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News from Baby Medical Q&A, Issue #012 - Sept 2007
September 01, 2007

New Questions and Answers

Question: My daughter is 21 months old and she has a red and itchy anus. For about 1 month we have been treating what our dr. believed to be a diaper rash that led to a yeast infection. We have treated it with prescription strength hydrocortisone and lotrimin. The redness and itching has gotten worse within the past 2 days. She appears to be really irritated by this condition and says it hurts. Please help

Answer:Sometimes babies can get a streptococcal infection around the anus that causes it to be red. Oral antibiotics are required.

I would ask your doctor to do a streptococcal swab to check your baby doesn't have this infection.


Question: I have a two day old baby girl. I have a bloody nipple. Can I still breastfeed on that side without getting blood in her mouth?

Answer:

A bloody discharge from a nipple is not that uncommon at your stage and is not a reason to stop breast-feeding. You might find that your baby gets blood in her vomit or her poop but that will be swallowed blood - it won't harm her. The benefits of breast-feeding far outweigh any possible minor problems with swallowing blood. So keep breast-feeding your baby.


Question:I have a 2 year old daughter, and I'm concerned maybe someone has touched her inappropriatley. If I take her to her physician will she be able to tell just by looking if she has been touched inappropriatley or will she have to do exstensive or invasive investigating to know if she has.

Answer: You obviously have concerns about your daughter. A medical examination may be normal even though your daughter has been interfered with, so it isn't always conclusive.

There are therapists trained to work with children and to investigate things that may have happened through play techniques.

I think you need to discuss your concerns with your doctor so a plan of how to proceed can be made.


Question:My son is 9 weeks old and is tongue tied. It was difficult feeding him as he just couldnt suck properly until the past few weeks. He also doesnt use a pacifier unless you hold it in his mouth for him. It bothers me that his dr. is not concerned with this and due to insurance we do not have the option of getting another opinion. I'm concerned with speech problems of course. His dr. has told us that if it does not correct itself by the time he is 3 yrs. old that they will fix it. I'm confused! Why wait so long, what about him learning his first words? My husband and his brothers had the same thing when infants and my mother inlaw told me that they were all "clipped" as young infants. Any insight on this would help me!

Answer:Tongue tie is relatively common in babies. Your doctor is right in waiting to see what happens as most tongue tie improves by itself. Most babies feed and gain weight without any problem and speech is usually not affected.

In the past, there was a tendency for doctors to "clip" the tongue tie. However, this procedure is not without risk and as it is not necessary to treat the tongue tie, I wouldn't put my infant at that risk with our current knowledge.

Please don't worry about the tongue tie. Enjoy your baby. If there are still problems at 3 years of age, your doctor will sort them out. That's a great plan.


News and Updates

Introduction of Solid Food and Eczema

If you have a baby with eczema and are wondering when to introduce solids like eggs and dairy, a new study has shown that you should not introduce these foods before 6 months of age but there is no benefit in delaying introduction beyond 12 months. So even with a history of allergy, you can introduce eggs and dairy after 6 months of age.

Filipiak B et al. Solid Food Introduction in Relation to Eczema: Results from a Four-Year Prospective Birth Cohort Study. J Pediatr 2007, 10.1016/j.jpeds.2007.05.018

Crib Bumper Pads May Be Dangerous

A recent study shows that crib bumper pads may be dangerous and even be the cause of death in babies. Most cribs these days don't really need bumper pads to be safe as they are safe already, so it's probably best to avoid bumper pads altogether.

Thach B et al. Deaths and Injuries Attributed to Infant Crib Bumper Pads. J Pediatr 2007;151:271-4

Do you have older children?

If you have school-aged children, you might be interested in the Painless Parenting site which has helpful information on how to manage challenging behavior in school-aged children and teenagers.


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