Ask Dr. Amy [12/09/2019]
Hello Kinder community!
Here is your roundup of weekly answers to questions you Ask Dr. Amy on Mondays @DrAmyPeds on IG.
Q: My 6 month old has shots this week and has a runny nose, no cough or fever. Do I reschedule?
A: No need! Mild illness is perfectly fine for 6 month vaccines (which contain no live vaccines). If there is moderate to severe illness, then yes postpone until they're feeling better.
Q: What's the incubation time for stomach flu?
A: Ah, so sorry you're dealing with this! If you mean time between exposure and having symptoms, it's usually 1-3 days for viruses. After symptoms start, often vomiting comes first (or comes at the same time as diarrhea), which can last 24-36 hours. Diarrhea can last a few more days. Important things to make sure: hydration. Make sure they are peeing at least 4 times per day (24 hours), and give them any liquids. If not peeing enough, call your doctor as they are getting dehydrated. If not eating as much, that's okay. If there is ever blood in stool or in vomit, that's also a reason to contact your doctor ASAP.
Q: What foods can I give my 5 month old? What about iron from foods?
A: You are ahead of the curve! 6 months is when we officially talk about starting solids for nutrition, but you're certainly welcome to try and practice between 4-6 months, only if they are interested. To begin with, food texture matters more than what it is - go for a soft texture that would be easy to completely squish between your fingers. You can also give something very big (a whole cucumber or huge strawberry) for them to gnaw on, but they can't completely swallow and choke on. Only give it to them when they're interested, don't stress about how much they take, since all their nutrients are still from breastmilk or formula and any foods eaten now is bonus! Many of our foods in the west are iron fortified, such as most cereals. Eating a varied baby diet usually gives enough iron, but we can discuss that more at 6 months.
Q: Is it normal for babies to sweat excessively from the head? A: It is common for babies to sweat from the head (50% of heat escapes from the head in a newborn), but sweating excessively might mean the baby is over-bundled. If there are other issues (changes in feeding, energy, activity level, behavior) in addition to sweating, call your doctor. To learn more about the rules of thumb for how to dress babies warmly for winter without over-bundling, check out Dr. Amy's latest Instagram post!
We are deep into winter now, so stay warm, stay hydrated, be kind to the sniffles and we are sending you some holiday cheer from our headquarters in snowy Boston!
Go Kinder Kid!