AboutDr Graham Smith Expertise I am accredited in general paediatrics and paediatric nephrology and and am happy to answer questions on both topics.
It is not possible or safe to assess acutely sick children through this medium. Such children should be taken to their own doctor, where a full history can be taken and an examination carried out.
Experience I have been a consultant paediatrician and paediatric nephrologist for 13 years. I have been involved in paediatrics for 22 years.
Organizations Royal College of Paediatrics and Child Health
British Association for Paediatric Nephrology
European Society for Paediatric Nephrology
International Pediatric Nephrology Association
Publications Archives of Disease in Childhood
British Medical Journal
Pediatric Nephrology
Current Paediatrics
Nephrology, Dialysis and Transplantation
Nephrology and Urology
Education/Credentials MA (Cantab)
MB BS (London)
MRCP
FRCPCH
Question My 5 month old is on Sulfatrim as a profolactive measure to prevent kidney infection. He has an enlarged urater on one side. My Ob/Gyn prescribed Nitrofurantoin for me to treat a UTI. I am breastfeeding and want to know if it is okay that he is receiving the antibiotic I am on through the milk, and also the Sulfatrim I give him orally. The pharmacist disagreed with my Ob/Gyn.
Answer I would not use Sulfatrim as a prophylactic antibiotic, because of the side effects associated with the sulfamethoxazole part of the drug. I would use just trimethoprim. Nitrofurantoin is also used as a propylactic antibiotic. I would have to defer to the pharmacist in relation to how much gets into the breast milk and if that is a problem.
