Childs Health

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Asthma Advice Leaflet

Teething

Most babies get their first milk tooth at around six months, usually in the front and at the
bottom. But all babies are different. Some are born with a tooth already, and others have
no teeth when they’re one year old. Most will have all their milk (or primary) teeth by about two and a half. There are 20 primary teeth: 10 in the top row and 10 at the bottom. The first permanent ‘second’ teeth grow at the back at around the age of six. Some teeth grow with no pain or discomfort at all. At other times you may notice that the gum is sore and red where the tooth is coming through, or that one cheek is flushed. Your baby may dribble, gnaw and chew a lot, or just be fretful.

Teething tips

• It can help to give your baby something hard to chew on, such as a teething ring, a crust
of bread or breadstick, or a peeled carrot. (Be aware of risk of choking.)

• Don't give them rusks, because almost all brands contain some sugar. Constant chewing
and sucking on sugary things can cause tooth decay even if your baby has only one or
two teeth.

• For babies (usually over 4mths) you can rub sugar-free teething gel on their gums. There
are many products on the market.
Bonjela Teething Gel is specially formulated to provide fast, soothing relief from teething.
Gently massage a dab of gel onto the gum. It's sugar free and suitable for babies from 2
months old.

Nelsons Teetha is available as a gel and as a ready-dosed granule that simply dissolves
in your baby's mouth where it gently helps to ease the pain of teething and relieves
discomfort. The active ingredient in Teetha is a 6c homeopathic potency of Chamomillaa
herb traditionally used to help relieve the symptoms of teething. Chamomilla is often
described by homeopaths as the first-choice remedy for teething, with remarkable results!

• Massage the baby’s gums with a clean finger or a soft/baby toothbrush.
• Cool (not frozen), clean teething rings.

Teething symptoms can include:

• Excessive dribbling, which may cause a rash or sore chin. (Use LRP Cicaplast baume to
protect the skin and relieve any soreness)
• Lots of chewing on fingers and objects.
• Poor appetite. (Be sure to keep your child hydrated, ask your McCabes Pharmacist for
advice.)
• An increase or decrease in demand for feeding.
• Restlessness at night and during the day.
• Tummy upsets and sometimes nappy rash. (Udo’s infant blend will help reduce the
occurance of diarrhoea and your McCabes Pharmacist can make up a cream for severe
nappy rashes)

Teething won't make your baby ill, but if symptoms persist or your baby has a
high temperature, seek medical advice. This is a new sensation for your baby
and they will need lots of reassurance and hugs. Diarrhoea is often thought to
be caused by teething and while this may occasionally be the case it is very
important not to ignore symptoms of diarrhoea as your child is at risk of
dehydration.

Fever (high temperatures)

• A fever is a temperature of over 37.5°C. Fevers are quite common in young children and
are usually mild.

• If your child’s face feels hot to the touch and they look red or flushed they may have a
fever. However, using a thermometer is the only way to confirm they have a fever. Mercury
thermometers are no longer recommended for use with children. Ear thermometers are
a convenient way to take your child’s temperature as you can take it even when they are
asleep.

• The normal temperature for under the tongue and in the ear is at about 37°C (98.4°F).
This may vary a bit.

• You should always contact your GP if:
   - Your child has other signs of illness as well as a raised temperature,
   - Your baby’s temperature is 38°C (101°F) or higher (if they’re under 3 mths)
   - Your baby’s temperature is 39°C (102°F) or higher (if they’re 3-6 months).
   - Your baby’s temperature is 39.5°C (102°F) or higher (if they’re over 6 mths).

 • If your child has a fever you should
   - Encourage your child to drink as much fluid as possible. Even if your child isn’t thirsty
try to get them to drink little and often to keep their fluid levels up. Don’t give them
food unless they want it.

   - Treat discomfort and fever with paracetamol or ibuprofen. Your McCabe’s
Pharmacist can advise you on the correct dosing regimens for these medicines


• The following may help your child feel more comfortable:
   - Give your child plenty of cool clear fluids.
   - Undress them to their nappy or vest and pants.
   - Cover them with a sheet if necessary.
   - Keep the room well aired and at a comfortable temperature by adjusting the radiators or opening a window.
   - If your child is distressed and uncomfortable, try giving them paracetamol or ibuprofen.
   - High temperatures can be treated in children over 3 months by giving them paracetamol (Calpol) and Ibuprofen (Nurofen). You can give both of these together by alternating them every 3 hours. For example, if you give Calpol (3pm) you can give Nurofen 3 hours later (6pm), then give Calpol 3 hours after that (9pm) and so on.

