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News from Baby Medical Q&A, Issue #050
November 01, 2010

New Questions and Answers

Question: 2 My 2 year old daughter will wake in what i describe as a tantrum state.She will want something and tell you she does not want it when you give it to her.She does this repeatedly in between screams and crying.Nothing will pacify her.She will do this for up to 20 minutes at times.Then she becomes calm like a storm just passed thru and she is happy.Is this a symptom of a serious nature,what kind of specialist would help us.

Answer: It sounds as if your daughter is slow to fully wake up. Many toddlers are like this and in that "not quite awake" state, they can be quite contrary. The best thing is to leave your daughter to wake up fully. This can be hard to do if she is crying, but try and get a regime that works for her.

For example, once she wakes, change her diaper and then just leave her in bed or somewhere else quite and say "let me know when you're ready" or something. Perhaps put in range a variety of things she usually asks for so she can get them if necessary or leave them.

Hopefully that will be enough to sort things out. If you did see a specialist, a child psychologist would probably be best.

Good luck.

Question: My baby age who is 1.6 years old and weight is 8kg's. He is not taking his food at all. Can you advise how will he take proper food & increase his weight.

Answer:Without knowing your son's diet it is hard to say. However, general principles are: Reduce the amount of milk in the diet as this can lead to low iron stores and poor appetite Give calorie rich foods - so add some butter (or ghee) to foods that your son does eat, so you increase the calories.

You could ask to see a dietician who will be able to give more specific advice.

It's also important that your son has had a medical examination to rule out a problem with thriving.

Question:2 weeks After the birth of my 2 week old baby boy, his doctor informed me that his both kidneys are in the right side. He is passing urine normally but is there any harm about this and what should be done in such cases??

Answer: It is good that your baby is passing urine normally. Babies can survive quite well on only one kidney. You need to talk to your doctor to get more information to know of any possible harm - if the second kidney is in the abdomen (rather than the flank) then there may be potential for damage with any injury involving the abdomen.

I think the best thing to do is to ask for an appointment to discuss your baby's finding with a pediatric renal (kidney) specialist.

Question: My 7 month old baby girl has like 4 big red bumps on her head and it tuned into a scab. The scab came off and there was green pus in the scab. I want to know what do u think it could be?

Answer:It sounds as if your baby has some form of abscess - it is good that the pus is out. Your daughter probably needs a full check up to make sure her immune system is working well and she is growing well.

> From the information you give, it is not possible to give a diagnosis. The pediatrician should be able to help when he/she examines your daughter.

News and Updates

Paracetamol (Acetaminophen) Use and Risk of Asthma

Another study has shown an association between paracetamol (acetaminophen) use and asthma in children.

However, the real risk is probably very small if Paracetamol (Acetaminophen) is not used indiscriminately, and Paracetamol (Acetaminophen) is still first choice for childhood pain and fever as both Paracetamol and Acetaminophen have good safety profiles.

Be discriminate and only use Paracetamol (Acetaminophen) for childhood fever if your child is very miserable.

Don't be indiscriminate and use these drugs just to lower the temperature if your child is otherwise well, and don't use Paracetamol (Acetaminophen) as a sedative to get your child to sleep when they are mildly unwell - they are sedative drugs!

Reference:Beasley RW, Clayton TO, Crane J, Lai CK, Montefort SR, von Mutius E, Stewart AW; the ISAAC Phase Three Study Group. Acetaminophen Use and Risk of Asthma, Rhinoconjunctivitis and Eczema in Adolescents: ISAAC Phase Three. Am J Respir Crit Care Med. 2010 Aug 13.

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