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News from Baby Medical Q&A, Issue #023
August 01, 2008
New Questions and Answers
Question: My 14 month old(very healthy/I'd say as did her Dr. that she's 4-6 months ahead of her age) woke up @ 4am & I ran in & picked her up & immediately told my wife to get her things together & that we were taking her to the ER. Her body was extremely hot(hands/feet were even on fire)& we took her temperature & it was 106f. They checked for a UTI & ended up crimping the catheter inside of her to make her even more upset. She has been feeling better w/each passing day BUT I'm worried that she's not eating, constantly crying hysterically & just seems all together "not right". They ruled out a UTI & chalked it up to the average "Flu-like" infection. What I'm asking is, what are some different medical problems associated with babies following a high fever w/the usual cold/flu symptoms(coughing/stuffy & runny nose/congested)
Answer: It can be pretty scary when your child is not well.
If the pattern doesn't follow a normal viral infection, so improving after day 3 or 4 and better by day 7 - 10, then a bacterial cause should be looked for. Your daughter may have a viral infection but if she is not settling down and improving, you should take her back to the hospital for review.
At your daughter's age, if she is not improving then a lumbar puncture to rule out meningitis as a cause of her fever may be warranted.
Question: My granddaughter of 8 month when she gets upsets, she begin to shake and she gets quite angry. Is it normal for some babies? Or should I be concerned?
Answer: Some babies do this and it's quite normal. If your granddaughter is growing and developing normally, I wouldn't be too concerned.
Question: Please help me through the correct procedure when dealing with a child that has fallen graized his head, and also if no blood on the head just swelling
If your child didn't lose consciousness when he or she hit his/her head, then you shouldn't worry. See a doctor or the emergency room if your child seems more drowsy than usual when awake or has excessive vomiting.
Question: My niece is two years old and she is running will get blue around the mouth and when she stop her color returns to normal. Why does this happen?
Answer: Your niece needs to see a pediatrician - it is important that her heart is looked at. The most serious cause of blue lips is lack of oxygen and this is usually related to heart or lung problems in children.
News and Updates
Antibiotic Prevention after a Urinary Tract Infection - a recent study has shown no benefit in giving routine antibiotics to prevent renal damage in children who have structural kidney abnormalities (vesico-ureteric reflux).
Reference: Pennesi M, et al. Is antibiotic prophylaxis in children with vesicoureteral reflux effective in preventing pyelonephritis and renal scars? A randomized, controlled trial. Pediatrics. 2008 Jun;121(6):e1489-94. Epub 2008 May 19. PMID: 18490378
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