There are always concerns about a baby's health. Many parents
overreact to the smallest problem, but you really can't be too
careful when it comes to your baby's health. Recognizing the
symptoms to the most common diseases is very important to early
diagnosis and treatment.
Rubella or German Measles: It's sometimes referred to as the
3-day measles as well. It affects the skin and lymph nodes. It's
not the same virus that cause measles. It can pass through a
pregnant woman's bloodstream to infect her unborn baby.
Rubella infection may begin with 1 or 2 days of mild fever (99
to 100 degrees Fahrenheit, or 37.2 to 37.8 degrees Celsius) and
swollen, tender lymph nodes, usually in the back of the neck or
behind the baby's ears. On the second or third day, a rash
appears that begins on the baby's face and spreads downward. As
it spreads down the body, it usually clears on the face. This
rash is often the first sign of illness that a parent notices.
The rubella rash can look like many other viral rashes. It
appears as either pink or light red spots, which may merge to
form evenly colored patches. The rash can itch and lasts up to 3
days. As the rash passes, the affected skin occasionally sheds
in very fine flakes.
Its importance is the potential effects on an unborn baby if
infection is acquired during early pregnancy. The introduction
of the MMR vaccine has reduced the incidence of primary rubella
infection, and the number of severely affected unborn babies.
The incubation period is 14-21 days, fever is often mild, and
children do not feel particularly unwell, unlike measles
infection. Woman who may be pregnant should not come into
contact with infected children.
Chickenpox: occurs most often in the late winter and early
spring, is very contagious and if exposed to an infected family
member, about 80% to 90% of those in a household who haven't had
chickenpox will get it. However, immunization of children with
the chickenpox vaccine that's now available is expected to
decrease cases of the disease dramatically over the next few
years.
Although it's more common in kids under the age of 15, anyone,
including babies, can get chickenpox. A person usually has only
one episode of chickenpox in his or her lifetime. But the virus
that causes chickenpox can lie dormant within the body and can
cause a different type of skin eruption later in life called
shingles, also referred to as herpes-zoster.
It's usually a mild illness in children. The incubation period
is 14-16 days, and there are often no symptoms other than the
rash. The rash generally only lasts 8-10 days. Some children
develop a mild fever in the first 2-3 days. The spots appear in
crops, first as small bumps, and rapidly changing into little
blisters. The blisters soon dry and crust, and scabs form over
the top. Keep your child from scratching them or it could lead
to scarring. Calamine creams are useful to help relieve any
itching from the spots.
Roseola Infantum: Affects babies under two. The baby will have a
high fever, but appear well otherwise, and 3 or 4 days later the
temperature will rapidly drop to normal. At this time, after the
fever has gone, a faint rash appears which only lasts 1 or 2
days at most. There are no complications.
Coughs and Colds: Most children will have at least six
respiratory infections each year. These are almost always mild,
last only a few days and have no consequences. Children will
simply get a blocked, runny nose, may have a mild fever and feel
slightly unwell. In young babies (who are nose breathers)
feeding can become difficult for a couple of days. Children
should be treated with Paracetamol or Ibuprofen if they have a
fever, and may be helped by nasal decongestants. There is rarely
a need for antibiotics. Occasionally coughing, especially at
night times can be the main symptom of asthma, and children with
persistent nocturnal coughs should see a doctor. Sore Throat,
Pharingitis and Tonsillitis: Very common between the ages of 4-7
years old. Symptoms include pain while swallowing and eating,
earache, and fever. Giving them soft food to eat and lots of
fluids. Children should see a doctor if they have a fever too.
Pharyngitis is caused by viruses and so will not always require
antibiotic treatment. Tonsillectomies are rarely performed now.
Earache: Very common in children and babies. It can be
associated or caused by chest infections, colds and coughs.
Sometimes there is no infection in the ear, pain is due to the
Eustachian Tube being blocked. When blocked it doesn't maintain
the correct pressure in the ear.
Where there is a true infection, Otits Media, or Middle Ear
Infection, the eardrum becomes red and inflamed and can cause
the baby to have a fever. Babies may become irritable or hold
their hands over their ears. If you suspect your baby has an ear
infection, you should see a doctor.
Vomiting and Diarrhea: Very common, especially if you take your
baby on travels to foreign countries. In the US and other
developed nations, vomiting and diarrhea are commonly caused by
viral infections. and Diarrhea will often be watery. It may be
difficult to distinguish from urine in a nappy.
