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Doctor insights on: Pali Crib

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My 4 month old sleeps in her car seat instead of her crib due to cleft palate complications. No blanket. Is she at risk for sids?

My 4 month old sleeps in her car seat instead of her crib due to cleft palate complications. No blanket. Is she at risk for sids?

Equal: No more or less so than child without cleft. Recommend having your child evaluated by cleft palate team at the closest children's hospital. May be a bit of a trip, but worth it for the expertise and the team (pediatrician, pediatric dentist, orthodontist, speech therapist, plastic surgeon, oral surgeon, psychiatrist, nutritionist, etc) approach. ...Read more

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9mos 1st febrile seizure had pneumonia,2nd 1yr/1mos febrile seizure pneumonia again.EEG abnormal.Pedia put phenobarbital 1/4gr 2x/day. Right decision?

9mos 1st febrile seizure had pneumonia,2nd 1yr/1mos febrile seizure pneumonia again.EEG abnormal.Pedia put phenobarbital 1/4gr 2x/day. Right decision?

Seek referral to a : pediatric neurologist & obtain a developmental assessment to know benefits vs. risks of Phenobarbital, as it can cause behavior & learning problems. Recurrence of Febrile Seizures in 50% of tots who have their 1st at < 12 mos. & abnormal EEG's in 49% don't predict epilepsy. Having Developmental Delays &/or Cerebral Palsy prior to 1st febrile seizure increases risk of epilepsy from 2.9% to 40%. ...Read more

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My10m old babyboy makes grunting noises while playing.all milestones met and spells out mama dada also.is the noise making normal?

My10m old babyboy makes grunting noises while playing.all milestones met and spells out mama dada also.is the noise making normal?

Completely Normal: It sounds like your 10 month old is hitting all the appropriate developmental milestones. Saying mama and dada is right on time. Other noises like grunting and babbling are normal as well. Continue to engage your son and read him lots of books to encouraged language development. Enjoy every step, it goes by fast! ...Read more

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Why does my baby resist her crib during naptime?

Why does my baby resist her crib during naptime?

Crib and Nap: You are probably responding to her cries too quickly. It is a learned response for the baby. She cries and you run in. The more she cries, the more you run in. I say, put her down and let her cry for a while. Let her see that she does not always get what she wants with the crying. Otherwise she is simply training you instead of the other way around. ...Read more

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Can babies go off feeds after immunizations?

Can babies go off feeds after immunizations?

Occasionally: Rarely they may be out sorts for a day or so, but not serriously. Tylenol (acetaminophen) in this case may help. ...Read more

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4mo baby wants the feeding bottle all the time as she's awake.If i refuse she starts crying &gets so fussy.Spitting &colic.How to organize her feeding?

4mo baby wants the feeding bottle all the time as she's awake.If i refuse she starts crying &gets so fussy.Spitting &colic.How to organize her feeding?

Need more info to be: However it's unusual for a four month or two cluster feed, we usually see that a newborns and one-month-olds or less. I would be concerned about the child's weight and would go and get an appointment for a weight check. ...Read more

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6 month babyboy.sleeps less hand flapping attimes head banging last few days.shows toungueout when playing.rest normal.anglefreman syndrome?

6 month babyboy.sleeps less hand flapping attimes head banging last few days.shows toungueout when playing.rest normal.anglefreman syndrome?

Oh No!: If you are worried that your 6 month old may have Angelman's syndrome, pl rest in peace as most cases have significant developmental delays that your infant is not showing. The best thing would be to let your baby's pediatrician assess him during his 6 month visit. If your worries have started after a recent normal visit, the likelihood then would be even less. ...Read more

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Dr. Andrew Kim Dr. Kim
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My baby is 4 months old & coos & laughs.my friends baby is 3 months and says Dada and mama. Is my baby not hitting his milestones?

Dr. Andrew Kim Dr. Kim
2 doctors agreed:
My baby is 4 months old & coos & laughs.my friends baby is 3 months and says Dada and mama. Is my baby not hitting his milestones?

You baby is fine: Your baby is just fine. Your baby is doing exactly what is expected at that age. All babies develop at different rates, so I wouldn't worry at all. Most babies will say mama and Dada between 4-9 months. ...Read more

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Co-sleeping ads with butcher knives, where should an infant sleep? With all the recalls for bedside play-yard sleepers and co-sleeping "nests" and the infant deaths from co-sleeping, where should a breastfeeding mother have her infant sleep? A crib in a

Co-sleeping ads with butcher knives, where should an infant sleep? With all the recalls for bedside play-yard sleepers and co-sleeping "nests" and the infant deaths from co-sleeping, where should a breastfeeding mother have her infant sleep?  A crib in a

I : I would definitely recommend a bassinet right next to your bed. That's where both of my breast fed babies slept. It was convenient and safe. With a bassinet the baby is separate and yet close enough for all those late night feedings! good luck. ...Read more

