If any parents come across the following problems, here is some doctor’s advice on how to handle these situations.
This is a commonly occurring problem and is caused by the sphincter in the stomach not being strong enough yet. This makes the milk come back up again.
This can be remedied by having the child lay its head at a 30-degree angle for 15-30 minutes after drinking the milk. The symptoms will gradually improve within the first year.
If there is vomiting of bile or blood or no increase in weight, then the child should be taken to see the doctor immediately.
This is when a baby cries for extended periods of time, such as constantly crying for 2-3 hours at almost the same time every day. This tends to occur when the child is at 2-4 weeks old and this will improve by the age of 3-4 months. By this time, the child will show normal traits such as drinking a good amount of milk as well as gaining a good amount of weight.
The way to treat this is to comfort the child in a variety of ways, such as holding the child, rocking the child gently, and sitting the child in a pram. If there is flatulence, the parents can also give the child carminatives.
The child will have tears in the ducts nearly all of the time. This could be in one of the eyes or both. This is caused by a small bit of pulp, which blocks the passage of the tears from flowing to the nasal cavity. Generally, the tear ducts will open naturally within the first year.
The way to remedy this is to use the little finger to massage the eye at the area by the nose in order to open up the tear duct. If there are any complications such as red eyes or any redness and inflammation in the eye area, then the child should be taken to see the doctor immediately.
After giving birth, the mother should clean the navel with 70% alcohol or triple dye twice a day and make sure that the navel is always kept dry. The navel will fall off naturally once the baby is 2-3 weeks old. If the skin around the navel starts swelling and smells of puss, then the child should be taken to see the doctor immediately.
When a baby is born, they will all be given the BCG vaccine. At first, there will be no sign of it but after 2-4 weeks, a red blister or sometimes a pustule will appear. After that, it will gradually dry and become a scar on its own.
Mothers can help by cleaning the BCG wound. If the pustule gets larger or a lymph node grows in the area of the injection, then a doctor should be consulted.
Diploma of Thai Board of Pediatric, Siriraj Hospital, 2008.