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News from Baby Medical Q&A, Issue #048
September 01, 2010

New Questions and Answers

Question:My 28 month old son has started complaining about his hands and feet hurting. He only complains at nap time and bed time when he lays down?

Answer: It is hard to know exactly what is going on without being able to examine your son's hands and feet. If he seems stiff when he wakes particularly affecting his hands and feet or if there is any swelling of this joints then he may have a form of juvenile arthritis.

If none of the above apply and his hands and feet look normal, it may not be anything to worry about, especially if it doesn't last long.

If it persists or if there is morning stiffness or joint swelling, see your doctor.

Question:My 28th month old daughter has recently started sucking her food rather then chewing. This started a few months ago lasted for a short time maybe a month or so. She started holding her food in the roof of her mouth and sucking on it for minutes to an hour. She went back to chewing normally and then about a month ago started doing it again and now it is a lot worse. She will suck her food at least 95% of the time unless we sit with her and make her chew.It is with all foods anything she eats.

My husband is worried that she is going to train her jaw muscles to work in this manner so we are trying to get her to stop. I am just trying to figure out why she may be doing this I have not been able to find any other cases online so I guess this is abnormal. And I am wondering if this is really harmful for the growth of her mouth and teeth if it could cause dental problems and if I should take her to the pediatrician or dentist.Any insight would be greatly appreciated. Thank you for your time.

Answer: You daughter doesn't have anything wrong with her as she has been able to chew normally. She has just picked up a habit and as long as it gets attention, she will continue.

I would not worry about it, not mention it and wait and see what happens. She will start to chew again.

Holding sugary food in the mouth isn't good for the teeth, but in the short term ignoring the behavior is likely to lead to it stopping most quickly.

Question: I have a 7 month grandaughter and we're all extremely worried about her. She has had a lot of loose nappies and sickness since being born, which we've recently found is due to being lactose intolerant. She is now on soya milk. However she will not attempt to eat finger food, anything from a spoon or dish, and has recently stopped drinking water altogether! She's not taking a full bottle in any one day, just 4 ounce here and there.

When we do get her to sleep she seems very fretful, in as much as she'll sleep for ten min or so, then wake with a start and cry (as though she's had bad dream or severe shooting pain).She is quite pale as well. Despite taking her to doctors and speaking to health visitor, we don't feel anyone is taking us seriously. Something must be amiss surely for her to be this way. Her cousin had a twisted bowel at this age and hope it's not going to be the same.I don't know if this is heridatory. She seems to have been poorly more or less every week since being born, and her sleep pattern is non existent. She never goes more than 4 hours (and thats rare). Can you please advise us.

Answer: I can see you're very worried. I would expect that if your granddaughter is lactose intolerant that someone would be watching her weight and making sure she is growing normally on a growth chart - click here to download a growth chart from this page.

At seven months, I would only be expecting children to be starting solids, so I'm not too worried about that yet - your granddaughter has probably had a bad experience of feeling lousy when she drank (milk) and it might take her a while to realise that she can eat/drink without discomfort now.

If she is very pale, I would advise a 3 month course of iron - she may not have been able to absorb iron well when she had the lactose intolerance.

Click here for help on managing sleep problems.

Question:10 months Can you tell me about a 10 month old and bottle feeding in bed, that is putting baby to bed with a full bottle of formula- at any age!

Answer:Generally we do not advise putting a baby to bed with a bottle of formula - this is mainly because of the risk to the teeth and developing teeth.

As the baby is lying in bed sucking on the bottle, particularly as he or she is falling asleep, the milk will tend to pool in the gutter below the tongue and this can lead to caries.

If your baby does go to bed with a bottle, remove it before your baby is asleep. Better still, give your baby the bottle before bed as part of the quiet time routine before bed.

News and Updates

Vitamin D supplementation to Prevent Rickets

- the AAP (American Academy of Pediatrics) recommends that babies who are breast-fed and those on formula taking less than 1 litre per day require 400 IU/day of Vitamin D supplementation which is to be continued throughout the first year of life.

This amount of Vit D is available in the following preparations:

  • Just D - 1 ml
  • Multivitamins - usually 1 ml
  • Bio-D-Mulsion - 1 drop
  • Vitadol C - 10 drops

Reference: Wagner C, Greer F.Prevention of Rickets and Vitamin D Deficiency in Infants, Children, and Adolescents. peds.2008-1862

Have you seen this website?

Pervasive Developmental Disorders - this little book is a must read for parents and teachers of children with any of the pervasive developmental disorders, including autism and Asperger's syndrome, as well as PDD. I highly recommend it - it's an easy read in one sitting and has so much valuable information to help you understand and practically manage these disorders.

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