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My 3 month baby has fully recovered from erb's palsy. Can erb's be sign of cerebral palsy? She sometimes archs back while feeding. She has acid reflux

My 3 month baby has fully recovered from erb's palsy. Can erb's be sign of cerebral palsy? She sometimes archs back while feeding. She has acid reflux

Separate issue: CP is an issue that develops after a sometimes unknown assault on the tissue within the brain due to lack of oxygen, blood flow or other injury.Erbs is due to a mechanical injury to the involved nerve roots during labor & delivery.They are totally separate issues.Arching with reflux is common & does not signify CP.With CP you often don't detect the abnormal reflexes or motor activities until later ...Read more

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My stepmom was rocking my 8 month old baby in her car seat kind of vigorously. Baby was laughing. It worries me.Could that cause shaken baby syndrome?

My stepmom was rocking my 8 month old baby in her car seat kind of vigorously.  Baby was laughing. It worries me.Could that cause shaken baby syndrome?

She should be fine: but you are right to be careful with a baby. It does not take too much to hurt a baby's brain but it would be obvious. Given that she was laughing and I assume she is fine now.....she will be OK. ...Read more

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My 3 mo old sleeps in her carseat bc she can't lie flat due to a cleft palate. When put on her back in crib, won't sleep. How does this affect sids?

My 3 mo old sleeps in her carseat bc she can't lie flat due to a cleft palate. When put on her back in crib, won't sleep. How does this affect sids?

Car seat fine: A semi- upright posture in the car seat can lead to airway problems in some frail infants or those with posterior tongue position(robin anomaly). For most, this position avoids the increased sids risk of prone sleeping and may be the best choice for some with a cleft.When the kid has improved mobility and or the kid has recovered from a cleft repair, crib based sleeping may be more realistic. ...Read more

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Could repeatedly falling asleep at the breast have triggered "baby bottle syndrome"?

Could repeatedly falling asleep at the breast have triggered "baby bottle syndrome"?

Yes. Nursing caries: can occur from repeated exposure of the lingual, or tongue, side of the. the teeth to the sugar in breast milk, especially if the mother & baby have streptococcus mutans bacteria in their mouths. When mom & baby fall asleep, the nipple retracts, allowing breast milk to bathe the baby's emerging teeth repeatedly. At 6 months, night feeds become a habit. See healthy children.org for safe sleep. ...Read more

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4 yr old child, 3.5 lb premie.Since birth while sleeping or napping, wakes up with spasms of the body, arms, and legs, jerking and screaming.Then she re?

4 yr old child, 3.5 lb premie.Since birth while sleeping or napping, wakes up with spasms of the body, arms, and legs, jerking and screaming.Then she re?

Having Seizures: What you describe sounds like epileptic seizures. You need to have your child evaluated by a pediatric neurologist. Seizures can be controlled with medication, but left untreated can cause permanent brain damage. ...Read more

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Infant daughter was attacked by neighbors outside cat. It's not vaccinated. Peds refuse to give rabies shot to infant. What should I do? Can't findcat

Infant daughter was attacked by neighbors outside cat. It's not vaccinated. Peds refuse to give rabies shot to infant. What should I do? Can't findcat

Rabies shot...: The rabies shot is safe to give in infants. The details of the "attack" are not known to me so I can only assume that the pediatrician does not feel it falls into the risk category where the shots should be given. If you are concerned, contact local health department about the incident (they are likely the ones who would need to administer vaccine anyway - it isn't usually stocked in peds office) ...Read more

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3 months old baby with bronchiolitis receiving albuterol+nebulizer therapies makes high pitch stridor-like when laughing or crying. NOT all the time.

3 months old baby with bronchiolitis receiving albuterol+nebulizer therapies makes high pitch stridor-like when laughing or crying. NOT all the time.

Croup?: Bronchiolitis is a lower airway disease that is sometimes treated with bronchodilators such as albuterol. Stridor develops with inflammation of structures much higher up, and is common with Croup. Most children with croup do not wheeze unless they are predisposed to doing so. ...Read more

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3 mos baby is sleeping good at nite, but fights nap time& barely sleeps how many naps=length?

3 mos baby is sleeping good at nite, but fights nap time& barely sleeps how many naps=length?

Great nights!: It's hard to recommend anything that might sacrifice your nights. Preserve that no matter what. For the naps, start a strict daytime feeding schedule of every 2 -3 hours. Force the nap-time, but don't allow the naps to be more than an hour at a time. This will allow your child to get some rest, but hopefully it will not affect your nights. ...Read more

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After infant receives her first dose of oral polio vaccine, the nurse explains to her parents the side effex?

After infant receives her first dose of oral polio vaccine, the nurse explains to her parents the side effex?

Oral vaccine rare: Most doctors use ipv which is injectable. The administering office will give a handout that is for the specific vaccine. Nurses will often explain what to expect and doctors usually review understanding of vaccination and answer your questions. ...Read more

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