Amelia had her 15-month doctor appointment yesterday. She is growing great! She loves food of all types, is talking more than her age normally does, and is looking into walking someday, but hasn't yet let us know when that will be. Amelia is at 21 pounds, 9 ounces, so she's around 75 percent for weight, and is at 50 percent for height. Amelia also has 6 teeth in, and is in the process of acquiring about 3 molars. The doctor said she looks wonderful.
However, what we thought was a really bad diaper rash is actually Hand Foot Mouth disease. It's not bothering her really, and she's not feverish or crabby, so they don't prescribe anything for it. It will just have to run its course. And it looked much better this morning already. She had a few sores on her feet, a couple on the palms of her hands, and one on her tongue. But it was mostly on her diaper area. I've heard it's going around and that it lasts 3-6 days, but Amelia is already looking much better so we're hoping there are no signs of it in a couple of days.
Here's a Website that explains it:
http://www.cdc.gov/ncidod/dvrd/revb/enterovirus/hfhf.htm#6
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4 comments:
She'll walk when she's ready. She's spending all her time learning new words! Seemed like it took Piper FOREVER to crawl - our daycare provider said, "Some babies crawl early, some walk early, some talk early....etc. But you really never seen ONE baby doing ALL those things right away." I have to remind myself that all the time. =)
And gross about the HFM. Poor baby! How are you supposed to know it's HFM and not just a regular rash? We keep hand sanitizer on the changing table at home and have noticed that at daycare she has a GIANT dispenser of it mounted on the wall next to the changing table. (This lady basically puts on a haz-mat suit for diaper changes.) Can't be too careful, I guess.
Ivy, with HFM there is a rash on the feet and the palms on the hands, the mouth. They look like little pimples that have pus in them. Not too attractive, but they don't hurt or itch, with is nice. Tylonol can help if needed, but we haven't given Amelia anything for them yet.
I found this info on the web but I'm sure you've investigated it already.
http://www.drgreene.com/21_1103.html
DrGreene Content
Hand-Foot-Mouth Disease
Related concepts:
Coxsackievirus A16
Introduction:
A miserable child who has lost interest in eating solids? Perhaps the child has hand-foot-mouth disease.
What is it?
Hand-foot-mouth disease is a common childhood illness featuring mouth sores, fever, and a rash. Similar-sounding “foot-and-mouth disease” is a disease of cattle and is not related to this condition.
Hand-foot-mouth disease is usually caused by a virus called coxsackievirus A16. However, many children with coxsackievirus A16 infections do not have all of the features of hand-foot-mouth disease. Some have no rash, some have no mouth sores, and some even have no fever. A variety of other viruses in the Enterovirus family can also cause hand-foot-mouth disease (the coxsackieviruses are enteroviruses).
Who gets it?
This disease is most common among young children but is seen with some frequency up until puberty. Adults can get it, but this is much less common. Once people have had coxsackievirus A16 they are generally immune, but they could get another case of hand-foot-mouth disease from one of the other, less common viruses. Most infections occur in the summer or early fall, with the peak between August and October in the northern hemisphere.
What are the symptoms?
Children with hand-foot-mouth disease usually start to feel crummy 3 to 7 days after they were exposed. Often, the first thing parents notice is their children’s decreased appetite for solids. Children may also have a fever and a sore throat. A day or two later, many children develop sores in the mouth. They begin as small red spots on the tongue, gums, or mucous membranes. They may blister or form ulcers.
A skin rash may also develop over a day or two, with flat or raised red spots. Unlike with many rashes, the spots are often found on the palms and soles. Also, it is common to have the rash on the buttocks. Often, the red spots will form tender blisters (although not on the buttocks). Unlike with chickenpox, the rash does not itch.
Usually the rash disappears and the child feels better within about 1 week.
How is it diagnosed?
Usually the diagnosis is made based on the history and physical exam. Lab tests are available for the coxsackieviruses and other enteroviruses, but they are not usually necessary. Hand-foot-mouth disease is sometimes confused with strep throat, which can also begin with a fever and sore throat. It is sometimes mistaken for chickenpox because they both have blisters. It might be confused with any of the childhood exanthems. Also, many children with hand-foot-mouth disease are diagnosed with ear infections because the eardrums may appear red.
How is it treated?
Antibiotics do not help with hand-foot-mouth disease. The important issues are pain relief and plenty of fluids. Cold liquids and popsicles can be soothing for a child’s sore throat.
How can it be prevented?
The viruses that cause hand-foot-mouth disease are present both in the stool and in the respiratory secretions. It can spread by fecal–oral transmission, droplet transmission, contact transmission, and by means of fomites. Hand cleansing—especially after diapering/toileting and before eating—can help reduce its spread. Children are often kept out of school or daycare for the first several days of the illness, but it is not clear this prevents others from becoming infected. Other children in the class are probably contagious even though they will never develop symptoms.
So glad she is feeling better already! I'm surprised she is in the 75th percent for weight..She seems fairly light! Once a baby starts walking it doesn't take long and the are really taking off. Thanks for the updates on Amelia!! Love you, Mom
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