Are there any precautions I need to take after my child has recovered from Kawasaki Disease?

I’m glad to hear that your child has recovered well. Short answer: The good news is that most children treated for Kawasaki disease recover fully with no long term complications, and will not need further treatment. The earlier he was treated, the better. Recurrence of Kawasaki disease is uncommon. He should, however, continue to follow a healthy diet, and adopt healthy lifestyle habits to reduce the risk of future heart disease (this applies to all children, not just those who have Kawasaki disease).

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Answered By

Human

Do I need to bring my toddler to see a doctor if she is on formula milk and has not pooped for 3 days?

Welcome to our QnA! Unfortunately, you didn’t mention the age of your toddler/infant. This makes it difficult to provide more tailored information, as the “normal amount of time” between each bowel movement depends upon: How old they are What they eat It’s worth noting in your case (if you recently switched her from breast to formula milk) that formula-fed infants commonly have less frequent stools than breast-fed infants. By 4 months of age, most formula-fed infants average 2 – 3 bowel movements a day.

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Human

Is Colchicine safe for breastfeeding mothers?

I do agree with what Dr Ethan and Dr Jasmine have written about the risk of colchicine in breastfeeding. For treatment of oral lichen planus, there are many other treatment options available apart from colchicine and you should speak to your doctor and raise your concerns about the use of colchicine while you are breast-feeding and explore if alternative options are available for you.

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Answered By

Dr Colin Theng

Dermatologist

Should children have their milk teeth extracted to prevent permanent teeth from growing crooked?

May I know how old your little girl is? You are absolutely right. In most cases, the adult teeth will cause the milk teeth to be mobile and subsequently lost, making space for the adult teeth. In this photo, it looks like the two side adult teeth are erupted but the two front milk teeth are still present. My advice will be to seek an opinion from an orthodontist to check for the reason why this has happened BEFORE extacting the milk teeth. Sometimes it may be because two lower adult teeth are missing and in this case, you might want to keep the baby teeth for as long as possible.

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Answered By

Dr Sylvia Tan

Orthodontist

Are all dentists able to see children in Singapore?

Thank you for your question! The black spots may be decay, or it may be surface stains caused by certain bacteria in the mouth. I would definitely recommend bringing him to a dentist to diagnose the black spots as the diagnosis would lead to different treatment for him. And yes all dentists are trained in school to see kids and are able to do so, however they may choose to refer to a kids specialist if they deem necessary. Hope this helps!

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Answered By

Dr Joanne Lam

Dentist

What could be the cause of multiple small white bumps on the arms and chest? (photos)

Thank you for the question. It does seem that these lumps arise from deeper in the skin. The doctor will have to examine and palpate/feel the bumps for a proper assessment. In some cases, a skin biopsy may be needed to confirm the diagnosis. I do think that you should bring your son to see the doctor or dermatologist to be examined to advise you on the proper diagnosis.

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Answered By

Dr Colin Theng

Dermatologist

Is it compulsory for a doctor to tell you the side effects of prescribed medications in Singapore?

Thank you for your interesting question. There are many sources of information about medication side effects: 1. The prescriber 2. The information leaflet with the medication 3. The internet 4. Word of mouth Often, most prescribers will inform you of common side effects of medications and ones that they may have come across in clinical practice. Sometimes, there are side effects that the prescriber and manufacturer are unaware of until they occur, this is despite clinical trials and rigorous testing of medications.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

Are there any symptomatic treatments to help a persistent cough in an 8 year-old?

Thank you for your question. Cough is a reflex meant to protect your airway from an irritant (e. g. mucous, foreign bodies or virus/bacteria). When persistent, it is usually a symptom of a condition. A cough lasting longer than 8 weeks is called chronic cough. Common causes of chronic cough in children include problems arising from the nose and sinuses (e. g. allergic rhinitis, sinusitis), lungs (e. g. asthma, bronchitis, foreign bodies) or stomach (acid reflux).