Your baby or child will usually only be sick a very short time.
It is important to treat them right away to avoid your baby
becoming dehydrated. Younger babies are more vulnerable than
older children.
Dehydration initially causes children to become fretful, then
lethargic, with sunken eyes and lax dry skin. Severe dehydration
causes young children to become prostrate with deeply sunken
eyes and cold mottled skin. Mild dehydration can be treated at
home. Children should be given oral rehydration fluids, which
can be bought at your local Pharmacy.
These are powders containing salts and sugar and which are
dissolved in water. They allow prompt reversal of dehydration,
and are more effective than water alone. No food should be given
for 24 hours, after which time the normal diet can be gradually
restarted. Moderate to severe dehydration requires
hospitalization for intravenous fluid therapy. In tropical
countries, adding salt to coca cola also acts meningitis is
usually mild, and rarely causes any long term problems.
Sticky Eyes: Very common in young babies. Usually there is no
underlying infection, and simple salt-water washes are
sufficient. Cotton wool soaked in saline should be used 2-3
times per day. The problem goes away in a few days, but can be
recurring.
Conjunctivitis in babies is caused by infections, which do
require antibiotic treatment. The eye will usually be red and
inflamed with pus, rather than simply sticky with yellow
secretions. In this case you should see your doctor so the eye
can be swabbed and appropriate antibiotics started.
Fever: All children get fevers and it's usually caused by
common viruses such as 'flu, spotty illnesses like measles or
ear and chest infections. Children feel uncomfortable when they
get hot, often cry, need comforting and lose their appetite.
They should be given Paracetamol- based elixirs (Calpol in
England) or non-steroidal anti-inflammatory pediatric elixirs
like Ibuprofen to lower the temperature.
Keep your baby cool with damp tepid, not cold, sponges. Aspirin
should not be used for children. You should not exceed the
recommended daily dose of any medication. Most causes of fever
will resolve within 2-3 days. You should see your doctor in case
your baby requires antibiotics where an infection is present,
but this is not usually an emergency. However, if your child
becomes drowsy, complains of headaches or neck stiffness, is
intolerant of light or develops a blotchy dark rash, or multiple
small spots, you should call your doctor immediately.
Convulsions: Occasionally babies between three months and five
years will have a Febrile Convulsion, a brief fit with jerky
movements of arms and legs, lasting less than ten minutes, and
generally occurs at the beginning of febrile illnesses. Febrile
convulsions are not epilepsy, do not continue through childhood,
and do not cause or imply any sort of brain damage. Children
should be laid on their front and their necks extended, cooled
and treated with appropriate antibiotics. A rash can also be
associated with febrile illnesses.
Mumps: A common viral infection, often with no symptoms at all.
The incubation period is 16-21 days, after which children become
febrile and feel unwell and lethargic. At this stage the baby's
face may swell up, due to enlargement of the parotid salivary
glands over the angle of the jaw, just below the ears. Older
children may complain of earache and difficulty in swallowing,
and the swollen glands are often tender and painful. There is no
specific treatment, and the swelling subsides in a few days. The
MMR vaccine has reduced the incidence of mumps infection.
Meningitis is a common complication, in which the child has
headache, a stiff neck and intolerance of light, but is a very
rare occurrence.
Measles: Much less common since the introduction of the MMR
(measles, mumps, rubella) vaccine in the UK and US. Measles is a
very infectious disease. The incubation period is around 10
days, after which time children become febrile, snuffly, may
cough, and may develop Conjunctivitis (red eyes). After three or
four days a florid reddish rash appears, starting on the face
and head, then spreading down to cover your baby's whole body.
The rash can become blotchy. It begins to fade by the 4th day,
and the baby gradually improves. Paracetamol preparations
(Calpol in the UK) can help reduce the fever, and relieve many
of the symptoms. There is no specific treatment. Pneumonia and
ear infections are common complications, which should be treated
promptly. Children who become drowsy, start vomiting or complain
of headache should be taken to a doctor, as encephalitis
(inflammation of the brain) is a rare but well recognized
complication of measles occurring 7-10 days after the onset of
the illness.
About the author:
Robin Darch, of PRT Specialised Services Limited has a website,
http://www.babyport.info to help parents find all the
information they need about babies, baby names, baby showers,
baby gifts, products for babies, baby clothing, and more. There
is also more about baby gifts at
http://www.babyport.info/42831.php Chris McElroy runs a missing
children's organization at
http://www.kidsearchnetwork.org