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Treatment of Child and Adolescent Problems
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My baby is 5 months old. He is suffering with cold from 5 days. Can I use salbutamol 2.5mg nebuliser? I have given paracetamol, phenylephrine, cpm combination with advice of pediatrition.?
Birthmarks in Infants
A baby's skin coloring can vary greatly, depending on the baby's age, race or ethnic group, temperature, and whether or not the baby is crying. Skin color in babies often changes with both the environment and health. Some of these differences are just temporary. Others, such as certain birthmarks, may be permanent.
What are birthmarks?
Birthmarks are areas of discolored and/or raised skin that are present at birth or within a few weeks of birth. Birthmarks are made up of abnormal pigment cells or blood vessels.
Although the cause of birthmarks is not known, most of them are harmless and do not require treatment. Babies with birthmarks should be examined by your child's health care provider, especially if they are:
- Located in the middle of the back, along the spine (may be related to spinal cord problems)
- Large birthmarks on the face, head or neck
- Interfering with movement of activity, for example a birthmark on the eyelid that may interfere with vision
Some common birthmarks include:
- Stork bites
- Angel kisses
- Salmon patches
These are small pink or red patches often found on a baby's eyelids, between the eyes, upper lip, and back of the neck. The "stork bite" name comes from the marks on the back of the neck where, as the myth goes, a stork may have picked up the baby. They are caused by a concentration of immature blood vessels and may be the most visible when the baby is crying. Most of these fade and disappear completely.
Congenital dermal melanocytosis (also known as Mongolian spots)
Congenital dermal melanocytosis refers to areas of blue or purple-colored, typically on the baby's lower back and buttocks. These can occur in darker-skinned babies of all races. The spots are caused by a concentration of pigmented cells. They usually disappear in the first 4 years of life.
This is a bright or dark red, raised or swollen, bumpy area that looks like a strawberry. Hemangiomas are formed by a concentration of tiny, immature blood vessels. Most of these occur on the head. They may not appear at birth, but often develop in the first 2 months. Strawberry hemangiomas are more common in premature babies and in girls. These birthmarks often grow in size for several months, and then gradually begin to fade. They may bleed or get infected in rare cases. Nearly all strawberry hemangiomas completely disappear by 9 years of age.
A port-wine stain is a flat, pink, red, or purple colored birthmark. These are caused by a concentration of dilated tiny blood vessels called capillaries. They usually occur on the head or neck. They may be small, or they may cover large areas of the body. Port-wine stains do not change color when gently pressed and do not disappear over time. They may become darker and thicker when the child is older or as an adult. Port-wine stains on the face may be associated with more serious problems. Skin-colored cosmetics may be used to cover small port-wine stains. The most effective way of treating port-wine stains is with a special type of laser. This is done when the baby is older by a plastic surgery specialist.
These common moles (less than 3 inches in diameter) occur in about 1 out of every 100 newborns. They increase in size as the child grows, but usually don't cause any problems. Your child's health care provider will watch them closely as rarely they can develop into a cancerous mole.
My child is not constipated. His stool come out 4 to 5 times regularly in a day. We are worried about this. After getting report doctor said there is no blood in his stool but we saw little drops of blood in his every stool. If this is not blood, then what is this red drops which looks as same as blood.
Is it possible in case of lactating mother that she is producing milk but doesn't get single drop on pump? If yes what's the reason behind that?
The journey to parenthood begins long before the baby arrives, long before the expectant parents ever set eyes on the new life they have created. Being a parent is hard and exhausting, mentally, physically and emotionally. As a mother, one goes through a journey that encompasses huge changes to her body, her emotional state of mind, career, relationship with partner and her entire outlook on the world around her but, let's not forget the emotional impact on fathers too.
There is no, particular psychological pathway to parenthood as every couple's experience is shaped by a unique set of circumstances; their own childhood memories of their parents, observations of other parents and by the type of relationship they have with each other.
