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News from Baby Medical Q&A, Issue #006 -- March 2007
March 01, 2007

New Questions and Answers

Question: i have 8 month old fraternal twin girls,twin a the first born has what i can describe as loose knee and ankle joints when you rotate them you can hear and feel a kind of crunching and cracking? the other girls joints all seem to be fine can you please tell me what this could be thanks

Answer: Some children have clicky joints. The joints can also be quite mobile. It's just an individual thing and in most cases does not interfere with walking etc. I wouldn't be too concerned.

If your daughter is unable to walk as a result of the clicky joints, then she would need to be seen by an orthopedic surgeon but that is very unlikely.

Wait and see how things go over the next year

Question: My ten month old son has eczema and has had it for several months. I've been putting hydro-cortisone cream on daily and using an Aveeno baby moisturizer for eczema. He just has a really bad breakout and it's all over his bottom. Do you think there's any chance he's allergic to something? Thanks.

Answer: There is a possibility your son is allergic to something. If he is, though, I would expect that you would see the eczema breakout fairly soon after he's eaten what he's allergic to and his skin would be calm when he hadn't eaten that substance. Mothers are pretty good at being able to say that some foods (or drinks) don't agree with their child. If you can't think of something that is worsening the eczema, then it might just be the fact that eczema gets worse and then gets better - that's the nature of the disease.

Skin prick tests may help identify a possible offending food but the skin needs to be relatively clear of the eczema first. There are blood tests (RAST and EAST) that do the same thing. You have to be a bit cautious about interpreting skin prick and blood tests for allergy as a positive test in itself is not absolute in determining allergy. However, negative tests make allergy less likely. The best test is what happens when your son has a particular food and what happens when you stop giving that food to him.

Question: I have a baby of 9 months. we have a pet animal(Dog)at our home. Is it safe or dangerous to keep a baby and a pet in the same house. will the dogs hairs affect my baby,as the hairs are found every where. even on her feeding bottles and clothes. i have heard that because of the dogs hair, a baby can get Asthmatic problem. is that true. PLEASE HELP ME OUT OF THIS TENSION. i am worried a lot about my child. thanks a lot.

Answer:The evidence from studies looking at asthma and other allergic conditions suggests that early exposure to dogs, such as having a pet, is protective. So children with dogs as pets in early life are less likely to get asthma.

The strongest reason your baby might become asthmatic is if her parents have asthma - and you can't change that now!

Relax about the dog. It is unlikely to cause asthma in your daughter.

Question: My daughter is almost a year old & had a febrile seizure. She received a MRI which shows a Rathke's Cleft Cyst. We are terrified. Could you please provide some information on what we need to be prepared for ?

Answer: A Rathke Cleft Cyst is a benign cyst that occurs in the brain - in most cases they don't even cause any symptoms and are only seen by co-incidence when people have a MRI or other brain scan.

The cyst occurs in the area near the pituitary gland and near the optic nerves for vision, so if there are any effects of the Rathke Cleft Cyst it is interference with pituitary function (and that includes growth in children) or visual disturbance. The fact that you know your daughter has a Rathke Cleft Cyst means that these things can be looked for before they there is likely to be too much damage. As I said, in most cases, there would be no effects.

The cyst can be removed successfully if necessary.

News and Updates

Have you seen this website Sign Language for Babies.

I really like the glossary and there are even video clips showing you children communicating with sign language. Check out the site today.

Guideline for whether your child needs a booster seat in the car.

Your toddler will need a booster seat while pre-school but many parents think that once your child is 5 and over, a booster seat is not necessary - WRONG. Children may need a booster seat until 8 years old.

If you answer "no" to any of the following, your child needs a booster seat:
  • Does your child sit all the way back against the car seat?
  • Do your child's knees bend comfortably at the edge of the car seat?
  • Does the belt cross the shoulder between the neck and arm? (as opposed to the neck and chin)
  • Is the lap belt as low as possible, touching the thighs?
  • Can your child stay seated like this for the whole trip?

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