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Category: Neonates & infants

Information for the little ones

Please give Paracetamol AFTER vaccination.

From BNF for children Post-immunisation pyrexia in infants (see also Post-immunisation pyrexia in infants) Paracetamol by mouth Child 2–3 months 60 mg as a single dose repeated once after 4–6 hours if necessary (dose can be repeated twice for meningococcal B vaccine) Child 4 months 60 mg as a single dose repeated after 4–6 hours (max. 4 doses in 24 hours)

Tongue tie

Tongue tie or ankyloglossia is a common condition in babies. But the fact is that it rarely causes any problem for the baby in feeding or speaking when they are older.

Faltering growth (Failure to thrive)

Many babies fail to gain weight as expected during the first few days of life. Newborns are expected to loose up-to 10% of their birthweight by Day 5-7 after birth. If they are exclusively breastfed, the breast milk starts to come from Day 2-3 onwards. They then start to gain weight from Day 5-7 and usually regain their birth weight by Day 10. Most common cause of excessive weight loss is inadequate milk supply in mother, for various reasons. The mother should drink plenty of fluids, eat a healthy diet,… Read more Faltering growth (Failure to thrive)

ODD shaped heads in babies

It’s called Plagiocephaly in medical terminology. Plagiocephaly is a disorder that affects the skull, making the back or side of a baby’s head appear flattened. It is sometimes called deformational plagiocephaly. There are no symptoms associated with plagiocephaly other than the flattened appearance of the back of the head – either evenly across the back or more on one side. It does not cause any pressure on the baby’s brain and development will not be affected by it in later life. Its importance is entirely cosmetic. Nevertheless, if you are worried about… Read more ODD shaped heads in babies

Excessive crying in babies

Excessive crying in the first months of life is usually benign and self limiting, although in a minority of babies it may be linked with more long term and serious problems. No routine investigations are needed for an afebrile child with no signs of illness on a thorough history and examination.

Reflux (Gastroesophageal Reflux Disease)

Many babies cry a lot specially after the feeds. This could be Gastroesophageal  reflux. Gastroesophageal reflux (GOR), the passage of gastric contents into the oesophagus, occurs commonly in newborn infants, especially those born prematurely. Physiologic GER typically is a developmental process that resolves with maturation. GER generally resolves on its own by one year of age. In infants who remain asymptomatic, no further evaluation or intervention is typically required. In contrast, GOR disease (GORD), is clinically significant GER that causes problems. In infants they include frequent vomiting, aspiration pneumonia, irritability,… Read more Reflux (Gastroesophageal Reflux Disease)