If your child is distressed, you can use a paracetamol or Ibuprofen based medicine to
reduce a fever. CALPOL® Infant Suspension, which contains paracetamol is suitable for
most babies from 2 months or Nurofen for children which contains ibuprofen is suitable
from 3 months both products gets to work on fever in just 15 minutes

COLIC

 • Colic is a common, but poorly understood, condition that affects babies.

 • The most common symptom of colic is excessive and inconsolable crying in a baby that
otherwise appears to be healthy and well-fed.

 • The symptoms of colic usually begin within the first few weeks of life, and usually resolve
by the time the baby is four months of age.

 • There is currently no cure for colic, so treatment usually involves using self-care
techniques, such as bathing your baby in a warm bath to help soothe them. A small
number of babies may also benefit from changes to their diet, such as adding lactase
drops to breast milk or bottle milk.

 • There are many products on the market to choose from, such as Colief and Infacol. It is
worth remembering that if 1 product doesn’t seem to alleviate the symptoms it is worth
giving another a try. These drops can cause a change in your child’s stool pattern causing
them to be looser and more frequent. This is normal but you may wish to adjust the dose.

 • The crying that is associated with colic is usually very intense. Your baby's face will be red and flushed, their crying will be severe and furious, and there will be little or nothing that you can do to comfort them. You may also notice a distinctive change in your baby’s posture. Your baby may clench their fists, draw up their knees, or arch their back. Crying most often occurs in the late afternoon, or evening, and is usually persistent, lasting for at least three hours a day, for at least three days a week, and for at least three weeks
duration.

 • If your baby has colic, it is recommended that you contact your GP if you have tried colic
drops and warm baths and after 6 weeks have seen no improvement. Remember if you
are altering your diet or the babies diet introduce 1 change at a time so that you can be
sure of what is triggering the colic.

Colic and emotional distress

Having to care for a baby with colic can be emotionally distressing for parents. It is a natural parental response to want to help a crying baby but, in most cases of colic, the efforts of parents seem to have little, or no, effect on their baby’s symptoms.It is important to remember that:
 • your baby’s colic is not your fault - if your baby has colic, it does not mean that they are
unwell, or that you are doing something wrong, or that your baby is rejecting you

 • the symptoms of colic will pass - although it may not seem so at the time, the symptoms
of colic are just a short-term phase that your baby is going through

 • look after your own wellbeing - if possible, consider asking friends and family for support
because it is important that you are able to take a break and can rest when your baby is
asleep

It may seem obvious but be sure that you are not over feeding your baby. In the early
days and weeks the hours of the day can fly by or simply stand still. It is common for new
parents to find it difficult to remember the exact time of their baby’s last feed. There are
many apps available to help you track you feeding times. Most newborns generally feed
every 3-4 hours and remember to record the time from when your baby starts feeding not
finishes. It is easy to think your baby is hungry every time they cry as they will usually happiliy suck on anything when they are in discomfort.

CRADLE CAP

Cradle cap is the name given to the yellowish, greasy scaly patches that appear on the scalp of young babies. It is a very common, harmless condition that does not usually itch or cause any discomfort to the baby.
It usually begins in babies during their first three months and tends to last a few weeks or
months. It usually clears up by the time the child is two years old, although in rare cases
children can have cradle cap for a lot longer. Cradle cap requires no specific treatment,
although gently washing the baby's hair and scalp may prevent a build-up of the scale.

Symptoms of cradle cap include
 • greasy yellow patches on the scalp,
 • the affected skin area appearing red,
 • scales and flakes on the scalp, and
 • yellow crusts on the scalp.

It is important not to scratch or pick at the cradle cap, in case an infection develops.

Treating cradle cap

Cradle cap requires no specific treatment, and will eventually clear up on its own. However, gently washing the baby's hair and scalp may prevent a build-up of the scale. To help to loosen the crust, massage a small amount of oil (Lipikar/ Elave) or petroleum jelly into the scalp at night. This will help to soften the patchy scales. In the morning, using a soft baby brush or cloth, gently remove any loose particles, and then wash the hair with a sulphate free shampoo (Elave baby).

If the above method does not work, use a mild cradle cap shampoo. Be careful to avoid the
baby's eyes as these shampoos are stronger than baby shampoo. When using such
shampoos, it is a good idea to take a small amount in your hand and mix with water before
applying to baby. Your McCabes Pharmacist can advice you on which are suitable options.

