Mouth sores might affect your children<\/p>\n
Dear Dr. Donya,<\/p>\n
I received your e-mail address from The Jakarta Post and it
\nsaid feel free to write, so I am.<\/p>\n
My question concerns my 10-year-old daughter who suffers
\nregularly from what is called sariawan, a kind of mouth sore. The
\nproblem is, she is the only one in the family who gets it and I
\nactually do not even know what it is exactly, or what causes it,
\nmuch less how to treat it. I've had no luck with doctors here in
\nJakarta who just dismiss it and say take some vitamins and it
\nwill get better soon. Sometimes she gets two or three at the same
\ntime and can hardly eat. I'm really concerned and have no idea
\nwhat to do about it, or even if there's anything that can be
\ndone. Is there anything you can tell me about this condition? Any
\nadvice will be greatly appreciated.<\/p>\n
-- Marshall Lesesne<\/p>\n
Dear Marshall,<\/p>\n
I am sorry that I don't know what \"sariawan\" is. In cases of
\nmouth sores, \"aphthous ulcer\" is very common and can occur quite
\noften especially when there is stress or infection. The
\nmedication that can relieve the pain will be \"sore mouth gel\",
\n\"kamillosan\" or \"trinolone oral paste\". If you apply it early, in
\nsome cases, it can be over in a few days. You can also rinse the
\nmouth with salty water (by mixing salt with water) and then rinse
\nthe mouth three to four times daily after meals and before bed
\ntime. Many viruses are activated by stress. I would suggest you
\nlook at your daughter's schedule and social situation to see if
\nshe is overbooked, or experiencing uncomfortable change. Please
\nkeep me informed on her progress.<\/p>\n
-- Dr. Donya<\/p>\n
Dear Dr. Donya,<\/p>\n
I have a six-month-old baby girl -- 70 cm long and 8,2 kg in
\nweight. I do not have any problem feeding her. On the contrary, I
\nam worried about her big appetite. For your information, her
\ndaily meals consist of:<\/p>\n
Early morning bottle-feed (about 200 cc.); Breakfast with
\nfour small spoons of baby-rice, followed by a second bottle of
\nmilk. Sometimes, instead of water, I give fresh orange juice with
\nthe breakfast (about 100 cc.); Lunch of blended potatoes or
\npumpkins, mixed with carrots or broccoli (three to four big
\nspoons), followed by the third bottle of milk; Tea-time meal of
\ngrated fruits (apple, pear, papaya, banana); Evening meal, with a
\nbottle of milk.<\/p>\n
Am I giving her right proportions and quality of foods? Are
\nthere other local vegetables or fruits that can I give her? Is
\nthere going to be any problem with her teeth development (she
\nalready has two teeth) with the above meals?<\/p>\n
My baby now has started to sleep on her front, while
\npreviously she always slept on her back or on her side. She can
\nalso sleep from 10 hours to 12 hours continuously at night.<\/p>\n
Is there any problem with the sleeping position? If there is,
\nhow to make her sleep in another, more convenient position?<\/p>\n
Since my husband is a foreigner, we speak at home, and with
\nher, three different languages. Will this negatively affect her
\nspeaking development?<\/p>\n
She prefers sitting (alone) and standing (supported)
\npositions, than laying down. Will it become a problem,
\nconsidering her age, for the development of her body?<\/p>\n
-- Yeyen<\/p>\n
Dear Yeyen,<\/p>\n
Your baby girl is in good shape. You can increase the amount
\nof meals to as much as your baby can take and cut down milk if
\nyou are worried about her weight. Your menu sounds good to me;
\nyou can also give her green or yellow vegetables; bak choy,
\ncabbage, beans, tofu. Nothing is wrong with her teeth
\ndevelopment.<\/p>\n
Her sleeping position is fine. If she can control her rolling
\nor move her head, she should not have any problem.<\/p>\n
About language, your baby will have no speaking problems. When
\nshe starts speaking, its good for the parents to use one language
\nin one sentence. In the end she will learn what is what. There is
\nno need for you to worry that she may not be able to verbally
\nexpress herself as quickly as a child who is learning a single
\nlanguage. Do not worry. Your daughter's development is normal and
\nyou already have a wonderful baby.<\/p>\n
-- Dr. Donya<\/p>\n
Dear Dr. Donya,<\/p>\n
My child is 16 weeks old. She has only got a shot for the
\nhepatitis B. My friend said the hepatitis B vaccination should be
\ngiven three times: at one month, two months and six months.
\nShould she get the full course of the vaccination all over again?
\nWe will go to Sumbawa next month, meaning if I try to get her
\nvaccinated, the second vaccination will be 21 days apart from the
\nfirst one. Is that all right, or should I wait until we get back?<\/p>\n
She also has not had her 4th DPT vaccine. Should she complete
\nthe course? My friend recently told me about the MMR vaccine,
\nwhich is not common at all here. Here in Indonesia kids get the
\nmeasles vaccine. How important is this vaccine, and if my baby
\nhas already got the measles vaccine should she also get the MMR
\nvaccine? Does it need a booster?<\/p>\n
-- Asih<\/p>\n
Dear Asih,<\/p>\n
For your 16-week-old baby, she can get the second shot either
\nwhen she goes to Sumbawa or when she is back home. It is better
\nto give it a month after the first shot. If you cannot give it to
\nher on time, a delay in the schedule is OK. She does not have to
\nstart all over again.<\/p>\n
About the second question, I would guess you have another
\nchild who is more than 18 months old and needs the 4th dose of
\nDPT. She can also get the shot without restarting the course. MMR
\nshould be given to 13-month to 15-month-old babies because those
\nyounger than 12 months old do not have good responses to measles
\nvaccines. So in your case, if your baby has already been given
\nthe measles vaccine, I would recommend getting the MMR vaccine
\nnow. When she is at school, there is the likelihood she may be
\nexposed to rubella or mumps.<\/p>\n
A booster should be given at 11 years or 12 years old because
\nrubella is a concern in child-bearing women, who may get infected
\nduring pregnancy and it will affect the fetus.<\/p>\n
-- Dr. Donya<\/p>", "url": "https:\/\/jawawa.id\/newsitem\/mouth-sores-might-affect-your-children-1447893297", "image": "" }, "sponsor": "Okusi Associates", "sponsor_url": "https:\/\/okusiassociates.com" }