chatwithketch

Q: I have a one year old child who is now teething and he has high temperature on his head. I have been giving him Calpol syrup since yesterday. He was better but this morning it started again what should I do Doctor??

A: It is thought that the inflammation of the gum around the area where the tooth will erupt from may cause low grade fever which is why the babies may experience some fever.

Another significant symptom believed to be associated with teething is diarrhoea. There’s no conclusive research that has shown any link between the process of erupting a tooth and diarrhoea. If anything, we’ve found out that this is the same period when children start picking up things and of course the natural ‘tourist’ destination for anything they pick up, is their mouths! 😀 What happens? When they pick up dirty stuff and suck on it, it would ultimately lead to diarrhoea.

So, more than ever, that’s a time to be watchful and ensure that the children are not stuff their mouths with rubbish and ensure their toys are cleaned.

Having said that, how can I help my baby through teething what with the itch and discomfort they feel around the ‘erupting tooth’ area? Even the drooling? Well, here are a few things you could do:

Rub over the teething area with your finger (thoroughly scrubbed and clean, of course :D) or use a finger covered with clean gauze or even the baby’s wash cloth. If this is cool to touch, this is even better. Massage the teething area with this…it helps to soothe the discomfort.

Teething rings are great ideas too and you could also refrigerate these to provide more comfort. Please do not freeze them.
Clean off the drooling saliva as this could cause irritation around the baby’s mouth, worsening his crankiness.

Over the counter analgesics like paracetamol could also be helpful provided it’s given in the appropriate dose for the baby’s age. This will also help with the fever. Please avoid Aspirin as it causes a disease called Reye’s syndrome.

Several studies have been conducted on the efficacy of gripe water though it is liberally used by parents and doctors alike, and it has not really been found to be particularly useful in teething. Older formulae contained alcohol which were thought to be perhaps, responsible for the soothing effect it had. Other components like the herbs etc may not go down well with all children.

If the fever continues, please take the baby to see the doctor to rule out other causes of fever.

So, there you go!

Have a good night y’all 😀

Another significant symptom believed to be associated with teething is diarrhoea. There’s no conclusive research that has shown any link between the process of erupting a tooth and diarrhoea. If anything, we’ve found out that this is the same period when children start picking up things and of course the natural ‘tourist’ destination for anything they pick up, is their mouths!  What happens? When they pick up dirty stuff and suck on it, it would ultimately lead to diarrhoea.

So, more than ever, that’s a time to be watchful and ensure that the children are not stuff their mouths with rubbish and ensure their toys are cleaned.

Having said that, how can I help my baby through teething what with the itch and discomfort they feel around the ‘erupting tooth’ area? Even the drooling? Well, here are a few things you could do:

Rub over the teething area with your finger (thoroughly scrubbed and clean, of course :D) or use a finger covered with clean gauze or even the baby’s wash cloth. If this is cool to touch, this is even better. Massage the teething area with this…it helps to soothe the discomfort.

Teething rings are great ideas too and you could also refrigerate these to provide more comfort. Please do not freeze them.
Clean off the drooling saliva as this could cause irritation around the baby’s mouth, worsening his crankiness.

Over the counter analgesics like paracetamol could also be helpful provided it’s given in the appropriate dose for the baby’s age. This will also help with the fever. Please avoid Aspirin as it causes a disease called Reye’s syndrome.

Several studies have been conducted on the efficacy of gripe water though it is liberally used by parents and doctors alike, and it has not really been found to be particularly useful in teething. Older formulae contained alcohol which were thought to be perhaps, responsible for the soothing effect it had. Other components like the herbs etc may not go down well with all children.

If the fever continues, please take the baby to see the doctor to rule out other causes of fever.

So, there you go!

