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Furious at my doctor

post #1 of 17
Thread Starter 
So over the weekend, I got a sinus infection. Went to the dr. Tuesday and got some antibiotics and a decongestant. Dr. seemed to be accommodating to the nursing thing. Then I called today because my right ear has been completely clogged since yesterday. Dr. says, "you need to stop nursing so you can take Clarinex 12 hour tabs until the ear clears up."

Right. Like that's a viable alternative. I'm so angry right now. I tried to see if there was anything else I could do but nope, that was the only option I was given. Like I can just "stop nursing" for a few days (or week, I don't know how long it would take to clear up my ear) and my kid and my boobs would be okay! :

(BTW, if you have any advice for the clogged ear, my other thread is here.)
post #2 of 17
Hmmm....some things that helped a clogged hear that I think would be breastfeeding safe.

I put some rice and sea salt into a sock or nylon stocking and heated it just a bit, then I laid on that ear to help drain it. Something about the heat and salt helped.

It may be worth a try.

sorry about your doc. it is very fustrating to hear that so many docs don't know about breastfeeding.
post #3 of 17
Decongestants are likely to dry your milk as well, I believe.

When I had a bad sinus and ear infection when DS was 10 months, the doctor tried to prescribe a decongestant. I asked about milk supply and he said it could hurt it, so I declined. I took the antibiotics only and it cleared up in a few days....though I've since learned it probably would have cleared up in the same time frame with no drugs.
post #4 of 17
breastmilk in the ear can actually clear up an ear infection. try expressing some and put drops in your ear. squirt some up your nose too.

there are also homeopathics you can take for ear infections that are safe for bf'ing (hylands actually makes one for kids you could probably use, i think they also have drops).

for your sinuses, you can try flushing them with a neti pot and salt water. clears all the goo out rather nicely without the drying affect of decongestants.

and if you're on antibiotics, you should take some probiotics (ie acidophilus) and eat lots of yogurt and avoid sugary stuff so you don't give yourself and LO thrush. cuz that would really suck.

and if you do need to keep taking the decongestants, make sure you're drinking tons of water, and eat some oatmeal or drink some mother's milk tea to try to keep the negative affect to your supply at a minimum.

oh, and sorry your doc is such a wanker. what a moron. oh, yeah, just stop nursing - why didn't i think of that? doh!:
post #5 of 17
definitely use breastmilk. It's amazing what it can do! I had an eye infection last week...doc would only prescribe an eye ointment that was not for use while nursing. I threw it away after checking with that pharmacy and just used some expressed milk in my eye at night - next day they were almost better, day after that 100% fine.
post #6 of 17
Thread Starter 
I forgot all about breastmilk! It's something I would have thought of a year ago but I'm not pumping anymore (DD is almost 3) so it never even crossed my mind!

I've been using the rice/salt thing and I've heard some crackling so I'm thinking it might be very very slowly clearing up. I used a neti pot this morning and that helped my nose but not directly my ear. And I've been eating lots of yogurt!

Thanks for all your advice - if you've got more, it'd be great to hear!

It's just so frustrating because I don't really feel like I can talk to many people IRL about this because everyone is basically like, so what's the big deal, she's nearly three, just quit!

So it's nice to have people actually giving me viable alternatives and support!
post #7 of 17
I just wanted to add that Claritin/Clarinex are generally considered compatible with breastfeeding.... (you can check out Hale, or there's a good summary on Kellymom).
post #8 of 17
Thread Starter 
Quote:
Originally Posted by pinky View Post
I just wanted to add that Claritin/Clarinex are generally considered compatible with breastfeeding.... (you can check out Hale, or there's a good summary on Kellymom).
Well, I figured it was okay but maybe it's a stronger version because it was going to be a RX not an OTC version?! I was talking on the phone to the nurse who was relaying the Drs. orders so she couldn't really answer any questions I had about why I would have to stop nursing or for how long. :
post #9 of 17
http://www.kellymom.com/health/meds/...oved-meds.html

