of fluid in the ears, and clear evidence of an inflamed eardrum ?all 3). If the diagnosis of an acute infection is uncertain in these kids, they can be treated with pain relief and observed without antibiotics, (wel talk about what this means soon), unless they檝e had a fever of 102.2 or higher in the last 24 hours, or severe symptoms. Once children have reached their second birthdays, pain relief and antibiotics are recommended if both the diagnosis of an acute infection is certain and the illness is severe with a fever of at least 102.2 or symptoms of severe illness. Otherwise, observation and pain relief can be the better course of action. Most kids without a high fever don檛 need antibiotics for ear infections.



http://www.drgreene.com/21_1195.html

How is it treated?

Antibiotics are used to treat strep throat and to prevent many of its complications, including rheumatic fever. Ibuprofen can help children feel much better while the antibiotic is taking effect. The Centers for Disease Control and Prevention (CDC) recommends against treating sore throats with antibiotics unless the strep test is positive.







http://www.drgreene.com/21_1777.html

Investigators have compared matched children with acute, red hot ear infections who were treated initially with observation (including earache relief) and those who were treated initially with antibiotics. How did the two groups fare? I檇 rather be treated with observation! The two groups felt the same as each other after 24 hours, and again after 2-3 days, and 4-7 days. The same percentage in both groups were over their ear infections after 7-14 days. Persistent fluid in the ear was the same in both groups. Pain duration was the same in both groups, although those in the observation group were more likely to get pain medicine. Fevers lasted, on average, a day less in those who started with antibiotics. The risk of spreading bacterial infection or bacterial complications was statistically the same in both groups, although the numbers were too small to see a real difference. The trend, though, was more than 3 times as many spreading or complicated infections in those who got antibiotics. And, of course, those who got antibiotics were also far more likely to develop nausea, vomiting, diarrhea, skin rashes, and other antibiotic side effects ?all the while selectively breeding more resistant bacteria in that particular child, and in the environment. Whenever it檚 appropriate to treat with pain relief rather than antibiotics, the choice is clear: No contest.
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