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Here - Health Promotion Agency

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Illness and accidents<br />

After these measures, take your<br />

child’s temperature if you have a<br />

thermometer. If the temperature is<br />

above 40–41˚C (104–105˚F), or your<br />

child still feels feverish, seek advice<br />

from your local healthcare team, GP,<br />

GP out-of-hours service or NHS<br />

Direct (0845 4647).<br />

VOMITING<br />

BABIES<br />

Babies often sick up a bit of milk,<br />

some a lot, without distress. But<br />

if your baby is vomiting often or<br />

violently and/or there are other<br />

signs of illness, contact your GP<br />

straight away. Your baby can lose a<br />

dangerous amount of fluid if he or<br />

she is sick often, especially if your<br />

baby has diarrhoea as well (see page<br />

93 for how to make sure your baby<br />

is getting enough fluid).<br />

OLDER CHILDREN<br />

Older children can be sick once<br />

or twice without any bother and<br />

be well again quickly afterwards,<br />

or after a night’s sleep. If your<br />

older child goes on vomiting,<br />

and/or there are other signs of<br />

illness, contact your GP.<br />

swallowed. In the bowel they hatch<br />

into worms which lay eggs around<br />

the bottom. You’ll see them in your<br />

child’s stools, looking like tiny white<br />

threads. Your child may have an itchy<br />

bottom and may scratch it a lot,<br />

especially at night.<br />

If you think your child has worms,<br />

see your GP or health visitor, or ask<br />

your pharmacist for treatment.<br />

Everybody in the family has to<br />

be treated because the threadworm<br />

eggs spread very easily. To prevent<br />

the infection spreading:<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

keep your child’s nails short;<br />

let your child wear pyjamas or<br />

pants in bed;<br />

bath your child or wash around<br />

the bottom each morning;<br />

keep your child’s towel separate;<br />

make sure everyone in the family<br />

washes their hands and scrubs<br />

their nails before every meal and<br />

after going to the toilet;<br />

disinfect the toilet seat, toilet<br />

handle or chain regularly;<br />

vacuum and dust bedrooms<br />

thoroughly.<br />

SPOTTING A RASH<br />

Rashes look different on<br />

different people. The colour<br />

of spots can vary and, on a<br />

black skin, rashes may be<br />

less easy to see. If in doubt,<br />

check with your GP.<br />

Small children and babies<br />

sometimes get rashes that are<br />

not due to infectious illnesses<br />

and which soon go without<br />

treatment. For information<br />

about meningitis and<br />

septicaemia, see page 100.<br />

● Give your child plenty to drink –<br />

clear drinks rather than milk.<br />

Don’t bother about food unless<br />

he or she wants it.<br />

THREADWORMS<br />

Many children get threadworms.<br />

They spread by producing large<br />

numbers of tiny eggs which cannot<br />

be seen with the eye. The eggs are<br />

present in dust and stick to food,<br />

carpets, towels, bedlinen and toilet<br />

seats. Because they are so small and<br />

widespread they get on fingers and<br />

under fingernails and are easily<br />

KAWASAKI DISEASE<br />

This disease affects up to 2,000 children a year, mainly the under fives,<br />

but is not very well known. A diagnosis is important because of the risk<br />

of serious complications, which include coronary artery disease.<br />

Although it affects all children, it appears to be more common in<br />

children of Asian and African-Caribbean origin.The child has a high<br />

fever lasting more than five days without any obvious cause and at least<br />

four of the following symptoms:<br />

●<br />

●<br />

●<br />

●<br />

●<br />

conjunctivitis (red infected eyes);<br />

a rash;<br />

dry, red, swollen lips or a ‘strawberry tongue’;<br />

redness and/or swelling of the arms and legs or general<br />

peeling of the skin;<br />

swollen glands.<br />

99

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