Thursday, April 19, 2012

Red Spots Allergies In Infants

Red Spots Allergies In Infants - Morning Doc, I just had my first child, now 1.5 months old, I want to ask how to remove red spots due to exposure to breast milk at my son's cheeks and chin. Can the solution and what the name of the medicine, previously I thank you.

Answer :

Cheek rash is an allergic skin disease called atopic dermatitis. The cause is not because of breastfeeding against the skin. The most common cause is cow's milk (milk bottles). But can also occur in infants who were given breast milk can suffer like this.

According to the literature the most common cause is the mother who consume dairy products (such as a nursing mother to drink milk). To remove the skin rash to try to bring a doctor, but it is necessary to find the cause why the baby to be allergic to it.

Dr Aditya Suryansyah SpA

Yellow Baby Handling

Yellow Baby Handling - Doc, when going home from the hospital, my baby is otherwise yellow with bilirubin 12.8 after 2 days of Bluelight dropped to 11.9. I finally forced to return to consideration of the sun drying treatment and drinking lots of milk. To date approximately 3 weeks of age and I've never check again to see a doctor.

I'm confused about immunizations, how good you? To the pediatrician first, or directly to the clinic for immunization? Please enlightenment.


Answer:
Yellow in the newborn hyperbilirubinemia is often called, is a yellow skin due to increased bilirubin in the blood after birth. Yellow skin itself is a physiological arise when starting on the day 2-3 with a low level. However, when bilirubin reaches above 10, we need serious treatment, especially infants aged under 7 days.

The best therapy is a frequent breastfeeding, and dried in the sun under the hours of 9 am, is a pretty good step. When bilirubin is likely to increase, think about light therapy. Now your son is 3 weeks, so no need to be examined bilirubiun when the skin is not yellow.

Immunization can be anywhere. Can be in community health centers, GP practices or in the doctor's son. When the pediatrician not only do immunizations, ask child development that involves the growth of body weight, height, head circumference and social development, fine motor, gross mototik and language.

Dr Aditya Suryansyah SpA

Bacteria in the Blood

Bacteria in the Blood - Good day doctor, I want to ask about the disease bacteria in the blood, whether it be disembuhankan? Because my nephew 1 year old today and is now sick in hospital, is there a vaccine and what each hospital to provide the vaccine? Thank you.

Answer :

Good afternoon, which meant the bacteria in the blood (bacteremia) is the presence of bacteria in the blood that should be sterile. In the presence of bacteremia will cause the body to react and cause inflammation that is a sign of fever. When the appropriate antibiotic and immune system are also better able to heal patients.

Each hospital has always prepare the vaccine, but it must be remembered vaccine aimed at preventing the onset of the disease. With the vaccine is expected that children are not exposed to the disease the vaccine dimengandung, unfortunately not all diseases have a vaccine.

Dr Aditya Suryansyah SpA

Cavities in Toddlers

Cavities in Toddlers - Doc, I want to ask why my son (2 years) molar teeth cavities and lightly browned. Though my children never to eat less candy snack, even if ice cream is also a sense of strawberries, brush their teeth 3 times a day too diligent. Trimakasih the physician explanation.

Answer :
Tooth decay or dental caries is common in children aged 2 years, even teeth have not grown all, there have dental caries. Is the child's mother was taught to brush your teeth right? Whether after a toothbrush and then drink milk again?

We have to remember bahwaanak age 2 years was very happy to eat a snack and drink milk with a dot, especially before bed. Snack foods and milk will also stimulate the emergence of plaque and dental caries eventually become.

Mechanisms of dental caries incidence occurred starting with the food consumed, then the teeth are not cleaned properly so that the tooth surface plaque buildup will occur that contain acid-forming bacteria. If the incident is repeated, especially children are given milk every evening there will be a buildup of plaque, caries will ultimately arise. The thing to remember, keep teeth clean, and children are taught the correct toothbrush.

Dr Aditya Suryansyah SpA
 

Child Weight Up Down

Child Weight Up Down - Doc, my children aged 2 years and 3 months. Since the age of 1.5 years of a child I often cough and cold and cough and cold month for almost 2 months. Although eating and drinking as normal weight fluctuates between 12.5 to 15 kg. Is this normal or are there other indications?

Because of all this when I was sick child to stay active and not be silent. For additional information, my son had this since 1.5 years. And since the age of the child as well I always go where I go because I do not have servants. Previously rarely sick because it is rarely out of the house because it was raised by a baby sitter at home. Are allergic factors, tired, or there are other indications ya doc? Because the frequency of my child cough and cold, so subsequent immunization stopped. Please and thank you before his enlightenment.


