Rus Articles Journal

Doctor! Urgently!

Each young mother in the first year of life of the kid tests special alarm for his health. But it is “not always convenient“ to it to address the pediatrician: suddenly all fears are vain? Let`s talk about those situations when medical care is absolutely necessary for the baby.

the First year of life is a special period, it is characterized by immaturity of all bodies and systems, intensive physical and mental development of the child, feature of a day regimen and food, and also existence of many age states which are connected with organism adaptation to extra uterine life and intensive growth. Due to these features of a disease at children of the first year of life often proceed not as at adults and to tell about that, “as where hurts“, the small child cannot. Quite often even the skilled children`s doctor at the first survey will not always be able precisely to establish the reason of an indisposition of the child and to estimate the subsequent development of an illness. Therefore not incidentally behind a condition of children of the first year of life dynamic supervision is conducted, the sick child looks round the doctor daily, and if necessary - is more often. for

Anyway when mother doubts a condition of the child when it has questions of leaving, feeding, the mode, treatment, it is better for p not to wait, and to consult to the doctor. If to the child there is nothing dangerous - the doctor will calm mother and if medical assistance is necessary - that it will be rendered in time.

High temperature

to Children of the first year of life svoystven a high metabolism that leads to some temperature increase of a body in comparison with adults. Temperature taken in axillary area at babies can reach 37,3 °C normal. Sometimes moderate temperature increase is observed when overheating the child, in that case it is enough release from excess clothes and additional drink for its normalization. At a temperature above 37,5 °C of the kid till 1 year the pediatrician surely has to examine. Temperature increase above 38,5 °C demands urgent medical care and febrifuges as such temperature is adverse for work of all systems of an organism and is dangerous in the development plan for febrilny spasms, “pale fever“ when at high temperature at the kid - pale skin, cold handles and legs is Especially adverse. In this case spazmirovana skin vessels, there is no return of heat in environment and there is an overheat of internals. At “pale fever“ physical methods of cooling of a body are contraindicated. The kid needs to give a febrifugal preparation and to warm it: to pound cold extremities, to put on woolen socks and mittens, to give warm drink.

Strong shout

Long strong shout at the baby is a reason for a call of the doctor. Such shout can be a pain symptom (a headache, intestinal colic, belly-aches, an indisposition at any infectious disease), and also a symptom of sharp excitement of the central nervous system. Anyway it is necessary to provide medical care to the child.

Sharp slackness

Sharp slackness of the child which is followed by lack of sucking is a reason for an immediate call of the doctor. The reasons of emergence of such state can be different. So, it can be a symptom of hormonal violations (nadpochechnikovy insufficiency). Slackness appears at development of serious infectious diseases due to toxic influence of microbes - activators and products of an inflammation. One of very dangerous infections with development of slackness in babies is meningitis (an inflammation of covers of a brain). Sharp slackness can also demonstrate any damage of nervous system. There can be also other serious reasons.

of a SARS

cold, cough / temperature increase, intoxication symptoms belong To manifestations SRVI (sharp respiratory viral infection) at babies: deterioration in health, concern, slackness, a small appetite, vomiting, sometimes - a liquid chair and belly-aches (the kid cries, rolls out legs, begins to suck and throws), These phenomena can be expressed in different degree.

needs to begin with

At emergence of symptoms of a SARS in the baby treatment at once: it is impossible “to start“ at all an illness as inadequate treatment of a SARS often leads to development of complications (most often - to development of bacterial damages of the bronchial tubes easy (pneumonia), a middle ear (otitis) and other bodies). Therefore the pediatrician has to examine the baby who had SARS symptoms surely. The doctor will estimate the child`s condition, will appoint treatment and will observe the kid before recovery.


If the child worries in a dream. twists a head, and during sucking begins to cry - that it can be symptoms of an inflammation of a middle ear (otitis). When sucking the kid cries because swallowing strengthens ear pain. In that case it is necessary to show the child the ENT SPECIALIST - to the doctor.