If the cradle cap becomes inflamed or infected, a course of antibiotics or an antifungal cream or shampoo, such as Nizoral Cream can be used. A mild steroid cream such as hydrocortisone may be recommended for an inflamed rash. Ask your McCabes pharmacist for advice on how to use these over the counter products.

If the cradle cap does not improve with treatment, or the baby has seborrhoeic dermatitis
on the face or body, speak to your GP for advice.

Febrile Seizures

FEBRILE CONVULSIONS (SEIZURES)

Febrile seizures (fits) can occur in children when they have a fever that occurs as a result of
an infection or inflammation. They normally occur in children aged between six months and five years, with most cases happening between six months and three years. Although not a common condition, febrile seizures are not particularly rare either. It is estimated that 2-5% of all children will have a least one febrile seizure.

What happens during a febrile seizure?
During a febrile seizure, your child's body will become stiff, they will lose consciousness, and their arms and legs will twitch. A febrile seizure will normally last no longer than 3-6 minutes. Once it has stopped, your child may appear dazed and confused and it may take them up to an hour to recover from it. The majority of children will only have one febrile seizure, although 30% will have recurring seizures during a future infection. Febrile seizures can be very frightening for parents, but they look much worse than they actually are. They cause no serious damage to your child, and the risks of long-term complications are extremely low.

Conditions associated with febrile seizures
Febrile seizures usually occur when your child has an infection. The conditions associated
with febrile seizures are listed below.

• Viral infections, such as chicken pox, or influenza (flu)
 • Otitis media (middle ear infection)
 • Tonsillitis
 • Urinary tract infection
 • Gastroenteritis (an infection of the stomach, intestines, or gut)
 • Lower respiratory tract infections, such as pneumonia (lung infection)

Treating febrile convulsions/ what to do during a seizure

During a febrile seizure, place your child in the recovery position. Lay them on their side, on a soft surface, with their face turned to one side. This will stop them swallowing any vomit, it will keep their airway open, and it will help to prevent injury.

If your child is having a seizure, stay with them and make a note of how long the seizure
lasts. If the seizure lasts for less than five minutes, you should phone your GP or DDOC. If
the seizure lasts for longer than five minutes, phone 999 and ask for an ambulance to take
your child to the nearest hospital. While there is probably nothing seriously wrong with your child, it is best to be sure.

You should avoid putting anything in your child's mouth while they are having a seizure.
While there is a chance that they might bite their tongue, any damage is normally not serious and will heal in a few days. Attempting to stop somebody biting their tongue, by placing your hand or an object in their mouth, could be dangerous both for you and them.

Chickenpox

CHICKENPOX

Chickenpox is a mild disease that most children catch at some point. It spreads in tiny
droplets of saliva and nasal mucus coughed out by an infected person. The virus is already
in these droplets before any rash appears which is why it spreads so fast. It is most common between the ages of two and eight. Your child is infectious from about two days before the rash appears until roughly five days after. It takes 10-21 days for the symptoms to show after you’ve come into contact with the virus.

The chickenpox rash is made up of lots of red blisters, which burst and then scab over. You
are infectious until the last blister has crusted over, so children with chickenpox should be
kept off school or crèche until this point (around 5 - 6 days). It is important to inform
caregivers when your child gets chickenpox as they can make other parents aware and they can watch out for any symptoms in their own children.

Does it relate to Shingles?

At any time later in life, but usually when you’re an adult, the virus can come back causing
shingles. You can only get shingles if you have previously had chickenpox. You can’t catch
shingles from a person who has chickenpox.
Pregnancy
If a woman comes into contact with chickenpox or shingles when pregnant, there’s no
problem if she’s had it before. If the woman hasn’t had chickenpox before or is unsure if she has, she should see her GP to be tested for it. There is a vaccine available now in Ireland. It is worth considering having this vaccine if you are considering becoming pregnant and have never had the chickenpox before.

Symptoms
In children it usually starts with a slight fever and feeling unwell, sometimes with mild flu-like symptoms. A rash then appears in patches, usually behind the ears, under the arms, on
the chest and stomach, and the arms and legs.

The rash is made up of small, itchy, red spots that turn into fluid-filled blisters within a few
hours. They then dry out to form scabs in a day or two. Patches of spots continue to appear for up to six days. Chickenpox is normally a very mild illness in children. It usually clears up without treatment. There are however some things you can do to ease the symptoms.

Ask your McCabes Pharmacy Healthcare advisor for recommendations and further advice.

