Worried about your baby's
health?
Allergies:
Cause: The body's immune system has an adverse
reaction to the presence of an allergen (foreign
protein or other substance) which enters
the body by being eaten or inhaled or sometimes
by an insect bite or skin contact. Can Cause:
hayfever, asthma, eczema, digestive upsets.
Symptoms: Breathing
difficulties, Runny eyes and/or nose, Rashes,
Insect bites can swell, Temperature, Sickness.
In rarer cases more acute reactions require
immediate medical attention.
Action: Make
an appointment to see your doctor. Consult
doctor urgently.
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Asthma:
Cause: Inflammation of the bronchial breathing
tubes, causing narrowing of the tubes and
difficulty in breathing. The main irritants
that can cause symptoms are:
Infection
Allergy
Change of air temperature
Emotion
Exercise
Symptoms: In
toddlers, usually runny nose, wheezing and
coughing bouts with symptoms often worse at
night.
Action: See
doctor as soon as possible. In severe cases
hospital admittance is required.
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Bronchiolitis:
Cause: Usually caused by the Respiratory Syncytial
Virus. This can be caught after contact with
someone who has a head cold.
Symptoms: Coughing,
rapid breathing, wheezing. In severe cases,
cyanosis (a blue tinge to the skin caused by
oxygen shortage)
Action: Seek
medical attention immediately. Hospital treatment
may be necessary.
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Chicken
Pox:
Cause: Common infectious illness, caused by
the same virus that causes shingles. Incubation
period: 12-21 days.
Symptoms: Slight
temperature, generally unwell. Itchy red spots
appear first on body, later on face. These
become blisters, then crusts.
Action: There
is no way to prevent chicken pox. Try and prevent
child from scratching. Lukewarm baths containing
baking soda ease symptoms. Try to keep your
child cool. Make sure they drink plenty of
liquids.
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Common
Cold:
Cause: A viral infection affecting the upper
respiratory tract. On average, children tend
to have seven colds a year";
Symptoms: Blocked or runny nose, streaming
eyes, a sore throat and a slight fever, babies
may find it difficult to feed if the nose is
congested.
Action: Colds usually last between 5 and 7
days, though babies can stay snuffly for up
to a week longer. For simple colds, there is
little point in seeing a doctor. Seek doctors
advise if a fever is over 390C (1020F) for more
than 24 hours, your child vomits or has difficulty
in breathing. Doctor may prescribe decongestant
nose drops for a couple of days (longer could
exacerbate the problem). Antibiotics are not
usually given, unless the cough or cold leads
to a chest infection.
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Cough:
Cause: A cough is a symptom, not an illness.
Coughing is protective and nature's way of
clearing the chest or preventing infection
or irritation from reaching the chest.
Symptoms: There are different types of cough:
a loose or phlegmy cough is usually caused
by infection; a dry cough may be due to some
sort of irritation, smoke or catarrh associated
with a cold. A dry cough may also be associated
with asthma.
Action: Seek medical advice if:
The cough lasts more than a few days
The cough is associated with a raised temperature
Your baby is off food
Your baby appears unwell
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Colic:
Cause: The cause of colic is not known although, pain
from a spasm of the intestines may
be caused by:
Excess gas from swallowing air without burping
Feeding too fast
Lactose intolerance
Indigestion
Symptoms: Shrill, piercing crying which can
continue for several hours, especially in the
early evening. Baby seems tense, stomach may
be slightly distended. Knees are drawn up to
the stomach. Rumbling tummy, red face. Trouble
going to sleep followed by disturbed sleep,
frequent waking and crying.
Action: All babies with colic should be checked
over by a doctor at least once. It usually
disappears by the time baby is 3 - 4 months
old, but colic drops can be very helpful. Ask
your health visitor's advice.
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Constipation:
Cause: Bottle fed babies may develop constipation
as a result of having a particular formula
of milk. Any baby who has been unwell may
become constipated as a result of reduced
fluid intake and increased sweating.
Symptoms: Discomfort; small, hard, round stools.
Action: Babies may be helped by increased fluid
intake, extra cool boiled water/diluted fresh
fruit juice, never give babies or young children
laxatives. If persistent problem seek medical
advice. Babies over 4 months: try more vegetables,
or sieved/stewed prunes.
