What can a dirty diaper is even worse? Finding underneath irritations. But do not worry - most of the cases easily cured in a few days. Parents may be concerned about the child's skin irritation, but it is not dangerous. This problem occurs in about a third of all babies. To make a diagnosis, treat, and prevent a recurrence should learn more about the disease.

How to determine skin irritation

That's exactly what you do not like to see parents: red swollen skin. This malaise is widespread in children aged four to fifteen months. In addition to redness and swelling in the area of ​​diapers, you may notice that the child is often capricious, especially when you are changing a diaper or touching a sore spot.

Although most of the symptoms is limited to irritation, and the problem can be successfully treated at home, contact your doctor if the child has fever, blisters, sores, if the rash spreads throughout the body of the affected skin or pus.

What causes skin irritation at the child

At skin irritation many possible reasons, usually "guilty" by several factors.

• Antibiotics. If a child or a nursing mother taking antibiotics may develop skin irritation. If you suspect that the cause is the case, discuss treatment with your doctor.
• The new food. About four months, children begin to try new food, they have changed the frequency and stool consistency, and it can cause skin irritation. Also, products that consume a nursing mother may cause.
• The reaction of the skin. Can irritate baby's skin soap, which wash his or detergent which wash his clothes, or a certain type of diapers or wipes. If your child has sensitive skin Sensitive skin: causes and care   and appeared irritated by diapers, try using flavored funds intended specifically for infants.
• Furthermore, the irritation can cause too tight diapers.
• Urine and feces. Moisture and ammonia contained in wastes can cause redness and irritation. Try the baby as little time spent in dirty diapers.
• Heat. Warm clothing and a plastic shell outside the diapers can noticeably increase the temperature and the concentration of moisture under the diaper, which creates ideal conditions for the bacteria that can cause skin irritation. Try to keep the baby does not overheat and has always been dry.
• Bacteria. If the cause of skin irritation - it is the bacteria, you may notice a pale yellow crust or small pimples on the skin surface. In such cases treatment requires antibiotics Antibiotics - whether they will help you in the foreseeable future? , Consult your doctor.
• Fungus. Sometimes it can cause irritation to fungal infection of the skin. In this case, you'll notice a bright red rash or tiny pimples on the edge of the affected area. These same symptoms you notice in the folds of the skin of the baby.
• Sensitive skin. Irritation is more often in children with sensitive skin or atopic dermatitis or eczema Eczema - is difficult to treat .

Treatment

Although skin irritation under the diaper can be uncomfortable, it is usually not a serious disease and can be cured by OTC and changes in swaddling the baby. Prolonged irritation can be treated with drugs that doctor prescribes.

• OTC means. If the child is more than four months, using such means as soon as you notice the symptoms of skin irritation. Although medicines have various shapes, it is best to use ointments and creams, as no liquid forms. Especially effective products containing zinc oxide. If you are not sure whether the vehicle is suitable for your child, consult your doctor.
• Means for the recipe. Usually irritation passes after a few days of treatment. If no improvement is observed, or the condition worsens, there are sores and fever, call your pediatrician. The doctor will examine the child and determine the cause of skin irritation. Your doctor may prescribe a mild detergent with hydrocortisone Hydrocortisone - a drug that could save the life of the patient   or antifungal agents. If the child is less than eight weeks, consult with your doctor about any skin irritation.

Prevention

Unfortunately, a case often causes irritation to the next. But prevention can help avoid discomfort - you need only make a few changes in child care.

• Change diapers in a different way. Change diapers as often as possible, so that the skin does not remain damp. The child's skin is recommended to wash with warm water, then allow to dry and leave the air for some time, this irritation will be faster. Before putting on a new diaper, check whether the baby's skin dry.
• Change the brand of diapers. Try a different size, shape and other manufacturers to find a more suitable diapers. Diapers larger give freedom of movement and reduce friction against the skin. Do not use scented detergents, soap, wipes, especially those containing alcohol.
• No polyethylene. If you use cloth nappies, or wrap them in anything.
• Apply cream under a diaper. If a child often appears irritated, apply sunscreen every time you change a diaper to avoid skin irritation. Vaseline and zinc oxide - time-tested components that are part of many creams for diaper.