Have a good night y’all 

Should you wait a little while? Or go for induction? Read!

https://www.health.harvard.edu/blog/inducing-labor-at-full-term-what-makes-sense-2018111515359

How do I get my baby to sleep through the night? A question that haunts mums with brand new babies 🙂 For some tips, read this!

https://www.health.harvard.edu/blog/getting-your-baby-to-sleep-through-the-night-the-good-and-maybe-not-so-good-news-2018111915411

I visited my sister a couple of days ago and she was confused as to whether her sons (one and a half years four and a half years) needed to take the yellow fever vaccine again. I referred her to my blog 😀 I mean, after all, I spend all this time writing on it…people should read it, right?
I repeat the post below for your reading pleasure 😀
Q: Hi doc! I am kindly asking is it right to be given twice the yellow fever injection because l was given last year August which will last for 10 years.Is there a difference between yellow fever for ten years and life time? Thanks in advance
A: Hallos! Thanks for writing in.
Previously, the yellow fever vaccine was taken every ten years but since 2016, that regulation has changed. From 11th of July 2016, the WHO, on its website, states that the certificate of vaccination against yellow fever is valid for life for everyone vaccinated and that this validity refers to existing and new certificates. For the latter, the lifetime validity starts 10 days after date of vaccination. This has effectively cancelled out the need for re-vaccination.
So, there is no difference. The vaccination that used to be received and was valid for 10 years is now valid for the duration of your lifetime. If you had received the vaccination before, you don’t need to modify your certificate. The old one is still valid and will be recognized by countries that require proof of this vaccination.
I hope this helps.
All the best!
Have a good night y’all 😀

Q: Good evening ma’am. Please ma’am, what is the solution to a pregnant woman which her EDD has passed, and she is not feeling any labour sign?

A: Usually pregnancy lasts for 40 completed weeks plus or minus 2 weeks. This is usually through pregnancy dating using ultrasound scan in the first trimester.Generally though, from 37 weeks, your baby is good to be born…all things being equal. Therefore,, if a woman gets to 40 weeks without any sign of labour, she is tentatively given 2 more weeks, especially if there are no other risk factors present in the pregnancy. This is called watchful waiting and during this period, the baby’s kicks are counted, baby’s heartbeat is monitored and indeed, baby’s growth and other parameters are monitored. From the 41st week,if she does not spontaneously go into labour (without help), then there is a plan made for induction, having fully informed the woman of all possible scenarios. Some women do not like the idea of induction and so, having discussed with the medical team, may opt for a sweep of the membranes. This involves the separation of the membranes (the ‘bag’ in which the baby lies)from the lower part of the womb (uterus). This releases prostaglandins, which help stimulate labour.

When a pregnancy goes beyond the Expected Date of Delivery (EDD) which is 40 weeks, it is called a post-dated pregnancy. If the pregnancy lasts beyond 42 weeks, it is called post term.

It is not really clear why some pregnancies become post-dated but some associated risk factors include previous post dated pregnancy, first pregnancies, mothers with high BMI and advanced age.

The main challenge with allowing a baby to remain in the womb beyond the 42nd week is that of the placenta no longer being able to supply sufficient amounts of oxygen to the baby. This can lead to brain damage or even death of the baby. The second issue is the threat of the baby having its first poop inside the womb and then aspirating (breathing in) same.

So, have a long chat with your medical team and discuss options available and the ones you are comfortable with.

All the best! Let’s know when the baby is born! Lots of love and hugs.

Have a good night, people 😀

Q: Good evening Dr., it’s been 10 months that I gave birth. I haven’t seen my period. Is it normal?

A: Hello and Congratulations on your new baby! Return of menses following delivery is varied between individuals. Some women would see theirs a few weeks after, some others after a few months or even a year, while in others there is no return of menses before another pregnancy begins.

Different women also report different changes with their menstrual periods after childbirth. Some report longer periods. Others report shorter periods; some others report less pain and others observe absolutely no change at all 😀

However, the pattern of your menstrual cycle prior to your previous pregnancy (if it was regular or irregular) also plays a role. The duration of your labor and the presence of complications like bleeding after delivery could all play a part in the return of your period. Exclusive breastfeeding and presence of underlying infection also could delay the return of menses. Don’t stress out about this for now…. except if you are really looking forward to another pregnancy soon. If this is the case I would advise you see your doctor for a proper evaluation. Otherwise enjoy your period of no bleeds 😀

And please, remember to discuss contraception/family planning options with your doctor during your 6 weeks appointment if you’ve had a baby. I’ve had quite a number of people writing in to ask if breast feeding protects against pregnancy and if it was possible for them to get pregnant even before their periods return or if it was safe to breastfeed a baby while pregnant (The answers by the way, are yes to getting pregnant while breastfeeding, yes to possibility of getting pregnant before periods return and yes to breastfeeding while pregnant); this means that there are probably a couple of people getting pregnant earlier than they had planned. Let’s take the right decisions.

How is your week going?

Have a good night, y’all 😀