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Convulsions:
Cause: Febrile convulsions can be caused by
a sudden rise in temperature which causes
an electrical discharge in the brain, or
epilepsy.
Symptoms: Muscles twitch and begin to spasm.
Body can go limp and baby may lose consciousness.
Typically lasts a few minutes.
Action: Do not leave child unattended. Make
sure there is nothing in the mouth, as this
could block airways. Put child on his side
in the recovery position. When spasms have
stopped, call a doctor or ambulance.
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Cradle
Cap:
Cause: An accumulation of the dead skin cells
which babies naturally shed from their scalps.
Instead of falling off, they build up into
a layer.
Symptoms: Dry, scaly white or yellow skin on
the scalp.
Action: Wash baby's hair every day with a mild
baby shampoo as soon as you spot the symptoms.
If symptoms persist or get worse, soak the
area overnight in warm olive oil, sunflower
oil or baby oil. Wash with baby shampoo or
cradle cap treatment in the morning. Repeat
until condition clears.
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Croup:
Cause: Infection of the larynx (voice box).
PLEASE NOTE: Narrowing of the airways can
also be caused by 'Hib infection' (very rare
today, as there is a vaccination against
it) or choking.
Symptoms: Larynx is tight & inflamed. A
'barking' cough. In severe cases a grunting
sound can be heard when baby inhales. A cold & fever
can accompany these symptoms.
Action: Contact a doctor immediately. Make
sure child remains upright. Ensure child drinks
plenty of liquid. Steamy air can relieve symptoms.
Run a hot tap, continuously boil the kettle
(well out of the child's reach), place wet
towels over hot radiators or use a room humidifier.
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Dermatitis:
Cause: Seborrhoeic dermatitis is severe cradle
cap. (An accumulation of the dead skin cells
which babies naturally shed from their scalps but rather than falling off they build up into
a layer).
Symptoms: Skin on scalp becomes thick, yellow
and scaly. A brownish-red scaly rash can also
appear on the cheeks, eyebrows, behind the
ears and the nappy area.
Action: Generally clears up by the age of 6-12
months. Seek medical advice about treating
the condition. Your doctor may prescribe mild
hydrocortisone (steroid) cream which can be
applied sparingly to the affected areas.
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Ear
Infection:
Cause: A cold may cause tubes to become blocked
which in turn prevents the normal fluid drainage
from the ear which can lead to infection. Damage
to skin in ear through insertion/poking of
foreign objects.
Symptoms: Crying and screaming for long periods
of time. Sometimes there can be discharge from
the ear.
Action: Contact a doctor immediately. The doctor
may prescribe antibiotics if there is inflammation
of the ear drum, and medicine to relieve pain.
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Eczema:
Cause: Usually an inherited sensitivity or
allergy. Triggers include house dust mite,
detergents and, in some cases, certain dairy
products. Spread by scratching (not infectious).
Symptoms: Dry, itchy rash on face, behind ears
and knees, in neck and elbow creases. Inflammation
and redness, tiny pimples or blisters.
Action: Keep child's fingernails short. Check
with your doctor before making any changes
to your child's diet. Your doctor may prescribe
hydrocortisone (steroid) cream and recommend
a type of dry skin care. Always consult your
doctor before buying dry skin or eczema treatments.
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Gastroenteritis:
Cause: Usually caused by a virus (rotavirus),
but can be caused by bacteria (e.g. salmonella
and campylobacter) from contaminated food.
Symptoms: Severe vomiting, when most or all
of the feed is brought back up. Diarrhoea,
characterised by frequent and watery stools,
which may contain mucus and blood, may smell
very unpleasant and may be a greenish colour
(green stools are also caused by under-feeding).
Dehydration - baby may become unresponsive,
has sunken eyes and fontanelle (the soft spot
on the head), as well as a dry mouth, loose
and wrinkled skin and infrequent urination.
