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How to identify the cause for skin allergy in a child?

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How to identify the cause for skin allergy in a child?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At June 14, 2017
Reviewed AtFebruary 15, 2024

Patient's Query

Hi doctor,

My daughter was born six months ago with a weight of six pounds. Her current weight is approximately ten pounds now. From 3rd month of her age, she has got skin problem. We started formula feeding along with breastfeeding at that time. She got skin redness and some sort of problem in her cheek. We have visited pediatrician and he proposed not to worry about that and asked me to use baby milk cream. Nowadays we find that the problem has spread all over her face. It cannot be found in the picture as it is taken just after applying baby cream. Her face has been washed with lukewarm water in the morning and night. And again we are confused with her nutrition. Please provide us good and healthy diet plan that can be taken routinely for her healthy life. Thank you.

Hello,

Welcome to icliniq.com.

I have seen the images (attachment removed to protect patient identity). By what you are telling it is looking like allergic skin disorder. This can be due to anything being applied on her skin, sometimes due to cow's milk allergy, etc. Does your child have fever or any other symptoms along with this? From your answer we might think of alternate diagnosis. What soap or cream or oil do you use for her? Did you change any of the products recently? If so, please use the one you used before. If not try some creams which I suggest. Which milk are you giving her along with breast milk? If cow or buffalo, stop that and try formula.

The following are some changes which I can suggest:

  1. Start semi-solid foods, which you can prepare at home, like rice with dal. Also banana is easily digestible. Start with these two.
  2. Start one new item for a week, so that if baby is not tolerating the food you will be able to know.
  3. Slowly by one year she can eat whatever is prepared at home that is less spicy. You can give any fruit; see that she has some fruit daily.
  4. Give her potato, tomato, leafy vegetables, carrot, beetroot, etc., with rice or even curd.
  5. Later at about eight months of age you can start finger millet malt. You can go according with stages of infant food series of available in market.

If the skin problem is still persisting, show to a dermatologist or a skin specialist for further physical evaluation.

Patient's Query

Hello doctor,

No, she has no fever or other issues even in past. And we are formula. Kindly suggest the best product if needed.

Hi,

Welcome back to icliniq.com.

Use the medication as advised above. Regarding formula milk, nothing specific. you can try anything that is available.

For further queries consult a pediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Patient's Query

Hi doctor,

Her previous problem has gone with Boroline ultra soft cream. Here is another issue. She is suffering with some sort of sound in chest and back. She is having frequent vomit with cough. There is sudden cough and running nose and it is not too frequent. But, her activities are fine. We have visited our local pediatrician. After her checkup he suggested it as the symptom of primary stage of bronchitis. I have attached the prescription given by him for your reference. He asked me to try nebulizer. It may require on SOS basis. I have attached some video and voice clipping too for additional information. Please guide us.

Hi,

Welcome back to icliniq.com.

Your daughter seems to be suffering from bronchiolitis which is a viral infection of the lungs. It is treated basing on the severity. If no breathing difficulty, we can treat at home with oral medication and nebulization. If severe then we admit in hospital, because child may require oxygen also. From the breathing sound (attachment removed to protect patient identity), it seems that baby is having difficulty in breathing. The medicine given in the prescription is good. Sometimes they might not be enough if problem progresses. Continue the nebulization and visit the doctor if condition does not respond. She may get fever, watch out for it.

I hope this helps.

Thank you and take care.

Regards.

Patient's Query

Hi doctor,

She has been given the medication. But, the problem is that she is vomiting when she was given instantly. Local doctor changed the medicine but still she is vomiting. He suggested to use dropper for the same and keep her watch for the next two days with same medication as prescribed. If she gets well then continue with same and if not then nebulization will be started. I am worried about her vomiting. Please suggest.

Hi,

Welcome back to icliniq.com.

As suggested please try the medicine with dropper. Try to give before food, so she will not vomit the food. Or mix with sugar or with milk.

For further information consult a pediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Patient's Query

Hi doctor,

She has been given the medication as described by local doctor as already mentioned to you. Her body temperature is like little high. She vomited several times with mucus and cough. And also has loose motion which also includes mucus. Nebulization has already started. Is there anything to worry about? Her breathing speed has also increased. Please guide us.

Hi,

Welcome back to icliniq.com.

If speed of breathing has increased, please visit the doctor, as she might need admission and the frequent nebulization. If vomiting is more she could get dehydrated. So, could require IV fluids (intravenous). So, please revisit the doctor. The mucus will go in the stools as they swallow it, so loose stool can occur.

For further information consult a pediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Patient's Query

Hi doctor,

Today she has gone nearly 25 times of loose motion and one time vomiting. She was given ORS. We have visited local doctor and he prescribed the followings attachment. Can this be the cause for loose motion? Please suggest me the probable solution and treatment.

Hi,

Welcome back to icliniq.com.

All medications are appropriate (attachment removed to protect patient identity). Loose stools and vomiting means stomach infection. It can come from anywhere. From milk bottles, from hands or other food, water, etc. Please follow the given medications as prescribed.

Patient's Query

Hi doctor,

She is now little bit fine with her cold and cough. But her loose motion not yet cleared. I am attaching a sample of her stool. What do you think about it? Today I find some sort of problem at her buttock and vaginal positions. Please find the attachment. We are using open diaper and rash cream. Please do give an explanation and treatment.

Hi,

Welcome back to icliniq.com.

Good to hear that she is recovering. Yes, the stools are a bit semi-solid, but not very loose. Some rash is present at the anal region. You can use the following medication for her. The stools could be because of the mucus which she is swallowing and the resultant stomach infection which causes indigestion of the milk. Please reduce her milk consumption. I will suggest her alternate formula for milk temporarily. Once this problem gets over then you can switch back to the normal milk, probably after two weeks. If rash is increasing you can get a stool test done. If it decreases with the following medication then the stool test is not necessary.

I hope this helps.

Thank you and take care.

Regards.

Patient's Query

Hi doctor,

My daughter is fine now. I have decided to buy air cooler due to warm weather. Will it harm the health of my baby?

Hi,

Welcome back to icliniq.com.

It is fine to use air cooler, just make sure the breeze does not hit her directly.

For further doubts consult a pediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Patient's Query

Hello doctor,

I need your advise for one more issue now. The previous evening we have visited our local park in a two wheeler. While coming back from the park my baby's eyes became red. I think she is suffering from itching. Today morning, she was almost unable to open her left eye as it stuck with something. I have attached the photos for your reference. My local pediatrician is out of town. Please provide me the right medication. She is also having some snoring on her chest.

Hi,

Welcome back to icliniq.com.

It looks like she has an eye infection. It also might be some allergy to something she was exposed at the park. Use Oflox eye drops (Ofloxacin) or Toba eye drops (Tobramycin), four to five times a day for at least three days. Snoring implies some chest symptoms. If her breathing is fine, then you can just use any cough syrup. If she also has breathing difficulty, then better to be seen by doctor as eye and chest symptoms can be related.

I hope this helps.

Thank you and take care.

Regards.

Patient's Query

Hi doctor,

Is the weight of the baby fine? Some people telling that she is overweight for her age. And again before each feeding she starts some tendency of vomiting like sound. Can you please provide me the correct diet for her at this age?

Hi,

Welcome back to icliniq.com.

Give her one fruit per day. She can eat rice or roti with dal, vegetables like potato, carrot, beetroot, leafy vegetables, etc. Egg yolk can be given once a week. Snacks like biscuit and finger millet porridge can be given. Avoid non-vegetarian, egg white and nuts until one year of age.

For further information consult a pediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Nagasirisha Naredla

Pediatrics

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