Doctor insights on:
What Is The Best Treatment For Delayed Closure Of Anterior Fontanel
Patience: Most kids will have what feels to be closure of the anterior fontanel by 15-18 mo but some may persist. The separation between the bones will persist to some degree until about 9 when kids reach their adult head size. In examining thousands of kids over 3 decades, i never found one that didn't eventually close. ...Read more
In an infant, the space where two skull-bone sutures join forms a membrane-covered "soft spot" called a fontanel (fontanelle). The fontanels allow for growth of the skull during an infant's first year. The fontanels should feel firm and very slightly curved inward to the touch. A tense or bulging fontanel occurs when fluid builds up in the skull cavity or when pressure increases in the brain (increased intracranial pressure). When the infant is crying, lying down, or vomiting, the fontanels may look like they are slightly bulging, but they should return to normal when the infant is in ...Read more
Delayed closure: Most anterior fontanel close between 18-24 months of age. Delayed closure means persistence of open fontanel beyond 24 months of age. ...Read more
The fontanels: represent points over which the growing skull plates will eventually close. Failure of the involved growth plates, those which meet at the front and top of the head, to grow to closure results in a large anterior fontanel. It is the soft spot on the top, front of an infant's head. ...Read more
I was changing my baby's clothes and accidentally pushed on the anterior fontanel. She is behaving normally. Should I have her checked out?
No need: It actually has pretty tough coverings.Get a more detailed answer ›
I'm 51 years old. I felt a " sunken" area on top of my skull. I think its the anterior fontanel. is this bad? its ok to touch but continuously it hurt
My 6 1/2 mo old ped. Felt his anterior fontanel but says that it might be closing early than usual. Should i be worried? Or is this normal @ his age?
Follow closely..: It is a bit early for the skull to fuse, but unless he has had a head MRI or ct to assess exactly how open or closed they are, i would not panic. If his head shape is normal and symmetric, if head size is increasing along appropriate percentiles, development is normal, then i would put my mind at ease. However, these parameters, including head size and shape, need to be monitored monthly for now. ...Read more
Is the size of fingertip dent on my 4month old grandson's anterior fontanel normal. Told my son to address it with ped. He forgot! it was always smal?
Normal: I'm sure it is a normal anterior fontanelle - "soft spot". If he has been going to the pediatrician regularly, we all have this fixation about rubbing babies soft spots. For us it's almost like another vital sign like heart rate or blood pressure. If there was something abnormal with it when he was at the doctors office, i'm sure the pediatrician would have mentioned something about it to your son. ...Read more
i have cyst on my anterior fontanel since birth and am almost 26 now. Any prescription to diminish it aside from surgical excision, please?
6 month old has extra cerebralspinal fluid. Im told will resolve on its own. Is this true? What if left untreated?He has fluctuating anterior fontanel
Extra ???: The spinal fluid is produced continuously through life at about a tablespoonful per hour by structures in the brain. It circulates through it's normal pathway & is absorbed into the circulation from the brain surface. Blockage of flow must be opened or structures distort but the body adjusts to fluctuations in fluid amount.True excess production will produce rapid head growth & need surgery. ...Read more
Delayed Sleep Phase: The best treatment for delayed sleep phase is the one that works for you. Treatment includes improving sleep hygiene by maintaining a regular sleep schedule, avoiding caffeine, alcohol and tobacco and stimulating activity close to bedtime. Chronotherapy, delaying bedtime in increments, light exposure in am, and melatonin supplements are additional treatment options. ...Read moreSee 1 more doctor answer
Recognition & PT: Early recognition & supportive physical therapy are the standard for treating developmental delays.Therapy can work to suppress abnormal primitive reflexes that impairs progress & help the kid reach milestones.Regular reassessment & goal planning are part of this process. ...Read moreSee 1 more doctor answer
Melatonin + light: 1) choose an initial wake up time you can adhere to at the start, 2) upon awakening, get exposure to bright light, 3) later that evening, take melatonin 3mg about 3 hours before your sleep onset time the night before, 4) wake up 1/2 hour earlier the next day and get bright light, 5) repeat 3-4. Eventually, you will correct your sleep-wake schedule. ...Read moreSee 1 more doctor answer
Delay starting urine stream&slow-weak urine flow-taking flomax; i feel having prostatic congestion. What is best treatment for that?Thanks
My doctor sent me to physical therapy. I didn't want to delay treatment so i could find the costs. Should have to pay thousands for 4 hours of pt?
Shop around: If you are paying out of pocket for pt shop around for the best care with the cost being a consideration. The referring doctor should be able to refer you to several different therapy places they have sent patients to before. "thousands" implies the cost for 4 hours is at least $2000 meaning 500/hour that seems a bit steep ( to be diplomatic). ;-). ...Read more
Early intervention!: ...Though i would like there to be a specific cause for the delay in motor development identified. This is usually achieved through a combination of blood/urine studies and select neuroimaging (mri/ct) +/- eeg, genetic studies, etc. Whatever the reason, early intervention (ot/pt) may greatly improve these children's lives! ...Read moreSee 1 more doctor answer
Indefinitely: Orthodontic treatment can be delayed indefinitely. Orthodontic treatment can be started at any time in a person's life assuming they have good oral health. As one of my dental school professors said, no one "needs" braces. No one ever died from crooked teeth. ...Read moreSee 9 more doctor answers
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