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News from Baby Medical Q&A, Issue #070
July 01, 2012

New Questions and Answers

Question:My daughter is 10 months old and she has had a fever for 4 straight days now. Ranging anywhere from 100.8 to 103. She has no other syptoms, no cough, running nose, congestion, nothing. She does have two little pimple like blisters on her forehead and two on her neck. So after having a fever for 48 hours I took her to the doctor. Her throat was a little red and they did a strep test..it came back negative, then they did a urine test for a urinary tract infection..it came back negative. Finally they drew blood for a bacterial infection it came back normal. The doctor told me it must be a viral infection which antibotics can not cure.

I just don't understand why my daughter still has a fever! I have been giving her Motrin from day one every 6 hours and now I changed to Tylenol. Is there something else I should do or maybe there is something else she should be tested for? Should I take her to the hospital? Is this normal to have a fever for 4 straight days?

Answer: Despite the fever, your daughter sounds as if she's pretty well as she has no other symptoms. Your doctor has looked for bacterial causes and not found any, so this is most likely a viral infection and I would expect the fever to be settling over the next 24 hours or so.

A fever in itself isn't a bad thing and if your daughter isn't miserable with it, I wouldn't even bother treating it. See the fever page.

If your daughter is miserable with the fever and it lasts longer than 5 days and she has any of the following symptoms/signs:

  • skin rash
  • red eyes (the white of the eye looking red)
  • red, cracked lips or tongue
  • large lymph nodes
  • rash on the palms or soles or swelling of the fingers or feet or peeling of the skin

see your doctor for another check. Kawasaki disease is one where there is fever for more than 5 days and 4 other symptoms/signs. Usually children are extremely miserable with this and your daughter doesn't sound like that's the case with her. The most likely thing is that she has a virus and all will settle over the next day or so.


Question: My niece is 3 days old. We have noticed that when she starts to cry one side of her body and face turn red and the other side turns pale. It looks as if there is a straight line straight down her face and body. She is jaundiced. Should we be concerned?

Answer: This is unlikely to be anything to worry about particularly if your neice is well in other ways and has had a normal newborn baby check (so has normal pulses and heart sounds). The color change isn't related to the jaundice.

It is likely that when she is crying there is a different pressure on the blood vessels causing the color change. It might be an idea to point it out to the pediatrician if you haven't done so already, and it's important that your niece gets all her normal baby checks, so the next one will be about 6 weeks of age. However, in most cases this is not anything abnormal and it disappears as the baby gets a bit older.


Question: Our baby is 9 weeks old. He has started a new thing were he turns his head back and forth slowly. He turns right then left then right? He does it for about 30 seconds then stops? Any ideas?

Answer: Congratulations on your new baby. I wouldn't be too worried about your son turning his head side to side. He is just trying out new skills probably.




Questions:Why do kids have to wait for 30 mins after an immunisation? (this seems to contribute to abarrier to immunisations as parents just don't have all that time to hang around= a disincentive)

Answer:Children usually wait for some time after an immunisation to be sure they don't have an allergic reaction. If your child hasn't ever had an allergic reaction, waiting 20 minutes should be enough as most serious reactions, which I must say are rare, occur within 20 minutes. An exception is that we ask children with egg allergy to wait for 60 minutes after MMR.

You can definitely cut the wait down to 20 minutes. The wait is for safety purposes. I understand what you say about a disincentive, and that's not what anyone wants but safety is important. Hopefully this is helpful.


News and Updates

New Vaccine against Meningitis

-The US has a new vaccine called Menhibrix which immunizes against 2 types of bacteria: Neisseria meningitidis (serogroups C and Y) and Haemophilus influenzae type B (Hib). Both of these can cause meningitis and other severe bacterial infections. The planned schedule is for 4 immunizations at 2, 4 and 6 months with the fourth dose administered between months 12 and 16. The first dose can be given as early as 6 weeks, and the last as late as 18 months.

Have you seen this website?
Breastfeeding Quest for Success - this DVD is an excellent guide to breast-feeding with demonstrations of positions, latching and unlatching, nipple shields etc - everything you need to know to be successful at breastfeeding


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