Action: If diarrhoea is mild, follow these
rules issued by the World Health Organisation:
continue to feed baby as normal; give increased
breast milk and clear liquids; consult your
doctor if the problem persists. If baby becomes
dehydrated, give oral rehydration immediately
- frequent drinks that have specific quantities
of sugar and salt. Buy ORT (Oral Rehydration
Treatment) mixture from the chemist, or you
can make your own with one level teaspoon of
salt, eight level teaspoons of sugar (glucose
for a child under two years old) with one litre
(1 and 3/4 pints) of boiled water. Your child
should have frequent drinks of this mixture.
Consult a doctor. If your child will not drink
the mixture, take him to a doctor or a hospital
immediately.
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German
Measles:
Cause: Virus. Incubation: 14-21 days.
Symptoms: Swollen glands behind ears, a distinctive
pink rash beginning on face and spreading over
the body.
Action: Consult a doctor, although plenty of
liquid and rest is normally sufficient. Rubella
can be dangerous during pregnancy and a doctor
should be consulted.
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Glands,
swollen:
See German Measles and Mumps.
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Hayfever:
See Allergies.
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Jaundice:
Cause: Temporary build-up of bilirubin, yellow
pigment which is a by-product of processing
red blood cells, caused by inefficiency of
a newborn's liver.
Symptoms: Yellow discolouration of baby's skin.
Other Symptoms: dark urine, pale stools, yellowing
of the whites of eyes.
Action: Jaundice within 24 hours of birth is
abnormal. Tell your midwife immediately. You
must see a paediatrician. At other times consult
a doctor. Phototherapy (using special lights)
is sometimes used.
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Measles:
Cause: Infectious virus. Incubation: 14-28
days.
Symptoms: Begins with a runny nose, red, watery
eyes and coughing and feverishness. After 3-4
days, white spots appear on inside of cheeks.
A red rash behind the ears spreads over face
and body. Can be serious. Can lead to complications
such as eye and middle ear infection, croup,
pneumonia and, in rare cases, brain damage.
Action: Call your doctor. Prevention: MMR vaccination.
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Meningitis:
Cause: Viral or bacterial infection of the
meninges (the membranes covering the brain
and spinal cord).
Symptoms: Extreme drowsiness, loss of appetite,
vomiting, fever, stiff neck, hypersensitivity
to light, shrill crying or moaning, difficulty
breathing, diarrhoea, staring, dislike of being
handled, stiff or floppy body, pale or blotchy
skin, tense or bulging 'soft spot' on head,
cold hands and feet. Meningococcal meningitis
is a severe bacterial form. Classic indications
of this strain are purple-red spots on the
body which do not fade when pressed.
Action: Bacterial meningitis is very dangerous.
Medical help must be sought immediately. Penicillin
from your GP before hospital treatment could
save the infant's life. Hib and Meningococcal
Group C meningitis are prevented by vaccination.
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Milk
Rash:
Cause: So termed as common in babies up to
a few months old. Not caused by milk but
by chaffing when feeding.
Symptoms: Red rash on face.
Action: Soon disappears after first few months
of birth.
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Mumps:
Cause: Virus. Incubation: 14-28 days.
Symptoms: Child has a temperature and seems
generally unwell. Most noticeable symptom is
the swelling in the neck of the salivary glands.
This usually starts on just one side. The mouth
is dry and child has difficulty swallowing.
Action: Give the child plenty of liquid and
semi-liquid foods. Call a doctor. Complications
can include middle ear infection and viral
meningitis. Prevention: MMR vaccination.
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Nappy
Rash:
Cause: Skin permanently enclosed in steamy
environment. Lack of air.
Symptoms: Soreness. In extreme cases, skin
can become red, start bleeding or develop whitish
patches.
Action: Use a very gentle cleanser - baby oil
or lotion applied with cotton wool instead
of soap and water. Do not rub the sore skin.
Zinc and castor oil cream can heal the skin
and keep moisture off it. Place soft gauze
over the affected area. Try and leave the nappy
off whenever possible to allow skin to breathe.
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Polio:
Cause: Virus - poliomyelitis. Affects the central
nervous system.
Symptoms: Can cause paralysis of limbs and
occasionally of the breathing muscles, meningitis,
and, in severe cases, death.