It is important to see your GP if your child has an uncontrolled temperature or is under 1 year.

Also any fluid filled blisters within close proximity of the eye should be checked by your GP.
After any virus your child can be lethargic and run down so be sure to boost their immune
system with a good multivitamin for at least 3 months.

Conjunctivitis

CONJUNCTIVITIS

Conjunctivitis can be caused by a bacterial infection or an allergy. As a general rule bacterial infection results in a sticky eye and an allergy causes a watery eye. The symptoms of infective conjunctivitis normally begin in one eye. After one to two days, the other eye often becomes affected too, although the first eye may be slightly worse.

Symptoms
 • Red eyes
 • Watering eyes
 • Sticky coating on the eyelashes: you are more likely to notice this when you first wake in
the morning. Your eyelids may feel like they are stuck together because the mucus and
pus that is produced by the infection forms into sticky clumps on your lashes.
 Slight soreness: this usually feels like burning or as if there is grit in your eyes.
When your child has infective conjunctivitis it is also common for them to have the
symptoms of an upper respiratory tract infection. These can be easily managed using
Paracetamol (Calpol) and Ibuprofen (Nurofen). Symptoms may include: coughing, a high
temperature of 38C or above, sore throat, headaches, aching limbs.

Treatment

Most cases of infective conjunctivitis do not require medical treatment and will heal without treatment in one to two weeks. However this can be a distressing wait for your child.

Self-care
• Gently clean away sticky substances. When your child wakes in the morning, you may
notice a sticky substance around their eyes. You can gently clean this away from the
eyelids and eyelashes using individually wrapped sterile eye wipes.

• Wash your hands regularly. This is particularly important after you have touched the
infected eyes and will stop the infection spreading to other people.

• Brolene and Golden Eye ointment are products available without prescription to treat
minor eye infections such as conjunctivitis. One or two drops should be placed into the
lower eyelid four times a day and treatment should be continued for at least 2 days after
all symptoms have resolved. After putting in the drops place your 3rd finger firmly in the
corner of the closed eye, this ensures the medication is locked into the eye. Remember to
wash your hands.

• Ask your McCabes Pharmacy Healthcare advisor for more information on these products
and for handy tips in adminstering them, particularly to young children.
Many schools and crèches ask that your child is infection free before you bring them back
in. This is sensible advice since the infection is highly contagious and will spread rapidly
in such environments. Antibiotics are not usually prescribed for infective conjunctivitis
because they will make little difference to your recovery from infection.

Diarrhoea

DIARRHOEA
Diarrhoea is the passing of watery stools more than three times a day and can last up to 7
days. It can be a common occurrence for adults and only needs to be treated when it is
affecting their daily activities or they can’t drink or eat for more than an 18 hour period.
However, if your child is between 3 months and 1 year you should bring them to your GP if
diarrhoea lasts longer than 24 hours.

If your child is older diarrhoea is not a concern unless they are not drinking or feeding as
normal. This is when they may become dehydrated. Dehydration is the main concern with
diarrhoea in young children and adults. Continue to feed children and adults as normal and add as much carbohydrates to their diet as possible.

Dehydration sachets, such as Dioralyte®, are essential to avoid dehydration especially when the child is also vomiting. These can be bought in McCabes Pharmacy and should be made up exactly as directed on the packaging. There are many products available in a variety of flavours. Ask your McCabes healthcare advisor for more details.

Your child should take small quantities at a time to avoid vomitting. Have them sip the
solution using a teaspoon or drink it through a straw. Remember ANY amount of liquid is
better than nothing.

You cannot give children under the age of 12 years anti-diarrhoea medication such as
Imodium® or Arret®. However the Natures Aid & Udos probiotic range is excellent for limiting the action of disease-causing bacteria. It can clear diarrhoea by improving the digestion of proteins, carbohydrates and fats resulting in regular bowel movements. It is suitable from birth and supports healthy weight gain in infants. Its powder format has been designed to be added to formula, water or other liquids after it has been heated.

Remember to ask your McCabes Pharmacist for more advice and information

Ears, Nose, Throat

Colds
It’s normal for a child to have eight or more colds a year. This is because there are hundreds of different cold viruses and young children have no immunity to any of them as they've never had them before. Gradually they build up immunity and get fewer colds. Most colds get better in five to seven days. Here are some suggestions on how to ease the symptoms in your child:
• Increase the amount of fluid your child normally drinks.

• Saline nose drops can help loosen dried nasal secretions and relieve a stuffy nose.