Usually irritation from diapers passes within a few days. However, if no improvement occurs or gets worse, contact your doctor. It will determine the cause of the irritation and help you choose the treatment.

The human ear is divided into three parts: the outer (pinna, the ear canal to the eardrum), medium (from the eardrum - tympanum with the auditory ossicles), internal (the cochlea and the semicircular canals, which are deep in the temporal bone). Inflammation can occur in any of the sections, depending on the inflammation which distinguish the outer, middle or inner ear. Often, when people talk about otitis, meaning it otitis media Otitis media - children's problem .

Etiology and pathogenesis

Otitis in children are caused by viruses, bacteria and fungi, but the most common - coccal flora (staphylococci, streptococci, pneumococci).

The tympanum is not closed, through the auditory (eustachian) tube, it is connected to the nasal cavity, where bacteria and penetrate into the middle ear. When the disease the child any infections, as well as in the defeat of the gastrointestinal tract, may be a way of hematogenous drift of infection in the tympanic cavity.

Contributing factors to the otitis is to reduce the resistance of the body, poor diet, excessive fatigue. For young children it is a significant risk factor for artificial feeding, since there is no protection against maternal immune abnormalities of the gastrointestinal tract, and there is no natural massage that regularly occurs when a child sucking breast.

Clinical presentation and diagnosis

The classic signs of acute otitis media is an expression of pain in the ear, pain when pressing on the tragus of the ear and mastoid region, increased body temperature. In such cases, the diagnosis is not difficult.

Often, however, the disease is atypical, especially the children of the first months of life. Pay attention to the child's behavior - his position in bed, facial expression at rest and during feeding time, the severity of crying. Significant be sudden anxiety, trouble sleeping, pendulum-like movements of the head during sleep Dreams: how to understand our dreams   and involuntary touch ear hand, a long scream. The child refuses the breast or sucking just one breast opposite to the patient's ear while in a pose, helps reduce pain in the ear. Pain in otitis Otitis - than could face an ear infection   expressed as the eardrum is well innervated.

Classification of otitis

By duration

• Acute otitis media lasts about two weeks, has a distinct clinical symptoms
• The latent otitis lasts for two - four weeks, symptoms of otitis erased
• Recurrent otitis media occurs several times a year.

By the nature of discharge from the ear

• Catarrhal - no discharge
• Purulent-fibrinous - purulent discharge from the ear, perhaps with a small admixture of blood
• Hemorrhagic - spotting

In phases of development

• The initial phase - from the onset of the disease before the appearance of the first symptoms
• The phase of growth of the process - from the first symptoms to the full development of clinical symptoms
• Phase resolution - decrease in clinical symptoms
• Phase cure - no symptoms of the disease

According to the severity of the disease

• Easy for

Low-grade temperature, pain is poorly expressed.

• High severity

High temperature, pain expressed, overall health suffers slightly.

• Severe

High body temperature significantly severe pain, severe disturbance of general health.

Treatment and prevention

Treatment depends on the child's age and body resistance. Children older than two years, with good resistance usually transferred easily and otitis media are treated on an outpatient basis. Doctor prescribes antibiotics tablets Antibiotics - whether they will help you in the foreseeable future? , Painkillers and bracing means, physiotherapy.

Children under two years of age and somatic weakened children are subject to hospitalization and complex examination and treatment in hospital, as due to the anatomical features of the ear in the age at high risk for complications, including such dangerous as septicemia and meningoencephalitis.

Prevention of acute otitis is reasonable hardening of the child in order to increase resistance of the organism, the best dress up the street, in a timely and adequate treatment of infectious diseases and diseases of the gastrointestinal tract, long-term preservation of breastfeeding.

Svetlana Shimkovich