Being parents changes you: Becoming a parent changes two fundamental things: first, your perception about yourself, and secondly, it changes the nature of your relationship with your partner. You need to understand that you're no longer two independent adults but a team. You have to prioritize the needs of your child over and above your own needs. The sooner you realize and implement this in your life, the better you turn out as a parent.
Planning is essential: As an expectant couple, you need to plan and prepare, not to guarantee a result, but to open their minds to the vast enormities of the life changes that you are about to experience. This way you will be better prepared and equipped to cope with the challenges and situations that may come your way. You should try to imagine what your life will be like, after the baby arrives, realistically. The pregnancy period is an opportunity for both - the mother and the father, to run through a psychological rehearsal of "life after the birth of baby". Although it is, unrealistic and impractical for the expectant parents to think that, they can strategize for every conceivable scenario related to new parenthood, what so ever it may be, however, they can use the nine months of pregnancy to begin to reflect on how a baby will affect their relationship.
Asthma is controllable and not curable, as it is due to chronic inflammation of air tubes which lead to hyper responsiveness of airways to external factors. It may go into remission. Use of laba and ICS combination by inhalation with spacer in most cases is able to control symptoms of asthma that is wheeze, chest tightness, cough and breathlessness. Once the symptoms are under control, then patient can take maintenance dose of ICS by inhalation with spacer to keep the inflammation in the airways under control. Avoid tigers of asthma like extreme of temperature change, dust, smoke, pollution and allergens.
Hi my baby 7 months old. She suffering every month loose motion. Please suggest how can control this.
My nephew, who is 9 months old, got hurt on his fore head by a tap. He has not been vaccinated with tetanus. Is it ok if he s not vaccinated with TT.
Let us imagine a scenario: It is 4 in the morning. You are fast asleep and suddenly you hear the discomforting cries of your child. You sense that something is wrong and you immediately rush to the other room. As soon as you touch him, you realize that the child's body is burning up like a furnace? You immediately rush to get your thermometer and the figures on it do not make for a good reading - 102 degrees F. Panic dulls your response rate. Your first reaction is to call the doctor. It might be the right thing to do in some rare cases, but in most cases experts advise differently.
Stay Calm - The most important thing is for you to stay calm and relax and realize that it is still well within your hand to take care of the child. First things first, fever is not your enemy. Rather, it is body's way of telling you that your immune system is fighting alien elements in your body. Children of the age group 0 to 3 almost always face high temperatures at some point in their nascent lives.
The Need of the Hour - How you should go about it depends on your child's age and thermometer's readings. If your child is a newborn or is less than 3 months old and reading is above 100.4 degrees, then you must call the doctor at once.
Between 3 to 6 months, temperature threshold is 101 degrees F, while 103 degrees F is usually the limit for children older than 6 months. But, if the child is showing alarming symptoms such as body ache, fatigue, and diarrhoea, along with the high temperature of 101 degrees F or 102 degrees F, then you should consider calling the doctor on a priority basis.
Take the Hints - Be Wary of the Symptoms
Keeping an eye out on the symptoms is extremely important. If your child has a running nose and low-grade fever (99-100 degrees F), then he might be suffering from a bout of common cold. Vomiting and diarrhoea usually indicate stomach virus. For children with weak immune system or at higher risk than others, it is advisable to consult a doctor.
A 24 hours rest is generally advised in flu, till the patient is fever free without taking any antibiotics. Ailments like an earache, sore throat or discomfort in peeing should be brought to the notice of doctor as it might indicate soar throat, UTI or ear infection, all of which require antibiotic treatments. Certain signs warrant an immediate medical attention. Discomfort in breathing along with constant crying, difficulty in walking, unusual rashes and purple looking spots demand that he be taken to the E.R. right away.
The most important thing is to complete the treatment course diligently and let the fever run its course as it may actually aid the body in building immunity against the fever causing germs and fight them. One must remember that being calm and relaxed at taxing times go a long way in helping you take right decisions and treating fever in children is all about patience and right decisions.