Answer :
I was quite surprised if your son has a lot of activity, as always participating mothers go anywhere? The problem that the mother is to say there are 2 weight (12.5 to 15 kg fixed) and chronic cough (2 months).

We first discuss a weight problem. A child must be well nourished, that is sufficient intake of food, enough rest and also for its growth (including weight and height). Weight loss should not fall to rise, because the child's growth, which is always growing and getting bigger growing body function. When your weight fluctuates from 12.5 to 15 kg range is certainly no problem.

Since the age of 1.5 years until the age of 2 years and 3 months (range 8 months) between 12.5 to 15 kg body weight is a strange event. At the age of 1 year 5 months 12.5 kg body weight is pretty good, but when 8 months later the same weight would need to trace the cause, even odder weight up and down. So the weight of the questions from this is: What is the food as usual? Have 3 meals a day, an amount sufficient, or only 3 bribe or a dish to eat?

Because the provision of a given number of calories per meal affects growth. Is given milk? Keep in mind food intake in children aged 2 years at least 1200 calories a day. What a good mother berkosultasi with a dietitian to food intake is not wrong.

Between 12.5 to 15 kg body weight up and down for 8 months of the possibility of weighing. Different scales used to weigh the wrong or how to create the impression of rapid weight change. Diverse types of scales. When measurements with different scales will certainly lead to different assessments. There can also be chronic diseases associated with severe and persistent chronic cough.

The second problem is the old cough (2 months). Unfortunately the mother did not explain how the cough for 2 months if not ever recover? Is it more often at night or during the day, or accompanied by fever or not. Is the cough worse when drinking the ice cream, chocolate, after playing in place velvet, or no contact with TB patients? These questions need to be clarified, to answer the cause of cough.

Causes of coughing that much, but there are two kinds to keep in mind and is often the case, namely cough cough due to allergy or tuberculosis. For further handlers should be the child's mother examined the child medicine to assess the type of cough and assess food intake during this time, and determine the cause of cough.

Dr Aditya Suryansyah SpA

Sepsis Kids and Handling

Sepsis Kids and Handling - My son was born 20 April 2009, the day after the birth of the child my son hot but according to the local midwife shortage of drinking my child, but after a few days the heat will not go down (the temperature up and down). At the age of 1 month my son was hospitalized for high heat and the doctor's diagnosis of my child developing sepsis.

I want to ask:

  1.      HOW sepsis treatment, because after being discharged from hospital badanya still hot?
  2.      How mental and physical development of children with sepsis?
  3.      What causes the disease?
Thus doc, a history of major illness of my child I hope the doctor can explain in detail. Thank you Doc.

Answer :
Good day, mother, child birth should be healthy, not hot, and strong drink for the growth and development. What if a child is sick at birth? Naturally we look for the causes.

Signs of a sick child at birth can be a lazy drink, get more sleep, and even decreased consciousness, increased heart rate, faster breathing, shortness of breath, recurrent vomiting, bloating, decreased or increased body temperature. When we find these symptoms have to be careful. Very serious infection in infants.

The definition of sepsis is the clinical symptoms of systemic infection (infection of the blood flow and overall) with signs such as mentioned above. The cause is the presence of bacteria in the body and the body can not fight it. Factor of sepsis varies. Able to maternal factors, among others, maternal fever, infection of the birth canal, vaginal discharge, premature rupture of membranes. Infant factors may be less endurance, such as premature infants, less weight, twins. And environmental factors that cleanliness and hygiene of infant care during childbirth. These three factors greatly contribute onset of sepsis in infants. In dealing with the doctor treating sepsis with appropriate antibiotics and treatment of clinical symptoms that arise, both expected after treatment, and appropriate treatment, residual symptoms are uncommon. And children could grow flowers like other children. Do not forget to always control the child regularly to see the growth and development.

Dr Aditya Suryansyah SpA
 

Does Talc Cause Infant Asthma?

Does Talc Cause Infant Asthma? - Is it true that the powder can cause asthma to infants? My wife always sprinkle the powder into my son (2 months) either after a shower or when the child is sweating, and I worry about my baby developing asthma because of the powder. But I own a little of the powder is often applied by my mother turned out fine. The main factors that cause asthma in infants what? Can not be cured if terkenannya as a baby?

Thank you


Answer :
Powder is a powder, so as to arise meragsang respiratory wheeze, as the dust of powder merupan allergen. If we want to give the powder, just given a bit, and applied in a thin, rather than sowing. In addition to stimulating the cough will also cause skin irritation, especially if the skin is given a thick powder is wet or sweaty.