• If your child has a fever, pain or discomfort, paracetamol or ibuprofen can help. Encourage the whole family to wash their hands regularly to stop the cold spreading.

• Nasal decongestants can make stuffiness worse. Never use them for more than two or
three days and not in children under the age of 12.

Ear infections

Ear infections are common in babies and small children. They often follow a cold and
sometimes cause a temperature. A child may pull or rub at an ear, but babies can’t always
tell where pain is coming from and may just cry and seem uncomfortable.
If your child has earache but is otherwise well, give them paracetamol or ibuprofen for 12-24 hours. Don’t put any oil, eardrops or cotton buds into your child’s ear. In general any pain in the ear indicates the possibility of an infection and you should see your GP who may give you a prescription for ear drops to reduce the inflammation and pain. Most ear infections are caused by viruses, which can’t be treated with antibiotics. They will just get better by themselves.

After an ear infection your child may have a problem hearing for two to six weeks. If the
problem lasts for any longer than this, ask your GP for advice.

Coughs

Children often cough when they have a cold because of mucus trickling down the back of
the throat. Children over the age of 6 can use a decongestant such as Sudafed to dry up this post nasal drip. If your child is feeding, drinking, eating and breathing normally and there’s no wheezing, a cough isn’t usually anything to worry about.

If your child has a bad cough that won’t go away see your GP. If your child also has a high
temperature and is breathless, they may have a chest infection. If this is caused by bacteria
rather than a virus your GP will prescribe antibiotics to clear up the infection. Antibiotics won’t soothe or stop the cough straightaway.

If a cough continues for a long time, especially if it’s worse at night or is brought on by your
child running about, it could be a sign of asthma. Some children with asthma also have a
wheeze or breathlessness. If your child has any of these symptoms take them to the GP.
Although it’s upsetting to hear your child cough, coughing helps clear away phlegm from the chest or mucus from the back of the throat. If your child is over the age of one, try a warm drink of lemon and honey. A vaporiser is an excellent investment for any parent as there is a limited selection of medicines that can be given to children uder the age of 6. It is also suitable to use from birth.

Your McCabes Pharmacist and Healthcare advisor can help you with the appropriate selection of products for your childs age.

Headlice

Head lice are tiny grey-brown, wingless insects, which live by sucking blood from the scalp. Their eggs (nits) are laid glued to the base of hairs, and look like tiny white specks. Anyone with hair can catch them. Infestation often causes itching of the scalp, but may also go unnoticed.

If you suspect head lice, check the base of hairs for eggs and comb the hair over a piece of white  paper to see if you can spot any dark mature lice. The hairs behind the ears and at the nape of the neck are favourite spots so lice and eggs may be spotted here.

Head lice are transferred by close hair-to-hair contact. They cannot jump, fly or swim, but walk from one hair to another. It is important to teach your child not to share hats, brushes, hair ties, etc. Encourage them not to have head to head contact with their friends.

It is a misconception that head lice infestation is a result of dirty hair and poor hygiene. They like both long and short hair. It is best NOT to wash your child’s hair too frequently. The greasier the hair the harder it is for the lice to walk up the hair shaft to the scalp where they need to be to survive.

If you or your children have head lice you should check the rest of the family and alert close friends and your child's school. By not alerting the school you are risking having your child reinfected even after you have treated them!

Itching is not always present and it can take up to three months after the initial infestation for an itch to develop. Therefore, regular checks of your child’s scalp are vital. This is the main reason why the cycle of head lice infestation doesn’t get broken in schools. Remember if you get a letter home from school to indicate that there are head lice you MUST check your child’s head regularly to ensure they don’t have them, even if they are NOT showing any signs.

Tying back the hair of children with long hair helps reduce the likelihood of contact between their hair and that of an infected child.

Do not use medicated lotions or rinses 'just in case'. They should only be used if live lice are found because lice are becoming increasingly resistant to current treatments.

Regular combing of hair using specialised conditioners can help with early detection as well as treatment. Your McCabes Pharmacist or Healthcare advisor can advise you of the most appropriate one for your child. Once head lice have been detected the normal advice is to treat once, and repeat seven days later. This ensures that any eggs that weren’t killed in the initial treatment will be killed off. Lice can be a persistent and a recurring nuisance, so it is important to treat them quickly and thoroughly. Your McCabes Pharmacist will advise you which is suitable for your child. There is no need to wash clothing or bedding specially - any lice found away from the scalp are likely to be damaged, dead or dying, and so unable to start a new colony.