Emergence of a frequent liquid chair in the baby is a reason for the pediatrician`s call. The less child, the quicker at him life-threatening symptoms of dehydration of an organism can develop. Symptoms of dehydration are: dryness of mucous membranes, decrease in elasticity of skin, loss of weight, reduction of a mocheotdeleniye. At impossibility of compensation of liquid with drink intravenous administration of solutions in the conditions of a hospital is required. The situation will be aggravated in the presence of vomiting and temperature increase of a body. Emergence of this complex of symptoms demands urgent medical care.


Emergence of cyanosis (cyanosis) of a face, extremities or all body is a hypoxia symptom (a lack of oxygen).

Cyanosis at babies can develop at various diseases. From respiratory system it can be aspiration (hit in airways of alien masses - milk, food, a foreign matter), pneumonia (pneumonia), Bron - hiopit (an inflammation of bronchioles - small bronchial tubes), congenital malformations of bronchial tubes and lungs. Cyanosis shows diseases warmly - vascular system - congenital heart diseases, myocarditis (a heart muscle inflammation), violations of a rhythm of heart. Cyanosis can be a symptom of pathology of the central nervous system and serious infectious diseases. Cyanosis also accompanies apnoe (respiratory standstill), connected with pathology of respiratory or central nervous system.

Emergence of cyanosis - seriously also demands urgent survey by the doctor.

Short wind

Short wind - the complicated breath with participation of auxiliary muscles. At children of the first months of life the frequency of dykhaniye makes 40 - 60 in a minute, by 1 year it gradually decreases to 30 - 35 in a minute. Emergence of more frequent, noisy, complicated breath with retraction of mezhreberiya, a jugular pole or a breast on a breath - the serious symptom relating to signs of respiratory or cardiovascular insufficiency. One of the frequent reasons of emergence of short wind is aspiration - hit of foreign matters (food, small objects) in bronchial tubes. Also often complications of infectious diseases in the form of development of hypostasis of a throat (false croup) and narrowings of a gleam of bronchial tubes (a bronkhoobstruktivny syndrome) are the reason of developing of short wind. Pneumonia (pneumonia) can be followed by short wind, bronkhiolit (an inflammation of small bronchial tubes). Short wind is also a symptom of allergic reaction from airways (allergic hypostasis of a throat, a bronkhoobstruktion), and also one of the first symptoms of development of anaphylactic shock. Besides, increase of heart failure at heart diseases and myocarditis is followed by short wind. At emergence of short wind it is impossible to hesitate with a call of the doctor.



Quincke - the sharp, suddenly arising hypostasis of skin, hypodermic cellulose and (or) mucous membranes Swelled. It has the allergic nature. Hypostasis of lips, persons, a back surface of brushes and feet is more often observed. The most dangerous is throat hypostasis at which suddenly appear concern, pallor or cyanosis of the person, the complicated breath, a voice osiplost. Increase of hypostasis of a throat and distribution on a mucous membrane of a trachea leads it to overlapping of airways (asphyxia).


At the first symptoms of hypostasis of Quincke to the baby immediately need medical assistance as at this age due to high permeability of vessels hypostases accrue quickly. In combination with it the narrowness of airways contributes to fast development of asthma and serious consequences in the absence of the adequate and timely help.

Before arrival of the doctor at the first symptoms of hypostasis Quincke to the child needs to give to

an antihistaminic preparation.

of the Spasm. Loss of consciousness

the Reason for the immediate address to the doctor the episode of loss of consciousness and a spasm has to be

. Spasms at children of chest age can be shown on a miscellaneous: in the form of the tonic (long) tension of a body with a skin posineniye, in the form of involuntary twitchings by extremities (or an extremity), involuntary movements by the head (nods, etc.) in the form of absans (a short-term stop of a look and lack of reaction to surrounding), and also in a look apnoe (respiratory standstill with a skin posineniye). These are the serious symptoms demanding obligatory inspection of the child.

