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News from Baby Medical Q&A, Issue #009 --June 2007
June 01, 2007

New Questions and Answers

Question: My baby is now five and a half month old. He has normally good control of his arms, but I have noticed that recently he has more uncontroled arm movement than he used to have. He has good head control, but he is always slow with some physical milestones, like smilling (only at 8 weeks), only recently learned how to roll over from back to front and I have not seen him doing push ups. He does put everything in his mouth and he grasps objects and has already been able to pass toys from one hand to another. How important is the roll over and how concerned should I be with the involuntary arm movement?

Answer:

Developmental milestones for 0 to 6 months has information on normal milestones - it sounds as if your baby is doing OK. Make sure you give him tummy time while he is awake. This will give him practice to push up on his arms and eventually to roll over.

If the arm movement can't be stopped by holding the arm, then it might be a type of seizure and you should see your doctor. If the arm is just unsteady and you can stop involuntary movement by holding the arm, I wouldn't be too concerned at this stage.


Question:My 4 and a half years old daughter is currently snoring at night and has difficulty breathing through the nose. She has a temperature on and off as high as 39C for about 5 days now. She also had her adenoids removed when she was 1 and a half. We are really worried. Please advise. Thank You

Answer: Your daughter sounds as if she has a respiratory tract infection which may be causing a blockage of the upper airway causing the snoring.

If the snoring doesn't settle down when she is over this infection, she may need to see an ENT surgeon and may need to be considered for repeat adenoidectomy.

If your daughter is having periods when she stops breathing at night, see your doctor for a more urgent referral to ENT. This is called sleep apnea.


Question: My little girl is 20 months old. We noticed several months ago, how she seems to "stretch" herself out, when she is in the seated position. She does this when she is placed in her car seat, in her feeding high-chair and lately whenever she seems to be seated. She absolutely strains herself backwards as if she is trying to "push" away from something. She is never constipated. She is otherwise well developed both physically and mentally. what could this be?

Answer:If you daughter can sit in a normal "bent" position, I wouldn't be too concerned with her stretching out occasionally.

If she seems distressed when she stretches out, it may she has silent reflux - see gastroesophageal reflux disease. It may be that when she is sitting and putting pressure on her tummy she is getting some acid going up and burning the esophagus. The diagnosis would be made on a pH study by a pediatrician. A barium swallow may show reflux when she's sitting.


Question: My five month old baby seem to have one eye pupil bigger than the other. Both change with the change of light, but one is always bigger than the other. This does not seem to disturb his vision. I have raised it with the paediatrician and he does not see any thing abnormal, just told that it might be because his eye colour seem to be lighter than the other.

Should I be concerned?

Answer: Some people have on pupil larger than the other and everything works well as it seems for your baby. It is called anisocoria. You don't need to be concerned.


News and Updates

A reminder - avoid soft drinks in your children.

Further research review has confirmed that soft drink consumption is associated with overweight children. Give your child a good head start for health and avoid soft drinks in the early years and create good habits.

Reference:
Vartanian LR et al. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007 Apr;97(4):667-75.


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