Problems that most often occur in childhood
Last reviewed: 23.04.2024
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The child constantly cries. During the first month of life, a child usually cries without tears. The mother of the child seems to learn to recognize the different values of this crying: irritability, hunger, pain (in the latter case, crying is more intonated). But in practice it is rather difficult. There is hardly a difference between crying from hunger and thirst, so you can only find out why the baby cries, by trial and error. Feeding a child through strictly established time intervals is likely to be the main reason for crying a newborn - just a child is hungry and "asks" to feed it. If this baby's requirement is not met, then he falls into a fit of crying with bursts of shrill scream.
Three months of colic. Almost every night the child pierces and knocks with legs, pushing them upwards, although otherwise he is healthy. The reason is often unclear, and usually nothing helps, although you can try to give dill water, dimethicone (Dimethi-sope) (should not be given if the baby is less than a month old) or pipenzolate (Pipenzolate); sometimes it brings relief. Parents should be reassured only one thing - the certainty that all this will soon pass by itself and without any consequences.
The baby does not fall asleep. He can not fall asleep because of a feeling of hunger, because of pain, because of a feeling of discomfort, because of intestinal colic and, rarely, because of nightly fears. If you can not establish any reason, but some treatment seems necessary, try sometimes to give alimamazine-syrup (up to 3 mg / kg of body weight inside if the child is more than 2 years old). Nighttime fears are not nightmares, since they do not arise in connection with the phase of sleep accompanied by rapid movements of the eyeballs, i.e. With the phase "REM". Thus the child wakes up frightened, as if with hallucinations, and to it it is simply impossible to be risen. If these nightly fears (in a dream) have acquired a stereotype, try to wake the child before such night fear arises.
Vomiting. Bumping without any effort on the part of the baby during feeding is a fairly common phenomenon. Vomiting between the feeds is also often observed, but if it is repeated often, the reason for this should be established. The reasons may be: gastroenteritis, pyloric stenosis, congenital hernia of the diaphragmatic esophagus (in this case, mucus in the vomit with a possible admixture of blood) and rarely - pharyngeal "pocket" or duodenal obstruction (with a lot of bile in the vomit. To establish the cause of vomiting, it is important to observe the process of feeding the baby; if the vomiting is of a gushing nature (through the foot end of the crib), then it is necessary to assume stenosis of the gatekeeper.
Rash in the diaper's nipple, or "diaper dermatitis." There are four possible causes of this condition.
- Ammonia dermatitis: occurs very often, characterized by erythema, flaking rash, which does not seize skin folds. The term is rather erroneous, because it is caused by the fact that the child's skin on these sites for a long time remains wet, and not ammonia (this is due to the vital activity of microorganisms splitting urea). The only thing you need to do in this situation is to change diapers more often (which need to be rinsed well), gently dry the skin and apply a softening cream. Do not use tight rubber pants. At night, disposable diapers can be very useful.
- Candida dermatitis (thrush): Yeast-like fungi can be isolated in almost half of all cases of "diaper rashes". A characteristic feature of such a rash are "satellite" spots on the rim of the rash. The exact diagnosis is mycological. Treatment: cream with nystatin or clotrimazole [± 1% hydrocortisone ointment (eg, Nysta-formHO)].
- Sosboreinic eczematous dermatitis is characterized by the appearance of a diffuse red shiny rash that also spreads to the skin folds. Often accompanied by other manifestations of sosboreynogo skin changes, for example, this rash appears and on the nape ("cradle cap").
- Psoriasis-like rash: these are isolated red plaques covered with silvery scales. Treatment is difficult. What should I avoid: boric acid, topical application of fluoride-containing steroids (absorbed, they have a common effect); oral intake of antifungal drugs (hepatotoxic) and gentian violet (it stains diapers, so mothers refuse to use it).