Posts for: January, 2015

By Lockman & Lubell Pediatric Associates
January 19, 2015
Category: Uncategorized
Tags: Untagged

EczemaIt’s normal for a child to get a rash at one time or another. But one common type of rash known as eczema can be especially troubling.  Eczema refers to many types of skin inflammation, with atopic dermatitis being one of the most common forms of eczema to develop during a baby’s first year.  

You may first notice signs that your child has eczema as early as one to four months of age, appearing as a red, raised rash usually on the face, behind the knees and in the bends of elbows.  The rash is typically very itchy, and with time, may spread and / or  lead to an infection. The patches can range from small and mild to extremely itchy, which may make a small child irritable.

While the exact cause of eczema is not known, the tendency to have eczema is often inherited.  Allergens or irritants in the environment, such as winter weather, pollen or certain foods, can trigger the rash. For most infants and small children, eczema improves during childhood. In the meantime, however, parents should help reduce the triggers that cause eczema outbreaks and control the itch to prevent infection.

Managing Eczema 

While there is no cure for eczema at this time, there is treatment. Talk to your Pediatric provider at Lockman & Lubell Pediatric Associates  about ways to alleviate itching and reduce the rash. Minimizing how often a child scratches the rash is especially important as the more the child scratches, the greater the risk of infection.

To prevent flare-ups and help your child cope with eczema, parents should follow these tips:

  • Under your doctor’s direction you can use an antihistamine to relieve itching and reduce scratching.
  • Minimize nighttime itching by having child sleep in long-sleeved clothing.
  • Apply anti-inflammatory medications, like 1% hydrocortisone, under your doctor's direction to reduce inflammation.
  • Use mild soaps, for example Dove Sensitive, Tone or Caress ( among others) during bathing, and avoid frequent, hot baths, as it will dry out the child’s skin.
  • Speak with your child's healthcare provider about the " Soak and Seal" method of moisturizing the skin.
  • Avoid triggers that aggravate eczema, such as rapid changes in temperature, abrasive wash cloths, wool clothing, and for some childre specific foods or allery exposures. 

Many kids will outgrow atopic dermatitis, but it is still important to treat the condition right away to keep it from getting worse. Work with team at Lockman & Lubell Pediatric Associates to find the best combination of skin care strategies and medications to ease the itch and inflammation and keep infection at bay.


By Lockman & Lubell Pediatric Associates
January 19, 2015
Tags: Child Care   Fever  

 

Although fevers, particularly in infants, are often very frightening for parents, we pediatricians know that most of the time a fever is not a sign of a serious problem nor is it going to injure or damage the child.  Fevers are usually triggered by an infection caused by a viral  or bacterial germ. In fact a fever is the body’s normal  response to infection and in many cases is considered a good sign that the child’s body is trying to heal itself. Furthermore, contrary to popular opinion, the height of the fever does not correlate with the seriousness of the infection. 

All children react differently to fevers, but there are some common patterns seen during a febrile ( fever causing)  illness. For example, typically when a fever is rising the child is pale, feels cold, and has shaking chills, and when a fever is breaking the child will then  appear to be flushed, warm, and sweaty. It is also interesting to note that for each degree of temperature elevation (Fahrenheit) that  your child's metabolism will speed up about 7 %-which means that their heart rate and breathing rate too also speed up by about 7 %. 

When to Visit Your Pediatrician

Fevers are one of the most common reasons parents seek medical care for their child.  

So it seems fair to address the question: When does a child’s fever warrant a pediatric healthcare provider's attention?

At Lockman & Lubell Pediatric Associates we would like you to call us immediately- day or night-if your child has a fever and:

  • Is younger than 3 months and has a temperature of 100.4°F or higher rectally. 
  • Has a fever which persists for more than 24 hours if your child is younger than 2 years or more than 3 days if your  child is 2 years of age and older
  • Has a fever which repeatedly rises above 104°F for a child of any age
  • Is lethargic, unresponsive or unusually fussy
  • Has a seizure
  • Has a severe headache, ear pain, sore throat, difficulty breathing or frequent bouts of vomiting or diarrhea, or an unexplained rash,
  • Still feels or looks particularly ill after fever goes away

If your child appears uncomfortable, you can help them feel better by using a fever-reducing medication like acetaminohen or ibuprofen until the fever subsides. Please consult the dosing chart included in our website or ask your pediatrician if you have questions about recommended dosages.  Your child should also rest and drink plenty of fluids to stay hydrated. Remember , their metabolic needs are increased during fever. Most children do well if they consume a minimum of 16-24 ounces per day. Popsicles are a great option for maintaining a normal state of hydration which most kids enjoy!  Pedialyte is another wonderful option for younger children because it is a balanced solution of water, salt and sugar in all the right proportions. It is availabel in several forms and flavors. These are just two of the 'tried and true' fluids we often recommend, but there are many others that also work well to keep your child hydrated. Remember, "any port in a storm" when it comes to hydration.

Giving medicine and plenty of fluids, combined with a little TLC and a watchful eye, your child should be feeling normal and fever-free in no time.

Whenever you have a question or concern about your child’s health and well being, please contact your team at Lockman & Lubell Pediatric Assocites. for further instruction.