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Here - Health Promotion Agency

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Illness and accidents<br />

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TIPS ON MANAGING ECZEMA<br />

Keep your child cool and the bedroom temperature cool. ●<br />

The faeces of the house dust mite can sometimes cause<br />

an allergic reaction and make eczema worse.<br />

If your child has fluffy or furry toys in the cot or<br />

bedroom, the house dust mite collects on them. Limit<br />

these toys to one or two favourites, and either wash them<br />

weekly at 60˚C or put them in a plastic bag in the<br />

freezer for 24 hours to kill the house dust mite.<br />

Wash your child’s bedlinen at 60˚C to kill the house dust mite.<br />

Parents sometimes get worried about using topical<br />

steroids. However, used properly for short periods they are<br />

safe and may prevent the eczema getting worse.<br />

Don’t cut out important foods, such as milk, dairy<br />

products, wheat or eggs, without consulting your GP or<br />

health visitor. It’s fine to cut out such foods as citrus fruits,<br />

juice or tomatoes if you think these are irritating the skin.<br />

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Don’t let your child’s skin get dry. Apply a moisturising<br />

cream or emollient to the skin several times a day. (Try to put<br />

some cream on when you feed your baby or change a nappy.)<br />

Apply the cream with downward strokes – don’t rub it<br />

up and down.<br />

Avoid using substances that dry or irritate your baby’s<br />

skin, such as soap, baby bath, bubble bath or detergents.<br />

Bath your child in cool water with a suitable skin oil added.<br />

Aqueous cream, which can be bought cheaply from pharmacists,<br />

is often as effective a moisturiser as more expensive<br />

creams. It can also be used for washing instead of soap.<br />

Try to identify and avoid anything that irritates the skin<br />

or makes the problem worse. For example, soap powder,<br />

animals, chemical sprays, cigarette smoke or some clothing.<br />

Avoid wool and nylon clothing – cotton is best.<br />

FITS OR CONVULSIONS<br />

Febrile convulsions or ‘fever fits’ are<br />

common in children under the age of<br />

three, but can seem very alarming to<br />

parents. Although there are other reasons<br />

why children ‘fit’, fits are most commonly<br />

triggered by a high temperature. If your<br />

baby or child seems feverish or has a<br />

high temperature it is important to<br />

cool him or her down immediately.<br />

See Temperatures on page 98 to find<br />

out how to do this.<br />

What to do if your child has a fit<br />

If your child has a fit he or she may<br />

suddenly turn blue and become rigid<br />

and staring. Sometimes the eyes will<br />

roll and the limbs start to twitch and jerk.<br />

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Remove your child’s clothing and<br />

any covering, and ensure your<br />

child is cool but not chilly.<br />

Most fits will stop within three<br />

minutes. When it is over, reassure<br />

your child, make him or her<br />

comfortable, and then call a doctor.<br />

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If the fit hasn’t stopped, and your<br />

GP isn’t immediately available, take<br />

your child to the nearest hospital<br />

or get someone else to go for help,<br />

or dial 999 to call an ambulance.<br />

Stay with your child and move<br />

objects away that might cause<br />

injury.<br />

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Keep calm.<br />

Lie your child on his or her side to<br />

make sure he or she does not vomit<br />

or choke. Remove any objects<br />

from your child’s mouth. Do not<br />

put anything in the mouth.<br />

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Tell your GP that your child<br />

has had a fit.<br />

Febrile convulsions become<br />

increasingly less common after the<br />

age of three and are almost unknown<br />

after the age of five. Children with<br />

epilepsy, which causes fits or seizures,<br />

may also grow out of these.<br />

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