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News from Baby Medical Q&A, Issue #059
August 01, 2011

New Questions and Answers

Question: My 9 month old baby has fever,around 100 (sometimes 102) for the last 1 1/2 weeks. He is coughing a lot and now he has running nose with thick mucous. I am concerned about his fever. His head is warm all the time. Also he is teething too. Does that had any effect?

Answer: Most fevers in infants are caused by viruses. See the common cold page for more information. Check the bottom of the page for when to see your doctor.

Cough is also usually caused by viruses either affecting the upper or lower respiratory tract.

Teething often coincides with viral infections but doesn't cause fever in itself.

Fever in itself is nothing to worry about - it is one of the body's ways of dealing with infection. Therefore, don't worry about treating if your baby feels hot but is otherwise ok. If he is very miserable with the fever, you could give a dose of Acetaminophen or Paracetamol -click here for information on these drugs.

Question: I am wondering if I should be concerned because many people tell me their child 18-24 months will sit and watch TV for long amounts of time. My daughter is 25 months and will not sit any longer than 20 minutes to watch TV. We rarely have the TV on too and I would say she only watches 2 programs so less than 1 hour a week of TV. It's not that I want her to watch TV it's just that she won't sit still a long amount of time and watch it. Some people say it's a short attention span, but I don't know because she will pretend play for over a 1/2 hour or play with puzzles and finish so she is able to engage in activities and complete them. So should I be concerned about her attention span?

Answer: Firstly, it is very hard to diagnose attention deficit disorder in a 2 year old.

It sounds as if your daughter has very appropriate play that she gives her full attention. The fact she doesn't watch TV for long just makes me think that it doesn't interest her.

In fact, studies show that children who spend less than 2 hours/day watching TV are less likely to be obese and AAP guidelines are that TV is limited to less than 2 hours/day in children, so you are doing well.

Overall, I don't think you should worry about your daughter at this stage.

Question: My 2 month old baby was born with a white spot the size of a quarter on her forehead. It wasn't that noticeable when she was first born because she was very light but now as she is getting bigger he skin color is getting darker and the spot is more noticeable and seems to be getting bigger.

Answer: If the skin is completely without pigment, then this would be called vitiligo and is likely to be there forever and there is no specific treatment other than camouflage.

Sometimes the skin temporarily loses it's color after inflammation. This is usually not completely white but just lighter skin. This will improve with time and you won't see it eventually.

Question:my 2 year old boy has a cyst on the left testis which is painless. He doesn't vomit or have other symptoms. I didn't notice it at the time of his birth. I found it after one year. I want to know whether it will resolve spontaneously or not and the correct age for surgery if it is needed

Answer:Cysts on the testes are not uncommon. If they persist beyond one year of age, then surgical removal is usually needed to prevent complications. I suggest you request a pediatric surgical opinion. Surgery would be quite soon probably. It is relatively minor surgery.

News and Updates

Cessation of Infant Acetaminophen

From the middle of the year, the Infant Acetaminophen in a concentration of 80mg/ml and 80mg/0.8ml will no longer be available. Instead babies will have to use the concentration of 160mg/5ml that is used in older children, so you need to be aware of what amount to give your baby. To read more, click here

Have you seen this website?

Medicines for Children - this Royal College of Paediatrics and Child Health website is very informative with lots of useful information on giving medicines in children. There are many useful pamphlets on childhood conditions as well.

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