Asthma is an allergic disease with symptoms of coughing or wheezing and recurrent that can attack infants to adults. The cause of asthma in infants can be due to the cold air or dirty, high-protein foods such as eggs, milk, fish, as well as the originator. Most symptoms of asthma in infants will recover as an adult.

Dr Aditya Suryansyah SpA
 

Descending to the Children's Thalassemia

Descending to the Children's Thalassemia - Doc, I have a brother who exposed thalesemia since childhood. My own good health condition. I am 23 years old and plan to marry in the near future, but I am worried about the future of my children if I am pregnant lest I also carrier so my son can be like my brother.

How do I dock it to have healthy children? I saw my brother's life was tough for dependents parents and my sister now age 25 years and still continues to do a transfusion.

What is thalassemia can be detected early? If my carrier if my child can be affected by thalassemia? I like the little boy had a child but if he continues to suffer, so I do not intend to marry.

Please explanations dock, the possibility of a child exposed to people with thalesemia thalesemia of family?


Answer :
Thalassemia is a blood disorder, including hereditary hemolytic anemia, which means a decrease anemia due to hemoglobin (Hb) Hb blood fragile and rapidly diminishing, so the child will look pale. While we know Hb binds oxygen and circulate into the bloodstream for life lasted. When hemoglobin is always low, causing disturbances of organs. In this case the child will require repeated blood transfusions to keep Hb normal.

This disease is an inherited genetic disorder outosom, that child will be affected by thalassemia, when both father and mother nature at the same carrier. Under the law of Mendel, every child born of father and mother of the nature of this disease have a chance of 25%, carrier (carrier properties) 50% and 25% healthy.

Ms. Tia So while this may sound 25% or carrier (carrier properties) 50%. We recommend that before marrying Ms. Tia and husband were both checked blood, if Hb Ms. Tia and husband are both carriers of properties. So that prevention can be done. It is not that mean the same as the nature of an arranged marriage was canceled. The goal of genetic counseling is to organize the future and what steps are taken when a child in the womb suspected thalassemia.


Wednesday, April 18, 2012

Is Baby Caesar, More Vulnerable?

My child was born with a caesar, I find info that babies who are born with the disease are more vulnerable sections. What is the dock? How mengantisipiasinya? My child was breastfed exclusively?

Answer :
Thank you mother for asking. The news is not all true. But babies born with SC, it means the baby is born not through physiological birth canal, so that at birth sometimes require adjustment. Such as respiratory problems in infants SC occurs more frequently than the spontaneous birth.

TIP for us all when it is best birth through the normal channels of spontaneous birth (in addition to cheap and physiological), unless there is a barrier spontaneous birth. Breastfeeding must take precedence as the best food of infants only breast milk. Besides a lot of nutritional value, breast milk also contains antibodies and closer relationships inner child and mother.

Is it safe, Babies Not Vaccinated?

Doc, I asked my mother to my sister in law so as not to vaccinate their babies to the candidate. This is because my mother used to watch news on television that many cases of children who do vaksinaksi actually sick. My mother said, when we were kids did not use vaccines to stay healthy.

Is it true that without vaccines the child is okay and stay healthy? Perhaps not a baby is not vaccinated? Why are there cases of babies ill after being vaccinated even terminally ill? What the vaccine expire? Actually the number of times a toddler must receive the vaccine? And that any vaccine?


Answer :
Terimakasih atas pertanyaannya. Imunisasi merupakan pemberian antibody secara aktif, maksudnya memberikan bakteri atau virus yang lemah /mati atau toksinnya, sehingga tubuh membuat daya tahan secara aktif. Diharapkan saat terserang virus atau bakteri yang ganas, tubuh sudah mempunyai antibody dan tubuh menjadi kebal terhadap penyakit tersebut.

Sampai saat ini vaksinasi merupakan primadona untuk mencegah penyakit yang mematikan, walaupun tidak semua penyakit ada vaksinnya. Kadang kala ada vaksin yang mempunyai efek samping panas, sehingga orangtua kadang tak mau memberikan vaksin pada anaknya, namun efek samping panas tersebut sangat ringan bila dibandingkan dengan serangan penyakit itu sendiri.

Dalam memberikan vaksin dokter atau petugas kesehatan harus memberi penjelasan manfaat dan efek samping vaksin, dan harus jujur dalam memberikan vaksin. Vaksin tersebut harus kondisi baik, tidak rusak atau kadaluarsa, karena vaksin mudah rusak bila penyimpanan tidak benar. Vaksin yang wajib tergantung daerah dan geografis suatu Negara, di Indonesia yang wajib adalah BCG, DPT, POLIO, Hepatitis B dan campak.