Skin Conditions

Ringworm: Worms don't cause ringworm. Instead, this skin infection is caused by a fungus
living off dead skin, hair, and nail tissue. Starting as a red, scaly patch or bump, it develops
into itchy red ring(s) with raised, blistery, or scaly borders. Ringworm is passed on by skin-to skin contact with a person or animal, and by sharing items like towels or sports gear. Most ringworm infections can be easily diagnosed by your McCabes Pharmacist and treated with antifungal creams that can be bought over the counter such as Daktarin.

Impetigo: A contagious infection usually caused by a bacteria, impetigo causes red sores or blisters that can break open, ooze, and develop a yellow-brown crust. Sores can occur
anywhere on the body but usually appear around the mouth and nose. Impetigo can be spread to others through close contact or by sharing items like towels and toys. Scratching can also spread it to other parts of the body. A prescription antibiotic cream is usually needed, ask your McCabes Pharmacist to advise you.

Heat Rash is the result of blocked sweat ducts, heat rash looks like small red or pink pimples. Appearing over an infant's head, neck, and shoulders, the rash is often caused when well meaning parents dress baby too warmly, but it can happen to any infant in very hot weather. A baby should be dressed as lightly as an adult who is resting; though their feet and hands may feel cool to the touch, this is usually not a problem. Your McCabes Pharmacist can advice you on using Zirtek Liquid (if appropriate) to treat and ease the symptoms.

Contact dermatitis is a skin reaction caused by touching a substance, such as food, soap, or the oil of poisonous plants. The rash usually starts within 48 hours after exposure. Minor cases may cause mild skin redness or a rash of small red bumps, while severe reactions can cause swelling, redness, and larger blisters. Contact dermatitis is usually mild and goes away when contact with the substance ends. Your McCabes Pharmacist can advice you of suitable treatment available.

Hand-Foot-Mouth Disease (Coxsackie) is a common, contagious childhood illness that starts with a fever, then painful mouth sores and a non-itchy rash with blisters on hands, feet, and sometimes buttocks and legs follow. It spreads through coughing, sneezing, and used nappies, so wash hands often when dealing with coxsackie. Home treatment includes ibuprofen or Calpol and lots of fluids. Not serious, coxsackie usually goes away on its own in about a week.

Atopic Dermatitis is a chronic problem causing dry skin, intense itching, and a raised rash,
some children outgrow atopic dermatitis (the most common type of eczema) or have milder cases as they age. In severe cases, this non-contagious rash forms clear, fluid-filled blisters. What causes atopic dermatitis isn't clear, but those affected may have a personal history of allergies and asthma and a sensitive immune system. Your McCabes pharmacist can advice you on choosing the right products from LaRoche Posay to help treat and ease the symptoms. Hives (Urticaria) occur as a rash or welts and are often itchy, or may burn or sting. They can appear anywhere on the body and may last minutes or days. Hives can signal serious problems, especially if accompanied by difficult breathing. Medications like aspirin or penicillin; foods like eggs, nuts, and shellfish; food additives; temperature extremes, and infections like strep throat can cause hives. Removing the trigger often resolves the hives. Symptoms in over 2’s can be treated with Zirtek liquid.

Scarlet Fever is simply strep throat with a rash. Symptoms include sore throat, fever,
headache, abdominal pain, and swollen neck glands. After 1-2 days, a red rash with a
sandpaper texture appears, after 7-14 days, the rash reduces in appearance. Scarlet fever is
very contagious, but good hand washing can reduce its spread. Call your GP immediately if
you think your child has it as they will usually be treated with antibiotics to avoid serious
complications. It is important to build up your child’s immune system by giving them Kiddi
Pharmaton and plenty of rest.

Baby acne
Small white pimples, usually on the cheeks and sometimes on the forehead, the chin, and
even the back of a newborn. May be surrounded by reddish skin. Can be present at birth or
develop between 2 and 4 weeks of age. The rash can come and go and it usually appears
more severe when your child is fussing, often an indicator to you that your child has more
wind. It will clear after a couple of weeks.
Although some parents don’t like these, if they are not bothering your child, its best no to
treat.

Consult your child's doctor if:
 • A rash or lesion affects the eyes
 • Blue, red or purple dots appear in the affected area
 • The lesion is crusty, blistering or oozing
 • A rash is accompanied by a fever, dizziness, shortness of breath, vomiting or a stiff neck
 • A rash is accompanied by any other troubling symptoms