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Answered By

Dr Eng Cern Gan

ENT Doctor

What could be the cause of persistent scalp itchiness in a toddler?

Thank you for the question. One of the commonest cause of itchy scalp is a form of eczema known as seborrhoeic eczema. The scalp can be red and sometime flaky and this often associated with scalp itch. This can be treated with a mild shampoo and a very mild steroid cream or lotion like hydrocortisone can be helpful. There are of course other causes of scalp itch like head lice, which is much less common in Singapore. If the rash is persistent, it is best to see your dermatologist/doctor to confirm the diagnosis and get the appropriate treatment.

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Answered By

Dr Colin Theng

Dermatologist

Is it advisable to remove the milk teeth in a child to enable the adult tooth to grow out properly?

Thank you for your question. I would say that your child probably has a generalised delayed tooth eruption, but there is nothing to worry about for now yet. It’s a good sign that his lower front teeth have began to erupt! “Is it advisable to remove the milk teeth to enable the adult tooth to grow out properly? Or is it alright to wait for the milk teeth to fall out by itself. ” The lower adult teeth erupts naturally at a position behind that of the baby teeth. I assume based on your description that the adult teeth is just peeking through the gums (i. e.

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Answered By

Dr Joanne Lam

Dentist

Does a shaky tooth in a child need to be extracted? Will he require braces?

Hi Xue An, Thank you for your question. From what it seems based on your description at least, I would think that there is no urgent need to extract the shaky tooth at this moment, as it is the baby tooth that is exfoliating naturally. It should not hinder the eruption of the adult tooth. We may not be able to tell if your child needs braces at this time, as there are many factors in place that determines that. For example, jaw growth of both the upper and lower jaws and their relativity to each other, the size of the teeth when t the arch size etc etc.

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Answered By

Dr Joanne Lam

Dentist

What is an effective treatment for strawberry hemangioma in an infant?

Thank you for your question. I’m sure as a parent, having something diagnosed on your child can be the most frustrating thing ever. Your child is quite small at 6 weeks old, and depending on the size of the lump, most doctors will probably advice to monitor it at this stage. At a later stage, if it doesn’t go away, there are always other treatment options like laser or a medication called propranolol. But in summary, rest assured that if the diagnosis of strawberry hemangiona is correct, there are effective treatments for it.

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Answered By

Dr Paul Ang

General Practitioner

What should I look out for in my child who is recovering from Kawasaki Disease?

Thanks for your question - it's quite a common concern amongst parents with children who are recovering from Kawasaki Disease! There has been a very similar question about precautions after Kawasaki Disease that has been answered over here, including advice on contact precautions, as well as physical exertions after recovery: Are there any precautions I need to take after my child has recovered from Kawasaki Disease? Do follow the link for the information to most of your questions.

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Answered By

Human

Is vision therapy effective for treating strabismus in my child?

Thanks for your question! I think your instincts are correct! The evidence still supports patching as directed by your attending Ophthalmologist, and perhaps convergence exercises (aka Pencil push-ups, if there is an element of convergence insufficiency in the intermittent exotropia). Your Ophthalmologist would have evaluated your child to exclude a secondary cause for the exotropia, and would be working with you to optimise her final visual acuity and alignment in order to maintain excellent visual acuity and binocular vision.

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Answered By

Dr E-Shawn Goh

Ophthalmologist

Can I still breastfeed if I have a cold sore?

Thank you for your question. Breastfeeding invariably is a stressful period, and during stressful periods, the cold sore virus can reactivate and attack again. 1) Firstly, you should get the diagnosis confirmed by a doctor and also receive treatment. 2) If the cold sore is in the mouth and you are not kissing the baby, it means that your baby is feeding on the nipple, and there is no contact. If this is the case, and you wish to continue breastfeeding, you should continue to follow strict handwashing procedures ie: before and after handling the baby. If so, there should not be a problem.

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Answered By

Dr Paul Ang

General Practitioner

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