of the Spasm and loss of consciousness treat symptoms of damage of the central nervous system, the reasons of their emergence at babies are various (infections, intoxications, heavy perinatal damages of the central nervous system, various congenital diseases, epilepsy),

the Accruing vomiting, vomiting

Increase of frequency and volume of vomiting and vomiting which are followed by loss of body weight and deterioration in the general condition of the child, demands obligatory medical assistance. It can be symptoms of the most various diseases, such as poisonings, food intolerance, intestinal infection, intoxication at the most various infections, surgical pathology (i.e. the pathology demanding expeditious treatment), endocrine diseases (diabetes, nadpochechnikovy insufficiency), hereditary metabolic disorders.

“Sharp stomach“

the Concept “sharp stomach“ includes various sharp surgical diseases demanding urgent surgery. The syndrome of “a sharp stomach“ at children develops at an invagination - i.e. introduction of one department of intestines in a gleam of another, at a zavorota of guts, an acute appendicitis, sharp pancreatitis (a pancreas inflammation), peritonitis (a peritoneum inflammation), yazvenno - a necrotic enterokolit (an intestines inflammation), a gut necrosis, perforation (violation of integrity of a wall) of a stomach or intestines and at some other states. To symptoms of “a sharp stomach“ the attacks of belly-aches which are followed by deterioration in a condition of the child (concern, crying, refusal of food) frequent vomiting, and also emergence of blood from an anus, an abdominal distension treat with violation of an otkhozhdeniye of a chair and gases. Emergence of these symptoms has to be a reason for an urgent call of the doctor.

Infringement of hernia

One of complications of hernia - infringement of body in hernial gate. (Hernia - an exit of part of body through a wall of connecting fabric under skin. The opening through which this part of body leaves is called hernial gate.) At babies umbilical and inguinal hernias meet more often, usually at the same time through hernial gate there passes the part of a gut. In the restrained body blood circulation sharply is broken that quickly leads to loss of its viability. At infringement of hernia there is pain, reddening, hernia ceases to be set - at such symptoms immediate consultation of the surgeon is necessary. It must be kept in mind that girls at inguinal hernias have a probability of passing to a hernial opening of an ovary that creates extremely adverse situation at emergence of infringement.

the Hemorrhagic syndrome

the Hemorrhagic syndrome is an emergence of spontaneous hemorrhages in skin (from the smallest rash (petekhiya) to the extensive centers), hemorrhages in mucous membranes or bleedings (from a nose, a mouth, a rectum, an umbilical wound) that, certainly, demands immediate survey by the doctor.

it is a lot of

of the Reasons of development of a hemorrhagic syndrome. It can be various diseases of blood proceeding with coagulability violation and also heavy infections. The child with a hemorrhagic syndrome will need inspection and treatment in a hospital.

the Trauma

Unfortunately, falling and traumatizing children till 1 year are a frequent situation. More often falling happen to blow of the head as it is the heaviest part of a body of the child and it outweighs when falling. If after falling the behavior of the child changed (he became sluggish or, on the contrary, uneasy, the sleep, appetite was interrupted, vomiting developed, there were changes from eyes (squint, different width of pupils) or you noticed other features of behavior which were not before), then it is necessary to show urgently the kid to the doctor as strong headings conduct to serious injuries of a brain (concussion, a bruise of a brain, a hematoma). But also in the absence of symptoms let it is not urgent, but nevertheless it is desirable to show the child to the doctor.

Also after falling needs to pay attention to freedom of movements and to integrity of bones, especially in the place of an estimated trauma. If there are restrictions in the movements, changes of a form (deformation), sharp morbidity or a pokhrustyvaniye when probing - it is impossible to hesitate with the address to the doctor.

If traumatizing in a stomach happened, then survey of the doctor and carrying out ultrasonography is anyway necessary for an exception of injuries, gaps and hematomas of internals.