Claritin is listed as an L1 according to Dr. Hale. L1 is the safest category for medications. It is also approved by the AAP for use in breastfeeding mothers. You doctor and nurse probably say the same thing about all medications for nursing mothers. They are not willing to look up the info and are covering their own butts.
post #10 of 17
Quote:
for your sinuses, you can try flushing them with a neti pot and salt water. clears all the goo out rather nicely without the drying affect of decongestants.
Nasal lavage is amazing! I filled a water bottle (sorry, not very crunchy or earthy) with warm saltwater. Hold your head over the sink. Tip your head to one side so your ear is parallel with the ground. Slowly tip whatever vessel into your top nostril and gently let the water stream. Relax your body as much as you can. You'll feel it running through and eventually the water should run out your other nostril. It's SO refreshing when you're all clogged up!
post #11 of 17
Thread Starter 

Success! I can hear!

Some combination of the nasal irrigation, decongestant, buckets of water I've had to drink today, rice + salt pack and breastmilk seemed to do it.


thanks for all your suggestions and I'll file them all away for next time!
post #12 of 17
To be quite honest, I don't discuss my nursing relationship with my doctor. It's none of his business. He prescribes me whatever, and I check it out with Hale's myself to see if it's safe or not. I've never had an instance when I prescribed something that wasn't actually safe, so I've never had to go back to the doctor to change anything. I figure I'll jump that hurdle when I get to it.
post #13 of 17
Quote:
Originally Posted by Here2There View Post
Decongestants are likely to dry your milk as well, I believe.

When I had a bad sinus and ear infection when DS was 10 months, the doctor tried to prescribe a decongestant. I asked about milk supply and he said it could hurt it, so I declined. I took the antibiotics only and it cleared up in a few days....though I've since learned it probably would have cleared up in the same time frame with no drugs.
Yeah.. be very careful with these! They "dry up" your sinuses.. imagine what it could do to your milk
post #14 of 17

Pseudophehedrine (sp?), e.g. Sudafed, can hurt supply

Quote:
Originally Posted by zmom View Post
Some combination of the nasal irrigation, decongestant, buckets of water I've had to drink today, rice + salt pack and breastmilk seemed to do it.
I hope your decongestant doesn't contain Pseudophehedrine (sp?). It can have a dramatic adverse effect on supply that can be difficult to reverse.

ETA - Even women with Oversupply and Overactive Letdown are cautioned against using Pseudophehedrine (sp?).

~Cath
post #15 of 17
Quote:
Originally Posted by TanyaS View Post
http://www.kellymom.com/health/meds/...oved-meds.html

Claritin is listed as an L1 according to Dr. Hale. L1 is the safest category for medications. It is also approved by the AAP for use in breastfeeding mothers. You doctor and nurse probably say the same thing about all medications for nursing mothers. They are not willing to look up the info and are covering their own butts.
Despite this, I got strong heart palpitations from taking Claritin. I took it for several days and the palpitations got worse each day until I could see my heart beat. As soon as I stopped taking Claritin, the palpitations vanished. But my doctor insisted it couldn't have been the Claritin that caused them because heart palpitations aren't listed as a side effect in the literature that comes with Claritin. Of course you can't possibly have a side effect that isn't listed. You're just not allowed!
post #16 of 17
Pseudoephedrine doesn't always have a negative effect on supply though - especially once established. I've had recurring sinus infections, and until I found a new doctor who suggested a saline spray (which worked much better by the way), Sudafed was my friend, and worked just fine - no decrease in supply whatsoever.

Not suggesting that it's safe for everyone, but it's been just fine here.
post #17 of 17
Thread Starter 
I think the sinus infection is all cleared up and no more clogged ears! : I did end up taking the decongestant for a few days but DD hasn't complained about no milk so I don't think it decreased my supply at all. She's almost 3 and basically only nurses in the evening and at night and first thing in the morning (that still sounds like a lot, huh?!) but never fussed about no milk or acted like she was unsatisfied.
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