Action: Prevention: Oral Polio Vaccine. IMPORTANT:
Parents should take extra care over nappy changing
hygiene for the 30 days after each immunisation.
A small number of non-immune adults have contracted
a mild form of polio.
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Posseting:
Cause: Feeding.
Symptoms: Bringing up small amounts of milk
during or after feeds, or when laid down in
cot or being burped.
Action: This is not a cause for concern. It
should stop before the age of six months, or
once the child is having a more solid diet
and can sit up for long periods of time. If
your baby is vomiting continuously, refuses
feeds, has diarrhoea or a large amount of feed
is regurgitated in sudden spurts, contact a
doctor immediately. There might be an infection.
Sometimes projectile vomiting can signal a
serious stomach problem which will need urgent
hospital treatment.
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Prickly
Heat:
Cause: Over-Heating.
Symptoms: Tiny red spots with blisters.
Action: Bathe in lukewarm water. Dry gently
and thoroughly.
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Roseolla
Infantum:
Cause: Virus infection. Generally affects babies
6 months-2 years old.
Symptoms: Irritability and a sudden high temperature.
Lasts about five days. As temperature returns
to normal, a rose-coloured rash develops.
Action: Call a doctor. Give plenty of liquid.
Try and keep child cool.
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Rubella:
See German Measles.
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Scarlet
Fever:
Cause: Bacterial infection from a strain of
bacteria called streptococcus. Incubation period
2-5 days.
Symptoms: Extremely sore throat, temperature,
headache, vomiting. Tongue's appearance is
described as 'strawberry'. Scarlet rash spreads
from face to body.
Action: Call doctor promptly. Antibiotic treatment
can curtail the length of illness.
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Teething
Pain:
Cause: Discomfort arising from development
of baby teeth.
Symptoms: Irritability, flushed cheeks, dribbling,
general sign of illness.
Action: Give your baby something hard to chew,
such as a teething ring that has been chilled
in the fridge, or a crust or carrot. Avoid
giving food items if your baby is not yet on
solids. Application of teething gel to the
gums. If symptoms seem very painful, you can
give your baby the correct dose of paracetamol
(this is the only painkiller you should give
your baby). Give your child lots of cool drinks.
Apply baby cream to sores caused by dribbling
on the cheeks and chin. If your child develops
a heavy cold, cough, high fever, diarrhoea,
vomiting or appears to be in a lot of pain,
consult your doctor.
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Oral
Thrush:
Cause: Candidal (yeast) infection.
Symptoms: Discomfort when sucking. White spots
on tongue and inside mouth.
Action: See your doctor. Anti-fungal drops
may be prescribed, which will quickly relieve
the symptoms. Sterilise teats and dummies.
Your nipples will need treatment too if you
are breast-feeding.
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Tonsillitis:
Cause: Inflammation of the tonsils caused by
bacteria.
Symptoms: Severe sore throat. Tonsils may appear
red and swollen. Can be accompanied by fever
and feeding troubles.
Action: Consult your doctor. Antibiotic treatment
may be necessary.
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Urticaria:
(Nettle Rash)
Cause: Can be an allergic reaction to food,
medicine or a plant (e.g. a nettle), clothing
or animal fur.
Symptoms: Raised white weals on the skin,
with redness surrounding.
Action: Cold
compress and then calamine lotion applied to
affected area. If symptoms persist,
spread to a large area, or are affecting eye
or mouth area, contact a doctor urgently.
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Whooping
Cough:
Cause: Bacterial disease. Incubation 7-10 days.
Symptoms: Head cold, high temperature and cough.
The cough develops a distinctive pattern. There
are regular coughing fits which finish with
a whoop when air is taken into the lungs. In
the case of babies, they may stop breathing
instead of 'whooping'. Vomiting regularly follows
a coughing fit, so the list of symptoms is
often extended to exhaustion and malnutrition.
Action: Prevention with triple vaccine. Contact
a doctor immediately. Early treatment with
antibiotics can help reduce symptoms and infectiousness.
Can lead to complications such as ear infection,
convulsions, pneumonia, hernias and, in extreme
cases, brain damage. Give the child food and
drink soon after each coughing fit. The child
needs constant care and attention.
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